Title

Gastrointestinal complications associated with catheter ablation for atrial fibrillation.

Publication/Presentation Date

12-1-2016

Abstract

Atrial fibrillation is the most common arrhythmia in the United States. With the ageing population, the incidence and prevalence of atrial fibrillation are on the rise. Catheter ablation of atrial fibrillation is a widely accepted treatment modality in patients with drug refractory symptomatic paroxysmal or persistent atrial fibrillation. The close proximity to the left atrium posterior wall makes the thermosensitive esophagus a potential site of injury during catheter ablation of AF leading to various gastrointestinal complications. The major gastrointestinal complications associated with catheter ablation include atrioesophageal fistula, gastroparesis, esophageal thermal lesions and esophageal ulcers. Multiple studies, case reports and series have described these complications with various catheter ablation techniques such as radiofrequency, cryoenergy and high frequency focused ultrasound energy ablation. This review addresses the gastrointestinal complications after AF ablation procedures and aims to provide the clinicians with an overview of clinical presentation, etiology, pathogenesis, prevention and management of these conditions.

Volume

224

First Page

424

Last Page

430

ISSN

1874-1754

Disciplines

Cardiology | Medical Sciences | Medicine and Health Sciences

PubMedID

27690340

Department(s)

Department of Medicine, Cardiology Division, Department of Medicine Faculty, Department of Medicine Fellows and Residents

Document Type

Article