[1]于春鑫 孙姣 孙源君 尹晓盟.心房颤动导管消融相关心房食管瘘的研究进展[J].心血管病学进展,2020,(7):691-694.[doi:10.16806/j.cnki.issn.1004-3934.2020.07.005]
 YU Chunxin,SUN Jiao,SUN Yuanjun,et al.Atrioesophageal Fistula Associated with Catheter Ablation of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2020,(7):691-694.[doi:10.16806/j.cnki.issn.1004-3934.2020.07.005]
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心房颤动导管消融相关心房食管瘘的研究进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年7期
页码:
691-694
栏目:
出版日期:
2020-07-25

文章信息/Info

Title:
Atrioesophageal Fistula Associated with Catheter Ablation of Atrial Fibrillation
作者:
于春鑫 孙姣 孙源君 尹晓盟
Author(s):
YU Chunxin SUN JiaoSUN YuanjunYIN Xiaomeng
(1.Graduate School of Dalian Medical University,Dalian 210200,Liaoning,China;2.Department of Cardiology,The First Affiliated Hospital of Chongqing Medical Univerity,Dalian 210200,Liaoning,China)
关键词:
心房颤动射频导管消融冷冻消融并发症心房食管瘘
Keywords:
Atrial fibrillationRadiofrequency catheter ablationCryoblation
DOI:
10.16806/j.cnki.issn.1004-3934.2020.07.005
摘要:
射频导管消融术和冷冻消融术是目前治疗心房颤动的重要手段。手术相关的心房食管瘘是最严重的并发症之一。该并发症发病隐匿,诊断困难,早期发现、诊断和治疗是改善预后的关键。现对消融手术相关的心房食管瘘的发病率、病理生理学、临床特点、诊断及鉴别诊断、损伤预防、损伤治疗进行综述。
Abstract:
Radiofrequency catheter ablation and cryoablation are important methods in the treatment of atrial fibrillation.Surgically related atrioesophageal fistula is one of the most serious complications.This complication is latent and difficult to diagnosis. Early detection,diagnosis and treatment are key to improve prognosis.This article reviews the prevalence, pathophysiology,clinical features,diagnosis and differential diagnosis,injury prevention and treatment of atrial esophageal fistula related to ablative surgery

参考文献/References:

