Esophagus-Related Complications During Second-Generation Cryoballoon Ablation—Insight from Simultaneous Esophageal Temperature Monitoring from 2 Esophageal Probes

Journal of Cardiovascular Electrophysiology

Volumn 27, Issue 9, 2016, Pages 1038-1044

  Miyazaki, Shinsuke ^a   Nakamura, Hiroaki ^a   Taniguchi, Hiroshi ^a   Takagi, Takamitsu ^a   Iwasawa, Jin ^a   Watanabe, Tomonori ^a   Hachiya, Hitoshi ^a   Hirao, Kenzo ^b   Iesaka, Yoshito ^a  

^a TSUCHIURA KYODO GENERAL HOSPITAL   (Japan)

^b TOKYO MEDICAL AND DENTAL UNIVERSITY   (Japan)

Author keywords

atrial fibrillation; cryoballoon; esophageal injury; gastroparesis; pulmonary vein isolation

Indexed keywords

ABLATION CATHETER; ADULT; ARTICLE; BALLOON; CLINICAL ARTICLE; CLINICAL TRIAL; CONSCIOUS SEDATION; CRYOABLATION; ERYTHEMA; ESOPHAGOSCOPY; ESOPHAGUS DISEASE; FEMALE; GASTROINTESTINAL RADIOGRAPHY DEVICE; GASTROSCOPY; HUMAN; INCIDENCE; MALE; MIDDLE AGED; PAROXYSMAL ATRIAL FIBRILLATION; PRIORITY JOURNAL; PROSPECTIVE STUDY; PULMONARY VEIN ISOLATION; SENSITIVITY AND SPECIFICITY; STOMACH PARESIS; TEMPERATURE;

EID: 84985920114     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/jce.13015     Document Type: Article

References (16)

1. Calkins H, Kuck KH, Cappato R, Brugada J, Camm AJ, Chen SA, Crijns HJ, Damiano RJJr, 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: A report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Heart Rhythm 2012;9:632-696.
2. Kojodjojo P, O'Neill MD, Lim PB, Malcolm-Lawes L, Whinnett ZI, Salukhe TV, Linton NW, Lefroy D, Mason A, Wright I, Peters NS, Kanagaratnam P, Davies DW: Pulmonary venous isolation by antral ablation with a large cryoballoon for treatment of paroxysmal and persistent atrial fibrillation: Medium-term outcomes and non-randomised comparison with pulmonary venous isolation by radiofrequency ablation. Heart 2010;96:1379-1384.
3. Coulombe N, Paulin J, Su W: Improved in vivo performance of second-generation cryoballoon for pulmonary vein isolation. J Cardiovasc Electrophysiol 2013;24:919-925.
4. Aryana A, Singh SM, Kowalski M, Pujara DK, Cohen AI, Singh SK, Aleong RG, Banker RS, Fuenzalida CE, Prager NA, Bowers MR, D'Avila A, O'Neill PG: Acute and long-term outcomes of catheter ablation of atrial fibrillation using the second-generation cryoballoon versus open-irrigated radiofrequency: A multicenter experience. J Cardiovasc Electrophysiol 2015;26:832-839.
5. Metzner A, Burchard A, Wohlmuth P, Rausch P, Bardyszewski A, Gienapp C, Tilz RR, Rillig A, Mathew S, Deiss S, Makimoto H, Ouyang F, Kuck KH, Wissner E: Increased incidence of esophageal thermal lesions using the second-generation 28-mm cryoballoon. Circ Arrhythm Electrophysiol 2013;6:769-775.
6. Fürnkranz A, Bordignon S, Böhmig M, Konstantinou A, Dugo D, Perrotta L, Klopffleisch T, Nowak B, Dignaß AU, Schmidt B, Chun JK: Reduced incidence of esophageal lesions by luminal esophageal temperature-guided second-generation cryoballoon ablation. Heart Rhythm 2015;12:268-274.
7. Miyazaki S, Hachiya H, Taniguchi H, Nakamura H, Ichihara N, Usui E, Kuroi A, Takagi T, Iwasawa J, Hirao K, Iesaka Y: Prospective evaluation of bilateral diaphragmatic electromyograms during cryoballoon ablation of atrial fibrillation. J Cardiovasc Electrophysiol 2015;26:622-628.
8. Sacher F, Monahan KH, Thomas SP, Davidson N, Adragao P, Sanders P, Hocini M, Takahashi Y, Rotter M, Rostock T, Hsu LF, Clémenty J, Haïssaguerre M, Ross DL, Packer DL, Jaïs P: Phrenic nerve injury after atrial fibrillation catheter ablation: Characterization and outcome in a multicenter study. J Am Coll Cardiol 2006;47:2498-2503.
9. Leite LR, Santos SN, Maia H, Henz BD, Giuseppin F, Oliverira A, Zanatta AR, Peres AK, Novakoski C, Barreto JR, Vassalo F, d'Avila A, Singh SM: Luminal esophageal temperature monitoring with a deflectable esophageal temperature probe and intracardiac echocardiography may reduce esophageal injury during atrial fibrillation ablation procedures: Results of a pilot study. Circ Arrhythm Electrophysiol 2011;4:149-156.
10. 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.
11. Su W, Kowal R, Kowalski M, Metzner A, Svinarich JT, Wheelan K, Wang P: Best practice guide for cryoballoon ablation in atrial fibrillation: The compilation experience of more than 3000 procedures. Heart Rhythm 2015;12:1658-1666.
12. Lim HW, Cogert GA, Cameron CS, Cheng VY, Sandler DA: Atrioesophageal fistula during cryoballoon ablation for atrial fibrillation. J Cardiovasc Electrophysiol 2014;25:208-213.
13. Kawasaki R, Gauri A, Elmouchi D, Duggal M, Bhan A: Atrioesophageal fistula complicating cryoballoon pulmonary vein isolation for paroxysmal atrial fibrillation. J Cardiovasc Electrophysiol 2014;25:787-792.
14. Vijayaraman P, Netrebeko P, Geyfman V, Dandamudi G, Casey K, Ellenbogen K: Esophageal fistula formation despite esophageal monitoring and low-power radiofrequency catheter ablation for atrial fibrillation. Circ Arrhythm Electrophysiol 2009;5:e31-e33.
15. Di Biase L, Saenzr LC, Burckhardt DJ, Vacca M, Elayi CS, Barrett CD, Horton R, Bai R, Siu A, Fahmy TS, Patel D, Armaganijan L, Wu CT, Kai S, Ching CK, Phillips K, Schweikert RA, Cummings JE, Arruda M, Saliba WI, Dodig M, Natale A: Esophageal capsule endoscopy after radiofrequency catheter ablation for atrial fibrillation. Circ Arrhythmia Electrophysiol 2009;2:108-112.
16. Shah D, Dumonceau JM, Burri H, Sunthorn H, Schroft A, Gentil-Baron P, Yokoyama Y, Takahashi A: Acute pyloric spasm and gastric hypomotility: An extracardiac adverse effect of percutaneous radiofrequency ablation for atrial fibrillation. J Am Coll Cardiol 2005;46:327-330.