Retrospective review of 65 atrioesophageal fistulas post atrial fibrillation ablation

Indian Pacing and Electrophysiology Journal
Ameena JehaludiRishi G Anand

Abstract

Although a rare complication of catheter based ablation for atrial fibrillation (AF), atrioesophageal fistula (AEF) is a serious and fatal event [1-5]. Most reports of AEF are single cases or small case series. The purpose of this study was to perform a comprehensive literature search of all published atrioesophageal fistula following catheter ablation for AF in order to identify the mortality rates associated with therapeutic modalities and suggest the most definitive management in reducing mortality. A comprehensive literature review of reported observational cases of atrioesophageal fistula post catheter based ablation for atrial fibrillation was performed. Sixty-five cases of AEF post atrial fibrillation ablation were reviewed. The mean age was 55 years old. 73.8% (48/65) of the identified cases occurred in males (p < 0.001). Of the 65 cases, 13 underwent surgical radiofrequency ablation (RFA) and 52 underwent percutaneous RFA. Mortality resulted in 53.8% of those who underwent surgical RFA and in 55.8% of those who underwent percutaneous RFA (p = .888). The time range interval from procedure to onset of symptoms was 1-60 days. The most prevalent symptom, fever, occurred in 52 of the 65 cases, followed by neurological sympt...Continue Reading

Citations

Apr 24, 2020·Journal of Cardiovascular Electrophysiology·Fabrizio R AssisHarikrishna Tandri
Jun 5, 2020·Pacing and Clinical Electrophysiology : PACE·Shashank Jain, James P Hummel
Sep 24, 2020·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·Mohamad El-AhmarJörg-Peter Ritz
Dec 14, 2019·ACG Case Reports Journal·Shayan MoravejiAli A Siddiqui
Jan 14, 2021·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Thomas DenekePhilipp Sommer
Jan 24, 2021·Journal of Cardiovascular Electrophysiology·Esteban W R RivarolaMauricio Scanavacca
Jul 28, 2021·Interactive Cardiovascular and Thoracic Surgery·Alexander Moiroux-SahraouiGuillaume Lebreton

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