Life-threatening GI hemorrhage caused by atrioesophageal fistula: a rare complication after catheter ablation for atrial fibrillation

2010 ◽  
Vol 72 (4) ◽  
pp. 887-889 ◽  
Author(s):  
Michael J. Baker ◽  
Purvi C. Panchal ◽  
Patricia A. Allenby
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Rare Complication ◽  
Atrioesophageal Fistula ◽  
Life Threatening

scholarly journals Perioperative coronary artery spasms in patients undergoing catheter ablation of atrial fibrillation

2021 ◽  
Author(s):  
Masato Hachisuka ◽  
Yuhi Fujimoto ◽  
Eiichiro Oka ◽  
Hiroshi Hayashi ◽  
Teppei Yamamoto ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Coronary Artery ◽  
Catheter Ablation ◽  
Case Reports ◽  
Rare Complication ◽  
Smoking Habit ◽  
Ablation Procedure ◽  
Af Ablation ◽  
Number Of Patients ◽  
Life Threatening

Abstract Purpose Catheter ablation (CA) is an established treatment for atrial fibrillation (AF). Although coronary artery spasms (CAS) during or after ablation procedures have been described as a rare complication in some case reports, the incidence and characteristics of this complication have not been fully elucidated. The present observational study aimed to clarify the CAS in a large number of patients experiencing AF ablation. Methods A total of 2913 consecutive patients (male: 78%, mean 66 ± 10 years) who underwent catheter ablation of AF were enrolled. Results Nine patients (0.31%, mean 66 ± 10 years, 7 males) had transient ST-T elevation (STE). Eight out of the 9 patients had STE in the inferior leads. STE occurred after the transseptal puncture in 7 patients, after the sheath was pulled out of the left atrium in 1, and 2 h after the ablation procedure in 1. Six patients had definite angiographic CAS without any sign of an air embolization on the emergent coronary angiography. In the3 other patients, the STE improved either directly after an infusion of nitroglycerin or spontaneously before the CAG. The patients with CAS had a higher frequency of a smoking habit (89% vs. 53%; P = .04), smaller left atrial diameter (36 ± 6 vs. 40 ± 7; P = .07), and lower CHADS2 score (0.6 ± 0.5 vs. 1.3 ± 1.1; P = .004) than those without. Conclusions Although the incidence was rare (0.31%), CAS should be kept in mind as a potentially life-threatening complication throughout an AF ablation procedure especially performed under conscious sedation.

Outcomes of Atrioesophageal Fistula Following Catheter Ablation of Atrial Fibrillation Treated with Surgical Repair versus Esophageal Stenting

2014 ◽  
Vol 25 (6) ◽  
pp. 579-584 ◽  
Author(s):  
SANGHAMITRA MOHANTY ◽  
PASQUALE SANTANGELI ◽  
PRASANT MOHANTY ◽  
LUIGI DI BIASE ◽  
CHINTAN TRIVEDI ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Surgical Repair ◽  
Atrioesophageal Fistula ◽  
Esophageal Stenting

scholarly journals Severe Gastroparesis following Radiofrequency Catheter Ablation for Atrial Fibrillation: Suggestion for Diagnosis, Treatment, and Device for Gastroparesis after RFCA

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Dong Seok Lee ◽  
Sang Jin Lee
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Radiofrequency Catheter Ablation ◽  
English Literature ◽  
Rare Complication ◽  
Food Material ◽  
Gastrointestinal Series ◽  
Contrast Enhanced ◽  
Enhanced Computed Tomography ◽  
Contrast Enhanced Computed Tomography

Gastroparesis following radiofrequency catheter ablation (RFCA) is a very rare complication, as only two cases have been reported in the English literature. A 42-year-old man underwent RFCA due to recurrent drug-resistant symptomatic atrial fibrillation. The patient complained of indigestion and early satiety 2 days after the procedure. Contrast-enhanced computed tomography and an upper gastrointestinal series of the abdomen showed a large amount of material remaining in the stomach area. All food material was removed by endoscopy, and the patient received medical treatment. We suggest a flow chart for diagnosis and treatment of AFGS based on the present case and previous cases. Endoscopic medical patent was designed on the basis of this case.

scholarly journals Atrioesophageal fistula after atrial fibrillation catheter ablation

Medicine ◽  
2021 ◽  
Vol 100 (2) ◽  
pp. e24226
Author(s):  
Fan He ◽  
Wei-Min Zhang ◽  
Bi-Jun Xu ◽  
Gang-Ping Huang ◽  
Huai-Dong Chen
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Atrioesophageal Fistula

Abstract 3231: Esophageal Capsule Endoscopy: Different Findings Based On The Anesthesia Protocol

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Luigi Di Biase ◽  
Stacy Poe ◽  
Luis Carlos Saenz ◽  
Miguel Vacca ◽  
Mauricio Cabrales ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
General Anesthesia ◽  
Capsule Endoscopy ◽  
Conscious Sedation ◽  
Radiofrequency Energy ◽  
List Type ◽  
Esophageal Temperature ◽  
Atrioesophageal Fistula ◽  
Esophageal Capsule

Introduction: Left atrioesophageal fistula is a rare but devastating complication that can occur following catheter ablation of atrial fibrillation. Methods : Fifty patients undergoing AF ablation for paroxysmal and persistent/permanent symptomatic atrial fibrillation refractory to AAD have been enrolled and randomized into 2 groups: those undergoing the procedure under conscious sedation with fentanil or midazolam (25 patients, group and those receiving general anesthesia (25 patients, group All patients underwent esophageal temperature monitoring during the procedure. Radiofrequency energy was discontinued when the luminal temperature reached 39 C. After ablation all patients had capsule endoscopy to assess the presence for endoluminal tissue damage of the esophagus. Results : The results are shown in the table below Conclusion : The use of general anesthesia increases the risk of positive esophageal findings by capsule endoscopy

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