Heart Rhythm
Volume 3, Issue 10 , Pages 1156-1161 , October 2006

Esophageal imaging and strategies for avoiding injury during left atrial ablation for atrial fibrillation

  • Jian-Fang Ren, MD

      Affiliations

    • Drs. Ren and Callans are faculty members of AcuNav peer training courses and have received an honorarium for the training courses.
    • Corresponding Author InformationAddress reprint requests and correspondence: Jian-Fang Ren, M.D., Division of Cardiovascular Medicine, University of Pennsylvania, MSRL Building at Presbyterian Medical Center, 39th and Market Streets, Philadelphia, PA 19104-2692.
    • ,
  • David Lin, MD
    • ,
  • Francis E. Marchlinski, MD
    • ,
  • David J. Callans, MD

      Affiliations

    • Drs. Ren and Callans are faculty members of AcuNav peer training courses and have received an honorarium for the training courses.
    • ,
  • Vickas Patel, MD, PhD

Received 3 April 2006 ,Accepted 2 June 2006.

References 

  1. Gillinov AM , Pettersson G , Rice TW . Esophageal injury during radiofrequency ablation for atrial fibrillation . J Thorac Cardiovasc Surg . 2001;122:1239–1240
  2. Mohr FW, Fabicius AM, Falk V, Autschbach R, Doll N, Von Oppell U, et al. Curative treatment of atrial fibrillation with intraoperative radiofrequency ablation: short-term and midterm results . J Thorac Cardiovasc Surg . 2002;123:919–927
  3. Kottkamp H, Hindricks G, Autschbach R, Krauss B, Strasser B, Schirdewahn P, et al. Specific linear left atrial lesions in atrial fibrillation: intraoperative radiofrequency ablation using minimally invasive surgical techniques . J Am Coll Cardiol . 2002;40:475–480
  4. Sonmez B, Demirsoy E, Yagan N, Unal M, Arbatli H, Sener D, et al. A fatal complication due to radiofrequency ablation for atrial fibrillation: atrio-esophageal fistula . Ann Thorac Surg . 2003;76:281–283
  5. Doll N, Borger M, Fabricius A, Stephan S, Gummert J, Mohr FW, et al. Esophageal perforation during left atrial radiofrequency ablation: is the risk too high? . J Thorac Cardiovasc Surg . 2003;125:836–842
  6. Scanavacca MI , D’avila A , Parga J , Sosa E . Left atrial-esophageal fistula following radiofrequency catheter ablation of atrial fibrillation . J Cardiovasc Electrophysiol . 2004;15:960–962
  7. Pappone C, Oral H, Santinelli V, Vicedomini G, Lang CC, Manguso F, et al. Atrio-esophageal fistula as a complication of percutaneous transcatheter ablation of atrial fibrillation . Circulation . 2004;109:2724–2726
  8. Bunch TJ, Nelson J, Foley T, Allison S, Crandall BC, Osborn JS, et al. Temporary esophageal stenting allows healing of esophageal perforations following atrial fibrillation ablation procedures . J Cardiovasc Electrophysiol . 2006;17:435–439
  9. Ren JF , Marchlinski FE , Callans DJ , Herrmann HC . Clinical utility of AcuNav diagnostic ultrasound catheter imaging during left heart radiofrequency ablation and transcatheter closure procedures . J Am Soc Echocardiogr . 2002;15:1301–1308
  10. Ren JF , Marchlinski FE , Callans DJ , Zado ES . Intracardiac Doppler echocardiographic quantification of pulmonary vein flow velocity: an effective technique for monitoring pulmonary vein ostia narrowing during focal atrial fibrillation ablation . J Cardiovasc Electrophysiol . 2002;13:1076–1081
  11. Ren JF , Marchlinski FE , Callans DJ . Left atrial thrombus associated with ablation for atrial fibrillation: identification with intracardiac echocardiography . J Am Coll Cardiol . 2004;43:1861–1867
  12. Marchlinski FE, Callans DJ, Dixit S, Gerstenfeld EP, Rho R, Ren JF, et al. Efficacy and safety of targeted focal ablation versus PV isolation assisted by magnetic electroanatomic mapping . J Cardiovasc Electrophysiol . 2003;14:358–365
  13. Ren JF , Marchlinski FE , Callans DJ , Schwartzman D . Practical intracardiac echocardiography in electrophysiology . Oxford, UK: Blackwell-Futura; 2005;
  14. Ren JF , Callans DJ , Schwartzman D , Michele JJ , Marchlinski FE . Changes in local wall thickness correlate with pathologic lesion size following radiofrequency catheter ablation: an intracardiac echocardiographic imaging study . Echocardiography . 2001;18:503–507

PII: S1547-5271(06)01609-2

doi: 10.1016/j.hrthm.2006.06.006

Heart Rhythm
Volume 3, Issue 10 , Pages 1156-1161 , October 2006

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