Document Detail


Strategies to minimize the risk of esophageal injury during catheter ablation for atrial fibrillation.
MedLine Citation:
PMID:  19170916     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Esophageal injury is a rare but serious complication of catheter ablation for atrial fibrillation using radiofrequency energy. Recent studies have begun to identify variables that may determine heat transfer to and thermal injury of the esophagus. There is significant variability in the relationship between the esophagus and left atrium among individuals. New imaging techniques can facilitate assessment of esophagus position relative to intended ablation targets. Strategies to minimize the risk of esophageal injury include avoidance of ablation near the esophagus, titration of RF energy delivery at the posterior left atrial endocardium, and the use of alternative ablation methods.
Authors:
Tristram D Bahnson
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  32     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-27     Completed Date:  2009-03-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-60     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Cardiac Electrophysiology Section, Duke Center for Atrial Fibrillation, Duke University Medical Center, Durham, North Carolina 27710, USA. bahns001@mc.duke.edu
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MeSH Terms
Descriptor/Qualifier:
Atrial Fibrillation / complications,  surgery*
Catheter Ablation / adverse effects*
Esophagus / injuries*
Humans
Surgery, Computer-Assisted / methods*
Wounds, Penetrating / etiology,  prevention & control*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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