Monitoring esophageal temperature during catheter ablation.
نویسنده
چکیده
I comment on a paper just appeared on JAFIB, aimed at providing an index quantifying the convenience of monitoring esophageal temperature during catheter ablation. The authors base their calculation on the data from four papers. I point out that the data from the two papers strongly against monitoring should be interpreted differently and I suggest how to retrieve more data for a more reliable determination of the said index. In addition, I briefly discuss the so-called antenna effect, sometimes put forward to discourage temperature monitoring.
منابع مشابه
Electrical and thermal effects of esophageal temperature probes on radiofrequency catheter ablation of atrial fibrillation: results from a computational modeling study.
INTRODUCTION Luminal esophageal temperature (LET) monitoring is commonly employed during catheter ablation of atrial fibrillation (AF) to detect high esophageal temperatures during radiofrequency (RF) delivery along the posterior wall of the left atrium. However, it has been recently suggested that in some cases the esophageal probe itself may serve as an RF "antenna" and promote esophageal the...
متن کاملLuminal esophageal temperature monitoring with a deflectable esophageal temperature probe and intracardiac echocardiography may reduce esophageal injury during atrial fibrillation ablation procedures: results of a pilot study.
BACKGROUND Luminal esophageal temperature (LET) monitoring is one strategy to minimize esophageal injury during atrial fibrillation ablation procedures. However, esophageal ulceration and fistulas have been reported despite adequate LET monitoring. The objective of this study was to assess a novel approach to LET monitoring with a deflectable LET probe on the rate of esophageal injury in patien...
متن کاملEsophageal Temperature Monitoring During Radiofrequency Ablation of Atrial Fibrillation: A Meta-Analysis.
Objective: Atrio-esophageal fistula is an infrequent but devastating complication of catheter-based ablation of atrial fibrillation (AF). Thermal esophageal injury may be the precursor of atrio-esophageal fistula. Here, we evaluated the role of esophageal temperature monitoring in preventing thermal esophageal injury during pulmonary vein isolation for AF with radiofrequency energy. Methods: In...
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Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation. ablation with esophageal cooling with a cooled water-irrigated intraesophageal balloon: a pilot study. A et al. Clinical characteristics of massive air embolism complicating left atrial ablation of atrial fibrillation: lessons from five cases. A et al. Prevention of periprocedural ischemic ...
متن کاملSimplified method for esophagus protection during radiofrequency catheter ablation of atrial fibrillation - prospective study of 704 cases
INTRODUCTION Although rare, the atrioesophageal fistula is one of the most feared complications in radiofrequency catheter ablation of atrial fibrillation due to the high risk of mortality. OBJECTIVE This is a prospective controlled study, performed during regular radiofrequency catheter ablation of atrial fibrillation, to test whether esophageal displacement by handling the transesophageal e...
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ورودعنوان ژورنال:
- Journal of atrial fibrillation
دوره 10 2 شماره
صفحات -
تاریخ انتشار 2017