Journal of cardiovascular electrophysiology · 2026
Early-Stage Esophago-Mediastinal Fistula After Atrial Fibrillation Radiofrequency Ablation Successfully Treated With Endoscopic Vacuum Therapy.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Kulchetscki Rodrigo Melo, Martins Bruno da Costa, Ferraz Alberto Pereira, Rodrigues Luan Vieira, Oissa Gabrieli Melissa, Chokr Muhieddine Omar, Hardy Carina Abgail, Rivarola Esteban Wisnivesky Rocca, Pisani Cristiano Faria, Scanavacca Maurício
Аннотация
BACKGROUND: Esophageal injury is a rare but potentially fatal complication of atrial fibrillation ablation, predominantly associated with thermal energy sources.
CASE SUMMARY: A 37-year-old man developed an esophago-mediastinal fistula after radiofrequency ablation for atrial fibrillation. An esophageal ulcer detected on routine post-ablation endoscopy progressed despite conservative management. Endoscopic vacuum therapy was instituted for 5 days, followed by endoscopic clip closure, resulting in complete healing without surgical intervention.
CONCLUSION: This case underscores the value of post-ablation esophageal surveillance and demonstrates endoscopic vacuum therapy as an effective, minimally invasive option for managing esophageal perforation after radiofrequency ablation.
CASE SUMMARY: A 37-year-old man developed an esophago-mediastinal fistula after radiofrequency ablation for atrial fibrillation. An esophageal ulcer detected on routine post-ablation endoscopy progressed despite conservative management. Endoscopic vacuum therapy was instituted for 5 days, followed by endoscopic clip closure, resulting in complete healing without surgical intervention.
CONCLUSION: This case underscores the value of post-ablation esophageal surveillance and demonstrates endoscopic vacuum therapy as an effective, minimally invasive option for managing esophageal perforation after radiofrequency ablation.