Esophageal capsule endoscopy after radiofrequency catheter ablation for atrial fibrillation: Documented higher risk of luminal esophageal damage with general anesthesia as compared with conscious sedation

Circulation: Arrhythmia and Electrophysiology

Volumn 2, Issue 2, 2009, Pages 108-112

  Di Biase, Luigi ^a,b,c   Saenz, Luis Carlos ^e   Burkhardt, David J ^a   Vacca, Miguel ^e   Elayi, Claude S ^c   Barrett, Conor D ^c   Horton, Rodney ^a   Bai, Rong ^c   Siu, Alan ^c   Fahmy, Tamer S ^c   Patel, Dimpi ^c   Armaganijan, Luciana ^c   Wu, Chia Tung ^c   Kai, Sonne ^c   Ching, Ching Keong ^c   Phillips, Karen ^c   Schweikert, Robert A ^c   Cummings, Jennifer E ^c   Arruda, Mauricio ^c   Saliba, Walid I ^c   Dodig, Milan ^c   Natale, Andrea ^a,d   more..

^a Texas Cardiac Arrhythmia Institute   (United States)

^b UNIVERSITY OF FOGGIA   (Italy)

^c LERNER RESEARCH INSTITUTE   (United States)

^d STANFORD UNIVERSITY   (United States)

^e Fundation Cardio Infantil ^*  (Colombia)

Author keywords

Catheter ablation of atrial fibrillation; Complications; Esophageal injury; Left atrioesophageal fistula; Left atrium

Indexed keywords

ANESTHETIC AGENT; FENTANYL; MIDAZOLAM; PROPOFOL;

ADULT; ARTICLE; CAPSULE ENDOSCOPY; CATHETER ABLATION; CLINICAL TRIAL; COMPARATIVE STUDY; CONSCIOUS SEDATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ESOPHAGUS INJURY; FEMALE; GENERAL ANESTHESIA; HEART ATRIUM FIBRILLATION; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; RADIOFREQUENCY ABLATION; RANDOMIZED CONTROLLED TRIAL; RISK ASSESSMENT; TEMPERATURE MEASUREMENT;

AGED; ANESTHESIA, GENERAL; ATRIAL FIBRILLATION; BURNS, ELECTRIC; CAPSULE ENDOSCOPES; CAPSULE ENDOSCOPY; CATHETER ABLATION; CONSCIOUS SEDATION; ESOPHAGEAL FISTULA; ESOPHAGUS; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; RISK FACTORS; TEMPERATURE;

EID: 70349466797     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.108.815266     Document Type: Article

References (26)

