Progression From Esophageal Thermal Asymptomatic Lesion to Perforation Complicating Atrial Fibrillation Ablation
نویسندگان
چکیده
Major complications related to ablation of atrial fibrillation (AF) occur in ≤4.5% of patients. A large multicenter survey reports a procedure-related complication rate of 7.8%. One of the most fatal complications is atrioesophageal fistula (AEF) reported in ≤0.2% of AF ablation cases. A study comparing pulmonary vein isolation (PVI) using radiofrequency and cryoballoon ablation reported an overall complication rate of 12.8% in the radiofrequency ablation group without any perforating complication reported in this cohort. Whereas the exact mechanism of AEF is still unknown esophageal thermal lesions as a direct result of ablation within the left atrium (LA) have been proposed to be the starting point of the cascade leading to esophageal perforation and AEF.
منابع مشابه
Progression From Esophageal Thermal Asymptomatic Lesion to Perforation Complicating Atrial Fibrillation Ablation: A Single-Center Registry.
BACKGROUND Up to 40% of patients demonstrate endoscopically detected asymptomatic esophageal lesions (EDEL) after atrial fibrillation ablation. METHODS AND RESULTS Patients undergoing first atrial fibrillation ablation and postinterventional esophageal endoscopy were included in the study. Occurrence of esophageal perforating complications during follow-up was related to documented EDEL (cate...
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