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Evaluation of the luminal esophageal temperature behavior during left atrium posterior wall ablation by means of second-generation cryoballoon

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Abstract

Purpose

The purpose of this study was to clarify the behavior of the luminal esophageal temperature (LET) in a cohort of patients undergoing second-generation cryoballoon (CB-A) for pulmonary vein isolation (PVI) and additional left atrium posterior wall (LAPW) ablation by means of CB-A.

Methods

Thirty patients with symptomatic persistent AF (PersAF), having undergone PVI + LAPW cryoballoon ablation with LET monitoring.

Results

Interruption of the application due to a LET below 15 °C occurred in 5 patients (16.6%), 2 at the LIPV and 3 in the LAPW. The 5 patients underwent gastroscopy the day after ablation. In all individuals, esophageal thermal lesion (ETL) was absent.

Conclusion

The evaluation of LET might be an additional tool in helping to prevent damage to the esophagus during the LAPW ablation with the CB-A by stopping the freeze application when temperature reaches values of < 15 °C.

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Author notes

  1. Thiago Guimarães Osório and Saverio Iacopino contributed equally to this work.

Authors and Affiliations

  1. Heart Rhythm Management Center, Postgraduate program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, Laarbeeklaan 101, Brussels, Belgium

    Thiago Guimarães Osório, Hugo-Enrique Coutiño, Erwin Ströker, Juan Sieira, Francesca Salghetti, Varnavas Varnavas, Muryo Terasawa, Gaetano Paparella, Lucio Capulzini, Riccardo Maj, Yves De Greef, Pedro Brugada, Carlo de Asmundis & Gian-Battista Chierchia

  2. Cardiac Electrophysiology Unit, Villa Maria Cecilia Hospital GVM, Cotignola, Italy

    Saverio Iacopino

Authors
  1. Thiago Guimarães Osório
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  2. Saverio Iacopino
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  3. Hugo-Enrique Coutiño
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  14. Carlo de Asmundis
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  15. Gian-Battista Chierchia
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Corresponding author

Correspondence to Gian-Battista Chierchia.

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Osório, T.G., Iacopino, S., Coutiño, HE. et al. Evaluation of the luminal esophageal temperature behavior during left atrium posterior wall ablation by means of second-generation cryoballoon. J Interv Card Electrophysiol 55, 191–196 (2019). https://doi.org/10.1007/s10840-019-00523-0

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  • DOI: https://doi.org/10.1007/s10840-019-00523-0

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