Atrioesophageal fistula complicating cryoballoon pulmonary vein isolation for paroxysmal atrial fibrillation

J Cardiovasc Electrophysiol. 2014 Jul;25(7):787-92. doi: 10.1111/jce.12426. Epub 2014 May 2.

Abstract

Although atrioesophageal fistula (AEF) formation is a well known, albeit rare, catastrophic complication of atrial fibrillation radiofrequency ablation procedures, there are less data regarding this complication using the cryoballoon technique. We report on 3 cases of AEF as a complication of cryoballoon pulmonary vein isolation at 3 different institutions with 2 different generations of cryoballoons.

Keywords: atrioesophageal fistula; cryoablation; cryoballoon; paroxysmal atrial fibrillation; pulmonary vein isolation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Atrial Fibrillation / diagnosis
  • Atrial Fibrillation / physiopathology
  • Atrial Fibrillation / surgery*
  • Cardiac Catheters
  • Catheter Ablation / adverse effects*
  • Catheter Ablation / instrumentation
  • Catheter Ablation / methods
  • Cryosurgery / adverse effects*
  • Cryosurgery / instrumentation
  • Echocardiography, Transesophageal
  • Equipment Design
  • Esophageal Fistula / diagnosis
  • Esophageal Fistula / etiology*
  • Esophageal Fistula / surgery
  • Fatal Outcome
  • Female
  • Fistula / diagnosis
  • Fistula / etiology*
  • Fistula / surgery
  • Heart Diseases / diagnosis
  • Heart Diseases / etiology*
  • Heart Diseases / surgery
  • Humans
  • Male
  • Middle Aged
  • Pulmonary Veins / physiopathology
  • Pulmonary Veins / surgery*