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Prevention, diagnosis, and management of atrioesophageal fistula
Author(s) -
Gianni Carola,
Della Rocca Domenico G.,
MacDonald Bryan C.,
Mohanty Sanghamitra,
Quintero Mayedo Angel,
Sahore Salwan Anu,
Trivedi Chintan,
Natale Andrea
Publication year - 2020
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13938
Subject(s) - medicine , fistula , complication , radiofrequency ablation , atrial fibrillation , intensive care medicine , catheter ablation , ablation , general surgery , radiology , surgery
Atrioesophageal fistula (AEF) is a rare but deadly complication of radiofrequency ablation for atrial fibrillation. Given its rarity, the diagnosis of AEF is usually delayed with a wide variation in management strategies, which contribute to the high mortality associated with AEF. As such, the most important step of AEF management is prevention, whereas early diagnosis and treatment are crucial to reduce its associated high mortality.