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Gastrointestinal complications associated with catheter ablation for atrial fibrillation.

Abstract：

: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.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Garg L,Garg J,Gupta N,Shah N,Krishnamoorthy P,Palaniswamy C,Bozorgnia B,Natale A

doi

10.1016/j.ijcard.2016.09.069

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

424-430

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(16)32425-1

journal_volume

224

pub_type

杂志文章,评审

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