Why the study?
Does the use of contact-force catheters for AF ablation cause atrioesophageal fistulae?
Does the use of contact-force catheters for AF ablation cause atrioesophageal fistulae?
This case report highlights that atrioesophageal fistulae, a catastrophic complication, can still occur with the use of contact-force catheters during AF ablation.
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AEF remains possible with CF catheters in AF ablation; leaves open whether this technology improves procedural safety.
Contact-force (CF) catheters appear to be more effective compared to standard ablation catheters for complex radiofrequency ablation including atrial fibrillation (AF) ablation when optimal CF >10 g is achieved. Some have suggested that this technology could also improve procedural safety. We report 2 cases of atrioesophageal fistulae (AEF), a rare but catastrophic complication of AF ablation. These are to our knowledge the first cases of AEF described after using CF catheters.
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Gitenay et al. (2016) studied this question.
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