Randomized comparison of oesophageal protection with a temperature control device: results of the IMPACT study.

Leung L. W. M. , Bajpai A., Zuberi Z., Li A., Norman M., Kaba R. A. , ...More

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, vol.23, pp.205-215, 2021 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 23
  • Publication Date: 2021
  • Doi Number: 10.1093/europace/euaa276
  • Title of Journal : Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • Page Numbers: pp.205-215
  • Keywords: Atrial fibrillation, Catheter ablation, Oesophagus, Atrio-oesophageal fistula, Gastroparesis, Temperature control, ATRIAL-FIBRILLATION ABLATION, RADIOFREQUENCY ABLATION, INJURY, BALLOON, RISK

Abstract

Aims Thermal injury to the oesophagus is an important cause of life-threatening complication after ablation for atrial fibrillation (AF). Thermal protection of the oesophageal lumen by infusing cold liquid reduces thermal injury to a limited extent. We tested the ability of a more powerful method of oesophageal temperature control to reduce the incidence of thermal injury.