Work

Successful pulsed field ablation of left atrial roof-dependent atrial tachycardia arising after pericardial esophageal fistula

Year: 2025

Type: article

Abstract: Atrial fibrillation (AF) is commonly treated with catheter ablation, with pulmonary vein isolation (PVI) using radiofrequency catheter ablation (RFCA) or cryoballoon ablation being well-established techniques. Despite their effectiveness, thermal ablation poses a significant risk of collateral damage to adjacent structures, particularly the esophagus. Atrio-esophageal fistula (AEF) and pericardial esophageal fistula (PEF) are rare but often fatal complications resulting from thermal injury from ablation.

Source: HeartRhythm Case Reports

DOI: 10.1016/j.hrcr.2025.11.026

Authors: Naoyuki Miwa, Satoshi Hara, Akio Kaito, Yoshikazu Sato, Shigeki Kusa, Hitoshi Hachiya

Institution: Tsuchiura Kyodo General Hospital

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,100