Endoscopic Vacuum Therapy for the Treatment of Atrial Fibrillation Ablation-Induced Esophageal Perforation.

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY
ACG Case Reports Journal Pub Date : 2025-03-12 eCollection Date: 2025-03-01 DOI:10.14309/crj.0000000000001650
Larissa Lushniak, Neal Dharmadhikari, Kaveh Zivari, Juan Pablo Reyes Genere, Vladimir Kushnir, Ahmad Najdat Bazarbashi
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引用次数: 0

Abstract

Esophageal thermal injury from atrial fibrillation ablation is not uncommon; however, full-thickness perforation is rare. Such injuries are often treated with surgical revision, stent placement, or medical management. Endoscopic vacuum therapy is a novel and emerging technique to repair transmural gastrointestinal defects; however, its use in the management of esophageal thermal ulceration and perforation after a cardiac ablation procedure is limited. We present a 52-year-old man who developed a refractory esophageal perforation and leak secondary to atrial fibrillation radiofrequency ablation that was successfully treated with endoscopic vacuum therapy, demonstrating a minimally invasive endoscopic treatment modality when alternative therapies fail.

内镜下真空疗法治疗心房颤动消融所致食道穿孔。
心房颤动消融引起的食管热损伤并不少见;然而,全层穿孔是罕见的。这种损伤通常通过手术修复、支架放置或药物治疗来治疗。内镜下真空治疗是一种新兴的跨壁胃肠道缺损修复技术;然而,它在心脏消融手术后食管热溃疡和穿孔治疗中的应用是有限的。我们报告了一名52岁的男性,他发展为心房颤动射频消融继发的难治性食管穿孔和渗漏,并成功地通过内窥镜真空疗法治疗,当替代疗法失败时,证明了一种微创内窥镜治疗方式。
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来源期刊
ACG Case Reports Journal
ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-
自引率
14.30%
发文量
170
审稿时长
12 weeks
期刊介绍: ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
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