Table 4.
Serious adverse events
Adverse event, events (subjects) | Cryoballoon CA (n = 107) |
AAD (n = 111) |
||||
---|---|---|---|---|---|---|
All | Procedure related | System related | All | Drug related | Procedure related (cross over) | |
Total | 42 (26) | 11 (9) | 2 (1) | 56 (37) | 4 (4) | 1 (1) |
Acute coronary syndrome | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Acute kidney injury | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Adverse drug reaction | 0 | 0 | 0 | 3 (3) | 2 (2) | 0 |
Arteriospasm coronary | 1 (1) | 1 (1) | 0 | 0 | 0 | 0 |
Atrial arrhythmia recurrence | 15 (11) | 1 (1) | 0 | 34 (28) | 2 (2) | 0 |
AVNRT | 1 (1) | 0 | 0 | 0 | 0 | 0 |
Bronchitis | 1 (1) | 0 | 0 | 0 | 0 | 0 |
Chest pain | 1 (1) | 0 | 0 | 0 | 0 | 0 |
Gastrointestinal pain | 1 (1) | 0 | 0 | 0 | 0 | 0 |
Impaired gastric emptying | 1 (1) | 1 (1) | 0 | 1 (1) | 0 | 0 |
Impaired healing | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Lung disorder/infection | 4 (1) | 1 (1) | 0 | 0 | 0 | 0 |
Non-sustained ventricular tachycardia | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Oedema peripheral | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Orthostatic hypotension | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Palpitations | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Pericardial disordera | 3 (3) | 3 (3) | 1 (1) | 0 | 0 | 0 |
Phrenic nerve paralysis | 0 | 0 | 0 0 | 1 (1)b | 0 | 1 (1) |
Pneumonia | 1 (1) | 0 | 0 | 0 | 0 | 0 |
Procedural failurec | 1 (1) | 1 (1) | 0 | 0 | 0 | 0 |
Pyrexia | 1 (1) | 1.(1) | 0 | 0 | 0 | 0 |
Syncope | 0 | 0 | 0 | 1 (1) | 0 | 0 |
Transient ischaemic attack | 1 (1) | 1 (1) | 1 (1) | 0 | 0 | 0 |
Vascular access site haemorrhage | 1 (1) | 1 (1) | 0 | 0 | 0 | 0 |
Other | 9 (9) | 0 | 0 | 9 (7) | 0 | 0 |
Atrial arrhythmia recurrence was only classified as a serious adverse event if it resulted in hospitalization.
None of these events resulted in cardiac tamponade.
Transient phrenic nerve palsy was experienced by one subject randomized to AAD who underwent CA.
Failure of the transseptal puncture was observed in one subject randomized to cryoballoon; a second procedure was successful.
AAD, antiarrhythmic drug; AVNRT, atrioventricular nodal reentry tachycardia; CA, catheter ablation.