Successful nonsurgical treatment of esophagopericardial fistulas after atrial fibrillation catheter ablation: A case series

Circulation: Arrhythmia and Electrophysiology

Volumn 6, Issue 4, 2013, Pages 675-681

  Eitel, Charlotte ^a   Rolf, Sascha ^a   Zachäus, Markus ^b   John, Silke ^a   Sommer, Philipp ^a   Bollmann, Andreas ^a   Arya, Arash ^a   Piorkowski, Christopher ^a   Hindricks, Gerhard ^a   Halm, Ulrich ^b  

^a UNIVERSITY OF LEIPZIG   (Germany)

^b Park Hospital Leipzig   (Germany)

Author keywords

Adverse events complication; Atrial fibrillation; Catheter ablation; Esophageal perforation; Fistula; Pericardial effusion; Stenting

Indexed keywords

ABLATION THERAPY; AGED; ANTIBIOTIC THERAPY; ARTICLE; CARDIOVERSION; CASE REPORT; CATHETER ABLATION; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST MEDIUM EXTRAVASATION; DYSPHAGIA; ESOPHAGEAL STENT; ESOPHAGOPERICARDIAL FISTULA; ESOPHAGUS PERFORATION; ESOPHAGUS STENOSIS; FEMALE; FISTULA; FOLLOW UP; GASTROINTESTINAL ENDOSCOPY; HEART ATRIUM FIBRILLATION; HEMATEMESIS; HUMAN; MALE; PERICARDIAL DISEASE; PERICARDIAL EFFUSION; PNEUMOPERICARDIUM; PRIORITY JOURNAL; RECURRENT DISEASE; RETROSTERNAL PAIN; SURGICAL DRAINAGE; TEMPERATURE MEASUREMENT; THERMAL INJURY;

ADVERSE EVENTS COMPLICATION; ATRIAL FIBRILLATION; CATHETER ABLATION; ESOPHAGEAL PERFORATION; FISTULA; PERICARDIAL EFFUSION; STENTING;

AGED; AGED, 80 AND OVER; ANTI-BACTERIAL AGENTS; ATRIAL FIBRILLATION; CATHETER ABLATION; COMBINED MODALITY THERAPY; DRAINAGE; ESOPHAGEAL FISTULA; ESOPHAGEAL PERFORATION; ESOPHAGOSCOPY; FEMALE; HEART DISEASES; HUMANS; MALE; PERICARDIAL EFFUSION; PERICARDIUM; STENTS; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 84884507378     PISSN: 19413149     EISSN: 19413084     Source Type: Journal    
DOI: 10.1161/CIRCEP.113.000384     Document Type: Article

References (30)

1. Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J, Kim YH, Klein G, Packer D, Skanes A. Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circulation. 2005;111: 1100-1105.
2. Cappato R, Calkins H, Chen SA, Davies W, Iesaka Y, Kalman J, Kim YH, Klein G, Natale A, Packer D, Skanes A, Ambrogi F, Biganzoli E. Updated worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation. Circ Arrhythm Electrophysiol. 2010;3: 32-38.
3. Dagres N, Hindricks G, Kottkamp H, Sommer P, Gaspar T, Bode K, Arya A, Husser D, Rallidis LS, Kremastinos DT, Piorkowski C. Complications of atrial fibrillation ablation in a high-volume center in 1,000 procedures: still cause for concern? J Cardiovasc Electrophysiol. 2009;20: 1014-1019.
4. Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, Crijns HJ, Damiano RJ Jr, Davies DW, DiMarco J, Edgerton J, Ellenbogen K, Ezekowitz MD, Haines DE, Haissaguerre M, Hindricks G, Iesaka Y, Jackman W, Jalife J, Jais P, Kalman J, Keane D, Kim YH, Kirchhof P, Klein G, Kottkamp H, Kumagai K, Lindsay BD, Mansour M, Marchlinski FE, McCarthy PM, Mont JL, Morady F, Nademanee K, Nakagawa H, Natale A, Nattel S, Packer DL, Pappone C, Prystowsky E, Raviele A, Reddy V, Ruskin JN, Shemin RJ, Tsao HM, Wilber D. 2012 HRS/EHRA/ ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design. Europace. 2012;14: 528-606.
5. Dagres N, Kottkamp H, Piorkowski C, Doll N, Mohr F, Horlitz M, Kremastinos DT, Hindricks G. Rapid detection and successful treatment of esophageal perforation after radiofrequency ablation of atrial fibrillation: lessons from five cases. J Cardiovasc Electrophysiol. 2006;17: 1213-1215.
6. Cazavet A, Muscari F, Marachet MA, Léobon B. Successful surgery for atrioesophageal fistula caused by transcatheter ablation of atrial fibrillation. J Thorac Cardiovasc Surg. 2010;140:e43-e45.
7. 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.
8. Haggerty KA, George TJ, Arnaoutakis GJ, Barreiro CJ, Shah AS, Sussman MS. Successful repair of an atrioesophageal fistula after catheter ablation for atrial fibrillation. Ann Thorac Surg. 2012;93: 313-315.
9. Mohr FW, Fabricius AM, Falk V, Autschbach R, Doll N, Von Oppell U, Diegeler A, Kottkamp H, Hindricks G. Curative treatment of atrial fibrillation with intraoperative radiofrequency ablation: short-term and midterm results. J Thorac Cardiovasc Surg. 2002;123: 919-927.
10. Vijayaraman P, Netrebko P, Geyfman V, Dandamudi G, Casey K, Ellenbogen KA. Esophageal fistula formation despite esophageal monitoring and low-power radiofrequency catheter ablation for atrial fibrillation. Circ Arrhythm Electrophysiol. 2009;2:e31-e33.
11. Bunch TJ, Nelson J, Foley T, Allison S, Crandall BG, Osborn JS, Weiss JP, Anderson JL, Nielsen P, Anderson L, Lappe DL, Day JD. Temporary esophageal stenting allows healing of esophageal perforations following atrial fibrillation ablation procedures. J Cardiovasc Electrophysiol. 2006;17: 435-439.
12. Grubina R, Cha YM, Bell MR, Sinak LJ, Asirvatham SJ. Pneumopericardium following radiofrequency ablation for atrial fibrillation: insights into the natural history of atrial esophageal fistula formation. J Cardiovasc Electrophysiol. 2010;21: 1046-1049.
13. Kottkamp H, Hindricks G, Eitel C, Müller K, Siedziako A, Koch J, Anastasiou-Nana M, Varounis C, Arya A, Sommer P, Gaspar T, Piorkowski C, Dagres N. Deep sedation for catheter ablation of atrial fibrillation: a prospective study in 650 consecutive patients. J Cardiovasc Electrophysiol. 2011;22: 1339-1343.
14. Piorkowski C, Kircher S, Arya A, Gaspar T, Esato M, Riahi S, Bollmann A, Husser D, Staab C, Sommer P, Hindricks G. Computed tomography model-based treatment of atrial fibrillation and atrial macro-re-entrant tachycardia. Europace. 2008;10: 939-948.
15. Piorkowski C, Eitel C, Rolf S, Bode K, Sommer P, Gaspar T, Kircher S, Wetzel U, Parwani AS, Boldt LH, Mende M, Bollmann A, Husser D, Dagres N, Esato M, Arya A, Haverkamp W, Hindricks G. Steerable versus nonsteerable sheath technology in atrial fibrillation ablation: a prospective, randomized study. Circ Arrhythm Electrophysiol. 2011;4: 157-165.
16. Kottkamp H, Piorkowski C, Tanner H, Kobza R, Dorszewski A, Schirdewahn P, Gerds-Li JH, Hindricks G. Topographic variability of the esophageal left atrial relation influencing ablation lines in patients with atrial fibrillation. J Cardiovasc Electrophysiol. 2005;16: 146-150.
17. Halm U, Gaspar T, Zachäus M, Sack S, Arya A, Piorkowski C, Knigge I, Hindricks G, Husser D. Thermal esophageal lesions after radiofrequency catheter ablation of left atrial arrhythmias. Am J Gastroenterol. 2010;105: 551-556.
18. 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 ablation. Circ Arrhythm Electrophysiol. 2008;1: 162-168.
19. Chugh A, Rubenstein J, Good E, Ebinger M, Jongnarangsin K, Fortino J, Bogun F, Pelosi F Jr, Oral H, Nostrant T, Morady F. Mechanical displacement of the esophagus in patients undergoing left atrial ablation of atrial fibrillation. Heart Rhythm. 2009;6: 319-322.
20. Martinek M, Bencsik G, Aichinger J, Hassanein S, Schoefl R, Kuchinka P, Nesser HJ, Purerfellner H. Esophageal damage during radiofrequency ablation of atrial fibrillation: impact of energy settings, lesion sets, and esophageal visualization. J Cardiovasc Electrophysiol. 2009;20: 726-733.
21. Gilcrease GW, Stein JB. A delayed case of fatal atrioesophageal fistula following radiofrequency ablation for atrial fibrillation. J Cardiovasc Electrophysiol. 2010;21: 708-711.
22. Sommer P, Hindricks G. Prevention of oesophageal injury during catheter ablation of atrial fibrillation: is monitoring of oesophageal temperature the solution? Europace. 2010;12: 911-912.
23. 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;144: 572-574.
24. Zellerhoff S, Lenze F, Schulz R, Eckardt L. Fatal course of esophageal stenting of an atrioesophageal fistula after atrial fibrillation ablation. Heart Rhythm. 2011;8: 624-626.
25. Tilz RR, Chun KR, Metzner A, Burchard A, Wissner E, Koektuerk B, Konstantinidou M, Nuyens D, De Potter T, Neven K, Fürnkranz A, Ouyang F, Schmidt B. Unexpected high incidence of esophageal injury following pulmonary vein isolation using robotic navigation. J Cardiovasc Electrophysiol. 2010;21: 853-858.
26. Ben-David K, Rosenthal M, Chauhan SS. A novel strategy for the management of acute hemorrhage from an atrio-esophageal fistula after atrial ablation. Am Surg. 2012;78:E286-E287.
27. Halbreiner MS, Sun E, Asheld J, Buscaglia JM, Nagula S, McLarty AJ. Delayed esophago-pericardial fistula after ablation for atrial fibrillation. Am Surg. 2012;78:E146-E148.
28. Ben-David K, Carreras J, Lopes J. Are incisionless fundoplication procedures a safer alternative to the laparoscopic nissen for the treatment of chronic gastroesophageal reflux disease? J Gastrointest Surg. 2011;15: 885-890.
29. Ben-David K, Lopes J, Hochwald S, Draganov P, Forsmark C, Collins D, Chauhan S, Wagh MS, Carreras J, Vogel S, Sarosi G. Minimally invasive treatment of esophageal perforation using a multidisciplinary treatment algorithm: a case series. Endoscopy. 2011;43: 160-162.
30. van Boeckel PG, Sijbring A, Vleggaar FP, Siersema PD. Systematic review: temporary stent placement for benign rupture or anastomotic leak of the oesophagus. Aliment Pharmacol Ther. 2011;33: 1292-1301.