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November 22, 2022Expert Review of Medical DevicesOpen Access

Active esophageal cooling during radiofrequency ablation of the left atrium: data review and update

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Why the study?

Inadvertent thermal injury to the esophagus leading to potentially fatal atrioesophageal fistula can occur during RF ablation of the left atrium for AF.

Does active esophageal cooling reduce esophageal injury in patients undergoing radiofrequency ablation for atrial fibrillation?

Design

Review

Key result

Active esophageal cooling during radiofrequency ablation for atrial fibrillation reduces esophageal injury, procedure duration, and fluoroscopy requirements.

Authors

JCJulie CooperCJChristopher JosephJZJason Zagrodzky

Discussion

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Member takes

Overview

Supports esophageal cooling to reduce injury in AF ablation; leaves open confirmation in randomized trials.

Structured PICO

Does active esophageal cooling reduce esophageal injury in patients undergoing radiofrequency ablation for atrial fibrillation?

P
Population
Patients undergoing radiofrequency ablation of the left atrium for atrial fibrillation
I
Intervention
Active esophageal cooling (ensoETM)
O
Outcome
Esophageal thermal injurysafety

Active esophageal cooling during RF ablation for AF improves patient safety by reducing esophageal injury and enhances procedural efficiency.

Cite This Study

Cooper et al. (2022) conducted a review in Atrial fibrillation. Active esophageal cooling (ensoETM) was evaluated. Active esophageal cooling during radiofrequency ablation for atrial fibrillation reduces esophageal injury, procedure duration, and fluoroscopy requirements.

synapsesocial.com/papers/6a3f13ccbf5b3ee37a7f0bc8https://doi.org/10.1080/17434440.2022.2150930
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