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dc.contributor.authorZayaruzny, Maksim
dc.contributor.authorBadr, Rana
dc.date2022-08-11T08:07:58.000
dc.date.accessioned2022-08-23T15:37:31Z
dc.date.available2022-08-23T15:37:31Z
dc.date.issued2010-04-03
dc.date.submitted2012-10-24
dc.identifier.doi10.13028/d2s2-sq55
dc.identifier.urihttp://hdl.handle.net/20.500.14038/25733
dc.description<p>Presented at the New England Anesthesia Resident Conference (NEARC), Boston Medical Center, Boston, MA, April 3, 2010.</p>
dc.description.abstractIn the past 20 years catheter radiofrequency ablation of atrial fibrillation (RAAF) has become a mainstay in the treatment of refractory atrial fibrillation. While generally safe, serious complications following RAAF have been reported. Recent retrospective review of 45,000 cases of catheter ablation reported post-procedure mortality of 0.1 percent. Complication rates of 2%-4% have been previously reported. Percutaneous catheter ablation of electrical triggers near the pulmonary vein ostia is associated with 28% incidence of esophageal erythema and 18% incidence of esophageal ulceration. Patients with atrio-esophageal fistulas and esophageal perforations due to thermal injury can present with non-specific signs and symptoms between 1 and 3 weeks after the procedure and present unusual challenges to the anesthesia provider. Atrio-esophageal fistulas and esophageal perforation have been reported to be lethal complications following RAAF. We present a case of successful treatment of late-presenting esophageal perforation after RAAF.
dc.language.isoen_US
dc.rightsCopyright the Author(s)
dc.subjectEsophageal Fistula
dc.subjectEsophageal Perforation
dc.subjectAtrial Fibrillation
dc.subjectCatheter Ablation
dc.subjectAnesthesiology
dc.titleEsophago-Pericardial Fistula Following Ablation of the Atrial Fibrillation Focus
dc.typePoster
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1145&amp;context=anesthesiology_pubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/anesthesiology_pubs/140
dc.identifier.contextkey3421478
refterms.dateFOA2022-08-23T15:37:31Z
html.description.abstract<p>In the past 20 years catheter radiofrequency ablation of atrial fibrillation (RAAF) has become a mainstay in the treatment of refractory atrial fibrillation. While generally safe, serious complications following RAAF have been reported. Recent retrospective review of 45,000 cases of catheter ablation reported post-procedure mortality of 0.1 percent. Complication rates of 2%-4% have been previously reported. Percutaneous catheter ablation of electrical triggers near the pulmonary vein ostia is associated with 28% incidence of esophageal erythema and 18% incidence of esophageal ulceration. Patients with atrio-esophageal fistulas and esophageal perforations due to thermal injury can present with non-specific signs and symptoms between 1 and 3 weeks after the procedure and present unusual challenges to the anesthesia provider. Atrio-esophageal fistulas and esophageal perforation have been reported to be lethal complications following RAAF. We present a case of successful treatment of late-presenting esophageal perforation after RAAF.</p>
dc.identifier.submissionpathanesthesiology_pubs/140
dc.contributor.departmentDepartment of Anesthesiology


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