Overview
Atrial perforation is a rare but serious complication that can occur during cardiac procedures, particularly those involving transseptal access. It can lead to cardiac tamponade and hemodynamic instability.Diagnosis
No specific diagnostic criteria or grading systems are mentioned in the provided abstracts.Management
Protamine administration after catheter ablation of atrial fibrillation was associated with a reduction in time to hemostasis and time to ambulation 1.
Protamine administration did not appear to increase the risk of vascular complications (excluding minor hematoma) or cerebrovascular accidents 1.Special Populations
No information is available in the provided abstracts.Key Recommendations
Protamine administration may be considered post-procedure to expedite hemostasis and ambulation following catheter ablation of atrial fibrillation 1. (Evidence: Moderate)References
1 Kewcharoen J, Shah K, Bhardwaj R, Contractor T, Turagam MK, Mandapati R et al.. Periprocedural outcomes of protamine administration after catheter ablation of atrial fibrillation. Reviews in cardiovascular medicine 2022. link