Why the study?
Atrioesophageal fistulas are an uncommon complication of RF ablation that can present with status epilepticus from extensive vascular air embolus, requiring high clinical suspicion for initial treatment.
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Design
Case report
Answers are grounded in this paper and cite their sources.
High suspicion for atrioesophageal fistula is warranted after AF ablation with status epilepticus; this case leaves open optimal prevention and management strategies.
Radiofrequency (RF) ablation for atrial fibrillation is commonly performed. Atrioesophageal fistulas are an uncommon complication of RF ablation and can present with status epilepticus due to an extensive vascular air embolus. Initial treatment may require a high level of suspicion of this rare occurrence to help prevent further injury and increase the likelihood of a meaningful recovery.
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Pham et al. (2019) studied this question.
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