PO-02-033 CALCULATED LUMINAL ESOPHAGEAL TEMPERATURE DATA PREDICT ESOPHAGEAL INJURY FOLLOWING RADIOFREQUENCY PULMONARY VEIN ISOLATION

نویسندگان

چکیده

Luminal esophageal temperature (LET) monitoring does not prevent injury following pulmonary vein isolation (PVI) but LET excess (i.e. > 41°C) is associated with increased risk for lesions and fistula. Detailed analysis of data may better predict the any (mucosal lesions, periesophageal edema food retention), thus to streamline follow-up/therapy progression (S-Cath Circa, 12 thermocouples [Fig. 1A]) consecutive patients radiofrequency (RF) PVI (30 Watt at left atrial posterior wall) were analyzed offline. Ablation was stopped when exceeded 41.0°C. LET-maxima, duration rise 1B], area under maximum curve thermocouple (AUCmax 1B]) summed-up AUC all individual LET-curves (3D-AUC 1C]) calculated correlated results endoscopy (EGD [mucosal retention]) endoscopic ultrasound (EUS [edema]). The parameters regard their ability (sensitivity) or exclude (specificity) 1D]. Following RF-PVI, 81 studied by EGD+EUS (n=73) EGD alone (n=8). Any observed in 33/73 lesions: 12/81, edema: 27/73, retention: 13/81). Procedural different between with/without injury. (1) 41.8°C mucosal raw temperatures able (2) Duration LET-rise above baseline differed significantly performed even 38.0°C (median time [interquartile range] exceeding 542 [298/668]s vs. 289 [143/414]s without injury). (3) Summed-up 38.0°C) best predictive parameter (882 [448/1181]K.s 421 [170/691]K.s [sensitivity 70%, specificity 83%, Youden-index 0.52, p<0.001]). curves predicted RF-PVI sensitivity ranging from 70-80% (Fig. 1D). Whether online-assessment useful guide strategy remains be seen.

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ژورنال

عنوان ژورنال: Heart Rhythm

سال: 2023

ISSN: ['1556-3871', '1547-5271']

DOI: https://doi.org/10.1016/j.hrthm.2023.03.771