Key result
Early recognition and aggressive medical treatment of post-ablation esophageal injury successfully prevented progression to a fatal atrioesophageal fistula.
Case Report (n=1)
No
Early recognition and aggressive medical management of suspected esophageal injury following atrial fibrillation ablation may prevent progression to a fatal atrioesophageal fistula.
May support aggressive management of suspected post-ablation injury; hypothesis-generating and should not yet change practice.
Atrial fibrillation (AF) is the most common clinically relevant arrhythmia globally, with more than 5 million new cases per year.1 In the United States, about 50,000 ablation procedures for AF are performed annually. Cardiac ablation has a complication rate of less than 5%, and serious, life-threatening complications including cardiac tamponade, pericardial effusion, transient ischemic attack, stroke, pulmonary vein stenosis, and atrioesophageal fistula (AEF) occur in less than 3% of procedures.
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Berggren et al. (2022) conducted a case report in Atrial fibrillation (n=1). Radiofrequency catheter ablation was evaluated on Progression to atrioesophageal fistula. Early recognition and aggressive medical treatment of post-ablation esophageal injury successfully prevented progression to a fatal atrioesophageal fistula.
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