Gastrointestinal complications associated with catheter ablation for atrial fibrillation

被引：28

作者：

Garg, Lohit ^{[1
]}

Garg, Jalaj ^{[2
]}

Gupta, Nancy ^{[3
]}

Shah, Neeraj ^{[2
]}

Krishnamoorthy, Parasuram ^{[5
]}

Palaniswamy, Chandrasekar ^{[6
]}

Bozorgnia, Babak ^{[2
]}

Natale, Andrea ^{[4
]}

机构：

[1] Beaumont Hlth, Dept Med, Royal Oak, MI USA

[2] Lehigh Valley Hlth Network, Div Cardiol, 1250 S Cedar Crest Blvd, Allentown, PA 18103 USA

[3] New York Med Coll, Dept Med, Westchester Med Ctr, Valhalla, NY 10595 USA

[4] St Davids Med Ctr, Texas Cardiac Arrhythmia Inst, Austin, TX USA

[5] Einstein Healthcare Network, Div Cardiol, Dept Med, Philadelphia, PA USA

[6] Mt Sinai Sch Med, Helmsley Electrophysiol Ctr, New York, NY USA

来源：

INTERNATIONAL JOURNAL OF CARDIOLOGY | 2016年 / 224卷

关键词：

Atrial fibrillation; Ablation; Gastrointestinal complication; PULMONARY VEIN ISOLATION; RADIOFREQUENCY ABLATION; ESOPHAGEAL INJURY; ATRIOESOPHAGEAL FISTULA; GASTRIC HYPOMOTILITY; CAPSULE ENDOSCOPY; WORLDWIDE SURVEY; NERVE INJURY; TEMPERATURE; RISK;

D O I：

10.1016/j.ijcard.2016.09.069

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation is the most common arrhythmia in the United States. With the ageing population, the incidence and prevalence of atrial fibrillation are on the rise. Catheter ablation of atrial fibrillation is a widely accepted treatment modality in patients with drug refractory symptomatic paroxysmal or persistent atrial fibrillation. The close proximity to the left atrium posterior wall makes the thermosensitive esophagus a potential site of injury during catheter ablation of AF leading to various gastrointestinal complications. The major gastrointestinal complications associated with catheter ablation include atrioesophageal fistula, gastroparesis, esophageal thermal lesions and esophageal ulcers. Multiple studies, case reports and series have described these complications with various catheter ablation techniques such as radiofrequency, cryoenergy and high frequency focused ultrasound energy ablation. This review addresses the gastrointestinal complications after AF ablation procedures and aims to provide the clinicians with an overview of clinical presentation, etiology, pathogenesis, prevention and management of these conditions. (C) 2016 Elsevier Ireland Ltd. All rights reserved.

引用

页码：424 / 430

页数：7

共 77 条

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