1. Fuster V, Ryden LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S, Smith SC Jr, Jacobs AK, Adams CD, Anderson JL, Antman EM, Hunt SA, Nishimura R, Ornato JP, Page RL, Riegel B, Priori SG, Blanc JJ, Budaj A, Camm AJ, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Zamorano JL. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the European Heart Rhythm Association and the Heart Rhythm Society. Circulation. 2006; 114:e257-e354.
2. Pappone C, Oral H, Santinelli V, Vicedomini G, Lang CC, Manguso F, Torracca L, Benussi S, Alfieri O, Hong R, Lau W, Hirata K, Shikuma N, Hall B, Morady F. Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation. Circulation. 2004; 109:2724-2726.
3. Doll N, Borger MA, Fabricius A, Stephan S, Gummert J, Mohr FW, Hauss J, Kottkamp H, Hindricks G. Esophageal perforation during left atrial radiofrequency ablation: Is the risk too high? J Thorac Cardiovasc Surg. 2003; 125:836-842. (Pubitemid 36457504)
4. Cummings JE, Schweikert RA, Saliba WI, Burkhardt JD, Kilikaslan F, Saad E, Natale A Brief communication: atrial-esophageal fistulas after radiofrequency ablation. Ann Intern Med. 2006 Apr 18; 144:572-574.
5. Verma A, Marrouche NF, Natale A. Pulmonary vein antrum isolation: intracardiac echocardiography-guided technique. J Cardiovasc Electrophysiol. 2004; 15:1335-1340.
6. Kanj M, Wazni O, Natale A. How to do circular mapping catheter-guided pulmonary vein antrum isolation: the Cleveland Clinic approach. Heart Rhythm. 2006; 3:866-869.
7. Arruda M, Mlcochova H, Prasad SK, Kilicaslan F, Saliba W, Patel D, Fahmy T, Morales LS, Schweikert R, Martin D, Burkhardt D, Cummings J, Bhargava M, Dresing T, Wazni O, Kanj M, Natale A. Electrical isolation of the superior vena cava: an adjunctive strategy to pulmonary vein antrum isolation improving the outcome of AF ablation. J Cardiovasc Electrophysiol. 2007; 18:1261-1266.
8. Eliakim R, Sharma VK, Yassin K, Adler SN, Jacob H, Cave DR, Sachdev R, Mitty RD, Hartmann D, Schilling D, Riemann JF, Bar-Meir S, Bardan E, Fennerty B, Eisen G, Faigel D, Lewis BS, Fleischer DE. A prospective study of the diagnostic accuracy of PillCam ESO esophageal capsule endoscopy versus conventional upper endoscopy in patients with chronic gastroesophageal reflux diseases. J Clin Gastroenterol. 2005; 39:572-578.
9. Eliakim R, Yassin K, Shlomi I, Suissa A, Eisen GM. A novel diagnostic tool for detecting oesophageal pathology: the PillCam oesophageal video capsule. Aliment Pharmacol Ther. 2004; 20:1083-1089.
10. Sherzer AI, Feigenblum DY, Kulkarni S, Pina JW, Casey JL, Salka KA, Simons GR. Continuous nonfluoroscopic localization of the esophagus during radiofrequency catheter ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 2007; 18:157-160.
11. Good E, Oral H, Lemola K, Han J, Tamirisa K, Igic P, Elmouchi D, Tschopp D, Reich S, Chugh A, Bogun F, Pelosi F Jr, Morady F. Movement of the esophagus during left atrial catheter ablation for atrial fibrillation. J Am Coll Cardiol. 2005; 46:2107-2110. (Pubitemid 41713599)
12. Nademanee K, McKenzie J, Kosar E, Schwab M, Sunsaneewitayakul B, Vasavakul T, Khunnawat C, Ngarmukos T. A new approach for catheter ablation of atrial fibrillation: mapping of the electrophysiologic substrate. J Am Coll Cardiol. 2004; 43:2044 -2053.
13. Hocini M, Jaï s P, Sanders P, Takahashi Y, Rotter M, Rostock T, Hsu LF, Sacher F, Reuter S, Clémenty J, Haï ssaguerre M. Techniques, evaluation, and consequences of linear block at the left atrial roof in paroxysmal atrial fibrillation: a prospective randomized study. Circulation. 2005; 112:3688-3696.
14. Jaï s P, Hocini M, Hsu LF, Sanders P, Scavee C, Weerasooriya R, Macle L, Raybaud F, Garrigue S, Shah DC, Le Metayer P, Clémenty J, Haï ssaguerre M. Technique and results of linear ablation at the mitral isthmus. Circulation. 2004; 110:2996 -3002.
15. Pappone C, Santinelli V, Manguso F, Vicedomini G, Gugliotta F, Augello G, Mazzone P, Tortoriello V, Landoni G, Zangrillo A, Lang C, Tomita T, Mesas C, Mastella E, Alfieri O. Pulmonary vein denervation enhances long-term benefit after circumferential ablation for paroxysmal atrial fibrillation. Circulation. 2004; 109:327-334. (Pubitemid 38133899)
16. Scanavacca M, Pisani CF, Hachul D, Lara S, Hardy C, Darrieux F, Trombetta I, Negrão CE, Sosa E. Selective atrial vagal denervation guided by evoked vagal reflex to treat patients with paroxysmal atrial fibrillation. Circulation. 2006; 114:876-885.
17. Ouyang F, Bänsch D, Ernst S, Schaumann A, Hachiya H, Chen M, Chun J, Falk P, Khanedani A, Antz M, Kuck KH. Complete isolation of left atrium surrounding the pulmonary veins: new insights from the double-Lasso technique in paroxysmal atrial fibrillation. Circulation. 2004; 110:2090-2096.
18. Arentz T, Weber R, Bürkle G, Herrera C, Blum T, Stockinger J, Minners J, Neumann FJ, Kalusche D. Small or large isolation areas around the pulmonary veins for the treatment of atrial fibrillation? Results from a prospective randomized study. Circulation. 2007; 115:3057-3063.
19. Gillinov AM, Pettersson G, Rice TW. Esophageal injury during radiofrequency ablation for atrial fibrillation. J Thorac Cardiovasc Surg. 2001; 122:1239 -1240.
20. Scanavacca MI, Avila AD, Parga J, Sosa E. Left atrial-esophageal fistula following radiofrequency catheter ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 2004; 15:960 -962.
21. Dixit S, Marchlinski FE. How to recognize, manage, and prevent complications during atrial fibrillation ablation. Heart Rhythm. 2007; 4:108-115.
22. Sánchez-Quintana D, Cabrera JA, Climent V, Farré J, Mendonça MC, Ho SY. Anatomic relations between the esophagus and left atrium and relevance for ablation of atrial fibrillation. Circulation. 2005; 112:1400-1405.
23. Ho SY, Cabrera JA, Farre J, Anderson RH, Sanchez-Quintana D. Architecture of pulmonary veins: relevance to radiofrequency ablation. Heart. 2001; 86:265-270.
24. Cummings JE, Schweikert RA, Saliba WI, Burkhardt JD, Brachmann J, Gunther J, Schibgilla V, Verma A, Dery M, Drago JL, Kilicaslan F, Natale A. Assessment of temperature, proximity, and course of the esophagus during radiofrequency ablation within the left atrium. Circulation. 2005; 112: 459-464.
25. Singh SM, d'Avila A, Doshi SK, Brugge WR, Bedford RA, Mela T, Ruskin JN, Reddy VY. Esophageal injury and temperature monitoring during atrial fibrillation. CirC Arrhythmia Electrophysiol. 2008; 1:162-168.
26. Cummings JE, Barrett CD, Litwak KN, Di Biase L, Chowdhury P, Oh S, Ching CK, Saliba WI, Schweikert RA, Burkhardt JD, De Marco S, Armaganijan L, Natale A. Esophageal luminal temperature measurement underestimates esophageal tissue temperature during radiofrequency ablation within the canine left atrium: comparison between 8 mm tip and open irrigation catheters. J Cardiovasc Electrophysiol. 2008; 19:641- 644.