Esophageal Capsule Endoscopy After Radiofrequency Catheter Ablation for Atrial Fibrillation
- 1 April 2009
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Circulation: Arrhythmia and Electrophysiology
- Vol. 2 (2), 108-112
- https://doi.org/10.1161/circep.108.815266
Abstract
Background— Left atrioesophageal fistula is a rare but devastating complication that may occur after catheter ablation of atrial fibrillation. We used capsule endoscopy to assess esophageal injury after catheter ablation for atrial fibrillation in a population randomized to undergo general anesthesia or conscious sedation. Methods and Results— Fifty patients undergoing atrial fibrillation ablation for paroxysmal symptomatic atrial fibrillation refractory to antiarrhythmic drugs were enrolled and randomized, including those undergoing the procedure under general anesthesia (25 patients, group 1) and those receiving conscious sedation with fentanyl or midazolam (25 patients, group 2). All patients underwent esophageal temperature monitoring during the procedure. The day after ablation, all patients had capsule endoscopy to assess the presence of endoluminal tissue damage of the esophagus. We observed esophageal tissue damage in 12 (48%) patients of group 1 and 1 esophageal tissue damage in a single patient ...Keywords
This publication has 26 references indexed in Scilit:
- Electrical Isolation of the Superior Vena Cava: An Adjunctive Strategy to Pulmonary Vein Antrum Isolation Improving the Outcome of AF AblationJournal of Cardiovascular Electrophysiology, 2007
- Continuous Nonfluoroscopic Localization of the Esophagus During Radiofrequency Catheter Ablation of Atrial FibrillationJournal of Cardiovascular Electrophysiology, 2006
- ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial FibrillationCirculation, 2006
- How to do circular mapping catheter-guided pulmonary vein antrum isolation: The Cleveland Clinic approachHeart Rhythm, 2006
- Brief Communication: Atrial–Esophageal Fistulas after Radiofrequency AblationAnnals of Internal Medicine, 2006
- A Prospective Study of the Diagnostic Accuracy of PillCam ESO Esophageal Capsule Endoscopy Versus Conventional Upper Endoscopy in Patients With Chronic Gastroesophageal Reflux DiseasesJournal of Clinical Gastroenterology, 2005
- A novel diagnostic tool for detecting oesophageal pathology: the PillCam oesophageal video capsuleAlimentary Pharmacology & Therapeutics, 2004
- Pulmonary Vein Antrum Isolation:Journal of Cardiovascular Electrophysiology, 2004
- Atrio-Esophageal Fistula as a Complication of Percutaneous Transcatheter Ablation of Atrial FibrillationCirculation, 2004
- Esophageal perforation during left atrial radiofrequency ablation: Is the risk too high?The Journal of Thoracic and Cardiovascular Surgery, 2003