Why the study?
What are the clinical presentation, preferred diagnostic modalities, and treatments for atrioesophageal fistula following atrial fibrillation ablation?
What are the clinical presentation, preferred diagnostic modalities, and treatments for atrioesophageal fistula following atrial fibrillation ablation?
Atrioesophageal fistula is a highly lethal complication of AF ablation that typically presents within 60 days with fever, neurological deficits, or hematemesis, and is best managed with prompt chest CT diagnosis and surgical repair.
Alerts clinicians to the post-ablation triad for urgent CT and surgery; reinforces surgical repair as standard from aggregated evidence.
AEF following ablation procedures for AF is a serious complication with high mortality rates. Presenting symptoms most often include a triad of fever, neurological deficit and/or haematemesis within 60 days of procedure. The preferred diagnostic test is CT of the chest. The treatments of choice is surgical repair.
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Chavez et al. (2015) studied this question.
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