Esophageal ulceration from high-intensity focused US catheter ablation for pulmonary vein isolation: a novel complication in the treatment of symptomatic refractory atrial fibrillation

Gastrointestinal Endoscopy

Volumn 68, Issue 3, 2008, Pages 597-599

  Konda, Amulya ^a   Cappell, Mitchell S ^a   Dieterle, Lynn ^a   Haines, David E ^a  

^a WILLIAM BEAUMONT HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

LOW MOLECULAR WEIGHT HEPARIN; NONSTEROID ANTIINFLAMMATORY AGENT; OMEPRAZOLE; SUCRALFATE;

ADULT; ARTICLE; CASE REPORT; CATHETER ABLATION; CLINICAL EXAMINATION; CLINICAL FEATURE; DIGITAL RECTAL EXAMINATION; ESOPHAGUS ULCER; FEMALE; HEART ATRIUM FIBRILLATION; HEART HEMODYNAMICS; HUMAN; HUMAN TISSUE; PRIORITY JOURNAL; PULMONARY VEIN; REFRACTORY PERIOD; THORAX RADIOGRAPHY; TREATMENT RESPONSE;

ATRIAL FIBRILLATION; CATHETER ABLATION; DRUG THERAPY, COMBINATION; ESOPHAGEAL DISEASES; ESOPHAGOSCOPY; FEMALE; FOLLOW-UP STUDIES; HUMANS; MIDDLE AGED; OMEPRAZOLE; PULMONARY VEINS; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; SUCRALFATE; TREATMENT OUTCOME; ULCER;

EID: 50049108367     PISSN: 00165107     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.gie.2007.12.011     Document Type: Article

References (21)

1. Haissaguerre M., Jais P., Shah D.C., et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. N Engl J Med 339 (1998) 659-666
2. Pappone C., Rosanio S., Oreto G., et al. Circumferential radiofrequency ablation of pulmonary vein ostia: a new anatomic approach for curing atrial fibrillation. Circulation 102 (2000) 2619-2628
3. Oral H., Scharf C., Chugh A., et al. Catheter ablation for paroxysmal atrial fibrillation: segmental pulmonary vein ostial ablation versus left atrial ablation. Circulation 108 (2003) 2355-2360
4. Pappone C., Oral H., Santinelli V., et al. Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation. Circulation 109 (2004) 2724-2726
5. Scanavacca M.I., D'avila A., Parga J., et al. Left atrial-esophageal fistula following radiofrequency catheter ablation of atrial fibrillation. J Cardiovasc Electrophysiol 15 (2004) 960-962
6. Cummings J.E., Schweikert R.A., Saliba W.I., et al. Brief communication: atrial-esophageal fistulas after radiofrequency ablation. Ann Int Med 144 (2006) 572-574
7. Doll N., Borger M.A., Fabricius A., et al. Esophageal perforation during left atrial radiofrequency ablation: is the risk too high?. J Thorac Cardiovasc Surg 125 (2003) 836-842
8. Sonmez B., Demirsoy E., Yagan N., et al. A fatal complication due to radiofrequency ablation for atrial fibrillation: atrio-esophageal fistula. Ann Thorac Surg 76 (2003) 281-283
9. Gillinov M.A., Pettersson G., and Rice T.W. Esophageal injury during radiofrequency ablation for atrial fibrillation. J Thorac Cardiovasc Surg 122 (2001) 1239-1240
10. Mohr F.W., Fabicius A.M., Falk V., et al. Curative treatment of atrial fibrillation with intraoperative radiofrequency ablation: short-term and midterm results. J Thorac Cardiovasc Surg 123 (2002) 919-927
11. Marrouche N.F., Guenther J., Segerson N.M., et al. Randomized comparison between open irrigation technology and intracardiac-echo-guided energy delivery for pulmonary vein antrum isolation: procedural parameters, outcomes, and the effect on esophageal injury. J Cardiovasc Electrophysiol 18 (2007) 583-588
12. Schmidt B., Chun K.R.J., Kuck K.H., et al. Pulmonary vein isolation by high-intensity focused ultrasound. Indian Pacing Electrophysiol J 7 (2007) 126-133
13. Schmidt B., Antz M., Ernst S., et al. Pulmonary vein isolation by high-intensity focused ultrasound: first-in-man study with a steerable balloon catheter. Heart Rhythm 4 (2007) 575-584
14. Natale A., Pisano E., Shewchik J., et al. First human experience with pulmonary vein isolation using a through-the-balloon circumferential ultrasound ablation system for recurrent atrial fibrillation. Circulation 102 (2000) 1879-1882
15. Nakagawa H., Antz M., Wong T., et al. Initial experience using a forward directed, high-intensity focused ultrasound balloon catheter for pulmonary vein antrum isolation in patients with atrial fibrillation. J Cardiovasc Electrophysiol 18 (2007) 136-144
16. Cummings J.E., Schweikert R.A., Saliba W.I., et al. Assessment of temperature, proximity, and course of the esophagus during radiofrequency ablation within the left atrium. Circulation 112 (2005) 459-464
17. Tsuchiya T., Ashikaga K., Nakagawa S., et al. Atrial fibrillation ablation with esophageal cooling with a cooled water-irrigated intraesophageal balloon: a pilot study. J Cardiovasc Electrophysiol 18 (2007) 145-150
18. Oral H., Chugh A., Good E., et al. Randomized comparison of encircling and non-encircling left atrial ablation for chronic atrial fibrillation. Heart Rhythm 2 (2005) 1165-1172
19. Verma A., Marrouche N.F., and Natale A. Pulmonary vein antrum isolation: intracardiac echocardiography-guided technique. J Cardiovasc Electrophysiol 15 (2004) 1335-1340
20. Dixit S., Gerstenfeld E.P., Callans D.J., et al. Comparison of cool tip versus 8-mm tip catheter in achieving electrical isolation of pulmonary veins for long-term control of atrial fibrillation: a prospective randomized pilot study. J Cardiovasc Electrophysiol 17 (2006) 1074-1079
21. Bunch J.J., Nelson J., Foley T., et al. Temporary esophageal stenting allows healing of esophageal perforations following atrial fibrillation ablation procedures. J Cardiovasc Electrophysiol 17 (2007) 435-439