Mechanical esophageal deflection during ablation of atrial fibrillation

Pacing Clin Electrophysiol. 2006 Sep;29(9):957-61. doi: 10.1111/j.1540-8159.2006.00470.x.

Abstract

To prevent esophageal damage during ablation of atrial fibrillation, we developed a technique to move the esophagus away from a desired ablation site too close to the esophagus. Under fluoroscopy, a transesophageal echocardiography probe was used to deflect the barium-opacified esophagus from the ablation site. This technique was successfully employed in three patients where critical sites of the posterior left atrial wall were very close to the esophagus.

MeSH terms

  • Atrial Fibrillation / complications
  • Atrial Fibrillation / diagnostic imaging*
  • Atrial Fibrillation / surgery*
  • Catheter Ablation / adverse effects*
  • Catheter Ablation / methods*
  • Echocardiography, Transesophageal / methods*
  • Esophageal Perforation / diagnostic imaging
  • Esophageal Perforation / etiology
  • Esophageal Perforation / prevention & control*
  • Humans
  • Treatment Outcome
  • Ultrasonography, Interventional / methods*