A novel treatment for esophageal lesions following atrial fibrillation ablation. (5th February 2021)

• Record Type: Journal Article
• Authors: Rivarola, Esteban W. R.; Moura, Eduardo; Chou, Marco; Feitosa Seabra, Luciana; Hardy, Carina; Scanavacca, Mauricio
• Is Part Of: Journal of cardiovascular electrophysiology. Volume 32:Number 3(2021)
• Page Start: 713
• Page End: 716
• Publication Date: 2021-02-05
• Subjects: ablation -- atrial fibrillation -- atrial−esophageal fistula -- endoscopic negative pressure therapy -- esophageal injury; Blood vessels -- Physiology -- Periodicals; Electrophysiology -- Periodicals; Heart -- Physiology -- Periodicals; 612.1
• DOI: 10.1111/jce.14895
• Languages: English
• ISSNs: 1045-3873

Abstract

Abstract: This study presents a novel technique for the treatment of a deep esophageal ulcer after ablation of paroxysmal atrial fibrillation (AF). Pulmonary vein isolation was performed using a radiofrequency irrigated tip catheter. On Day 5 of follow‐up, a deep esophageal ulcer was observed. No significant visual improvement was observed after conventional treatment. Endoscopic negative pressure therapy in the esophagus was then applied for 5 days. A significant decrease in diameter and depth of the lesion was observed, possibly preventing perforation. Endoscopic negative pressure therapy can be used to heal thermal lesions after AF ablation procedures.