Why the study?
Despite improvements in atrial fibrillation catheter ablation techniques, collateral damage resulting from injury to surrounding structures remains an important mechanism of complications.
Highlights severe gastroparesis as a potential complication of vagus nerve injury during radiofrequency ablation for atrial fibrillation.
May warrant vigilance for gastroparesis after AF ablation; leaves open optimal vagus nerve protection strategies.
Catheter ablation of atrial fibrillation (AF) is the most common type of ablation procedure performed worldwide.1 Despite the improvements in ablation techniques, collateral damage resulting from injury to the surrounding structures remains an important mechanism of complications. We describe an interesting case of severe gastroparesis secondary to vagus nerve (VN) injury resulting from radiofrequency (RF) AF ablation. We also provide a review of the existing literature with a focus on prevention and treatment.
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Akhtar et al. (2020) studied this question.
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