Article

Atrioesophageal Fistula After Cryoballoon Pulmonary Vein Isolation.

Department of Medicine-Cardiology, University Hospital of Bonn, Bonn, Germany.
Journal of Cardiovascular Electrophysiology (impact factor: 3.06). 04/2012; DOI:10.1111/j.1540-8167.2012.02324.x
Source: PubMed

ABSTRACT Atrioesophageal Fistula After Cryoballoon PV Isolation.  The risk of atrioesophageal fistula after cryoballoon pulmonary vein isolation is thought to be much lower than after radiofrequency ablation, seeing that no data exist on this complication so far. We report for the first time on the occurrence of an atrioesophageal fistula 4 weeks after cryoballoon ablation at the site of the left inferior pulmonary vein. We suggest that even when using cryothermal ablation technique, an imaging modality to assess the proximity of esophagus and left atrium should be routinely performed to avoid this fatal complication. (J Cardiovasc Electrophysiol, Vol. pp. 1-4).

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Keywords

Atrioesophageal Fistula
 
atrioesophageal fistula 4 weeks
 
atrium
 
cryoballoon pulmonary vein isolation
 
cryothermal ablation technique
 
fatal complication
 
imaging modality
 
J Cardiovasc Electrophysiol
 
left inferior pulmonary vein
 

Florian Stoeckigt