[1].Calkins H,Hindricks G,Cappato R,et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation [J] .Europace,2018,20(1):1-160.
[2].Kapur S,Barbhaiya C,Deneke T,et al.Esophageal injury and atrioesophageal fistula caused by ablation for atrial fibrillation[J].Circulation,2017,136(13):1247-1255.
[3].Kim YG,Shim J,Choi JI,et al.Characteristics of atrial fibrillation patients suffer- ing atrioesophageal fistula after radiofrequency catheter ablation[J].J Cardiovasc Electrophysiol,2018,29(10):1343-1351.
[4].John RM,Kapur S,Ellenbogen KA,et al. Atrioesophageal fistula formation with cryoballoon ablation is most commonly related to the left inferior pulmonary vein[J].Heart Rhythm,2017,14(2):184-189.
[5].Guhl EN,Siddoway D,Adelstein E,et al.Incidence and predictors of complications during cryoballoon pulmonary vein isolation for atrial fibrillation[J].J Am Heart Assoc,2016,5(7):e003724.
[6].Park J,Park CH,Lee HJ,et al.Left atrial wall thickness rather than epica- rdial fat thickness is related to complex fractionated atrial electrogram[J]. Int J Cardiol,2014,172(3):e411-e413.
[7].Grubina R,Cha YM,Bell MR, et al. Pneumopericardium following radiofrequency ablation for atrial fibrillation:insights into the natural history of atrial esophageal fistula formation[J]. J Cardiovasc Electrophysiol,2010,21(9):1046-1049.
[8].Patil KD,Spragg DD.How can we reduce the incidence of atrial-esophageal fistula [J]?J Cardiovasc Electrophysiol,2018,29(10):1352-1354.
[9].Good E,Oral H,Lemola K,et al. Movement of the esophagus during left atrial catheter ablation for atrial fibrillation[J].J Am Coll Cardiol,2005,46(11):2107-2110.
[10].Knopp H,Halm U,Lamberts R,et al.Incidental and ablation-induced findings during upper gastrointestinal endoscopy in patients after ablation of atrial fibrillation:a retrospective study of 425 patients[J].Heart Rhythm,2014,11(4):574-578.
[11].Venkatesh K,Acevedo J,Kim R,et al.Pericardial-esophageal fistula after catheter ablation of atrial fibrillation[J].Pacing Clin Electrophysiol,2018,41(3):331-333.
[12].Halbfass P,Pavlov B,Muller P,et al.Progression from esophageal thermal asymptomatic lesion to perforation complicating atrial fibrillation ablation:a single-center registry[J].Circ Arrhythm Electrophysiol,2017,10(8):e005233.
[13].Bastian D,Schwab J,Steurer KT,et al.Oesophageal injury following magnetically guided single-catheter ablation for atrial fibrillation:insights from the MAGNA-AF registry[J].Europace,2018,20(suppl 2):ii48-ii55.
[14].Lin H,Chen YH,Hou JW,et al.Role of contact force-guided radiofrequency catheter ablation for treatment of atrial fibrillation:a systematic review and meta- analysis [J]. J Cardiovasc Electrophysiol,2017,28(9):994-1005.
[15].Sandhu A,Zipse MM,Borne RT,et al.Esophageal position,measured luminal temperatures,and risk of atrioesophageal fistula with atrial fibrillation ablation[J].Pacing Clin Electrophysiol,2019,42(4):458-463.
[16].Schuring CA,Mountjoy LJ,Priaulx AB,et al.Atrio-esophageal fistula: a case series and literature review[J].Am J Case Rep,2017,18:847-854.
[17].Khan MY,Siddiqui WJ,Iyer PS,et al.Left atrial to esophageal fistula: a case report and literature review[J].Am J Case Rep,2016,17:814-818.
[18].Khakpour H,Shemin RJ,Lee JM,et al. Atrioesophageal fistula after atrial fibrillation ablation: a single center series[J].J Atr?Fibrillation,2017,10(3):1654.
[19].Dagres N, Kottkamp H, Piorkowski C, et al. Rapid detection and successful treatment of esophageal perforation after radiofrequency ablation of atrial fibrillation: lessons from five cases[J]. J Cardiovasc Electrophysiol,2006,17(11):1213-1215.
[20].Dive F,le Polain de Waroux JB,Pierard S,et al.Atrio-oesophageal fistula following atrial fibrillation ablation procedure: diagnosis with cardiac CT[J].Intensive Care Med, 2018,44(9):1565-1567.
[21].Singh R,Landa EJ,Machado C.Atrial-esophageal fistula after catheter ablation:diagnosing and managing a rare complication of a common procedure[J].Am J Case Rep,2019,20:557-561.
[22].Ha FJ,Han HC,Sanders P,et al.Challenges and limitations in the diagnosis of atrioesophageal fistula[J].J Cardiovasc Electrophysiol,2018,29(6):861-871.
[23].Kadado AJ,Akar JG,Hummel JP.Luminal esophageal temperature monitoring to reduce esophageal thermal injury during catheter ablation for atrial fibrillation:a review[J].Trends Cardiovasc Med,2019,29(5):264-271.
[24].Kiuchi K,Okajima K,Shimane A,et al.Impact of esophageal temperature monitoring guided atrial fibrillation ablation on preventing asymptomatic excessive transmural injury[J].J Arrhythm,2016,32(1):36-41.
[25].Halm U,Gaspar T,Zachaus M,et al.Thermal esophageal lesions after radiofrequency catheter ablation of left atrial arrhythmias[J].Am J Gastroenterol,2010,105(3):551-556.
[26].Kuwahara T, Takahashi A,Takahashi Y,et al.Incidences of esophageal injury during esophageal temperature monitoring: a comparative study of a multi-thermocouple temperature probe and a deflectable temperature probe in atrial fibrillation ablation[J].J Interv Card Electrophysiol,2014,39(3):251-257.
[27].Miyazaki S,Nakamura H,Taniguchi H,et al. Esophagus-related complications during second-generation cryoballoon ablation-insight from simultaneous esophageal temperature monitoring from 2 esophageal probes[J]. J Cardiovasc Electrophysiol,2016,27(9):1038-1044.
[28].Tschabrunn CM,Silverstein J,Berzin T,et al.Comparison between single- and multi-sensor oesophageal temperature probes during atrial fibrillation ablation: thermodynamic characteristics[J].Europace,2015,17(6):891-897.
[29].Chugh A,Rubenstein J,Good E,et al.Mechanical displacement of the esophagus in patients undergoing left atrial ablation of atrial fifibrillation[J].Heart?Rhythm,2009,6(3):319-322.
[30].Koruth JS,Reddy VY,Miller MA,et al.Mechanical esophageal displacement during catheter ablation for atrial fibrillation[J].J Cardiovasc Electrophysiol,2012,23 (2):147-154.
[31].黄晓凤,熊峰.超声心动图技术在优化心脏再同步化治疗效果中的应用[J].心血管病学进展,2019,40(7):1043-1046.
[32].Mateos JC,Mateos EI,Pe?a TG,et al.Simplified method for esophagus protection during radiofrequency catheter ablation of atrial fibrillation—prospective study of 704 cases[J].Rev Bras Cir Cardiovasc,2015,30(2):139-147.
[33].Palaniswamy C,Koruth JS,Mittnacht AJ,et al.The extent of mechanical esopha- geal deviation to avoid esophageal heating during catheter ablation of atrial fibrillation[J].JACC Clin Electrophysiol,2017,3(10):1146-1154.
[34].Parikh V, Lavu M, Jazayeri MA,et al. Use of an esophageal retractor to prevent thermal injuries during atrial fibrillation ablation: a multi-center experience[J]. J Am Coll Cardiol,2017,69(11):406.
[35].Sohara H,Satake S,Takeda H,et al. Prevalence of esophageal ulceration after atrial fibrillation ablation with the hot balloon ablation catheter:what is the value of esophageal cooling[J]? J Cardiovasc Electrophysiol,2014,25(7):686-692.
[36].Montoya MM,Mickelsen S,Clark B,et al.Protecting the esophagus from thermal injury during radiofrequency ablation with an esophageal cooling device[J].J Atr Fibrillation,2019,11(5):2110.
[37].Bourier F, Duchateau J, Vlachos K, et al. High power short duration vs. standard RF ablation: insights on lesion metrics[J].J Cardiovasc Electrophysiol,2018,29(11):1570-1575.
[38].Vassallo F,Cunha C,Serpa E,et al.Comparison of high-power short-duration(HPSD) ablation of atrial fibrillation using a contact force-sensing catheter and conventional technique:Initial results[J].J Cardiovasc Electrophysiol,2019,30(10):1877-1883.
[39].Winkle RA,Mohanty S,Patrawala RA,et al. Low complication rates using high power (45-50 W) for short duration for atrial fibrillation ablations[J].Heart Rhythm, 2019,16(2):165-169.

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更新日期/Last Update: 2020-10-10