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dc.contributor.authorTilz, Roland Richard
dc.contributor.authorSchmidt, Vanessa
dc.contributor.authorPürerfellner, Helmut
dc.contributor.authorMaury, Philippe
dc.contributor.authorJulian Chun, Chun
dc.contributor.authorMartinek, Martin
dc.contributor.authorSohns, Christian
dc.contributor.authorSchmidt, Boris
dc.contributor.authorMandel, Franck
dc.contributor.authorGandjbakhch, Estelle
dc.contributor.authorLaredo, Mikael
dc.contributor.authorGunawardene, Melanie Anuscha
dc.contributor.authorWillems, Stephan
dc.contributor.authorBeiert, Thomas
dc.contributor.authorBorlich, Martin
dc.contributor.authorIden, Leon
dc.contributor.authorFüting, Anna
dc.contributor.authorSpittler, Raphael
dc.contributor.authorGaspar, Thomas
dc.contributor.authorRichter, Sergio
dc.contributor.authorSchade, Anja
dc.contributor.authorKuniss, Malte
dc.contributor.authorNeumann, Thomas
dc.contributor.authorFrancke, Alexander
dc.contributor.authorWunderlich, Carsten
dc.contributor.authorShin, Dong-In
dc.contributor.authorMeininghaus, Dirk Grosse
dc.contributor.authorForesti, Mike
dc.contributor.authorBonsels, Marc
dc.contributor.authorReek, David
dc.contributor.authorWiegand, Uwe
dc.contributor.authorBauer, Alexander
dc.contributor.authorMetzner, Andreas
dc.contributor.authorEckardt, Lars
dc.contributor.authorPopescu, Sorin Stefan
dc.contributor.authorKrahnefeld, Olaf
dc.contributor.authorSticherling, Christian
dc.contributor.authorKühne, Michael
dc.contributor.authorNguyen, Dinh Quang
dc.contributor.authorRoten, Laurent
dc.contributor.authorSaguner, Ardan M
dc.contributor.authorLinz, Dominik
dc.contributor.authorVan Der Voort, Pepijn
dc.contributor.authorMulder, Bart A
dc.contributor.authorVijgen, Johan
dc.contributor.authorAlmorad, Alexandre
dc.contributor.authorGuenancia, Charles
dc.contributor.authorFauchier, Laurent
dc.contributor.authorBoveda, Serge
dc.contributor.authorGreef, Y. De
dc.contributor.authorDa Costa, Antoine
dc.contributor.authorJais, Pierre
dc.contributor.authorDerval, Nicolas
dc.contributor.authorMilhem, Antoine
dc.contributor.authorJesel, Laurence
dc.contributor.authorGarcia, Rodrigue
dc.contributor.authorPoty, Hervé
dc.contributor.authorKhoueiry, Ziad
dc.contributor.authorSeitz, Julien
dc.contributor.authorLaborderie, Julien
dc.contributor.authorMechulan, Alexis
dc.contributor.authorBrigadeau, Francois
dc.contributor.authorZhao, Alexandre
dc.contributor.authorSaludas, Yannick
dc.contributor.authorPiot, Olivier
dc.contributor.authorAhluwalia, Nikhil
dc.contributor.authorMartin, Claire
dc.contributor.authorChen, Jian
dc.contributor.authorAntolic, Bor
dc.contributor.authorLeventopoulos, Georgios
dc.contributor.authorÖzcan, Emin Evren
dc.contributor.authorYorgun, Hikmet
dc.contributor.authorCay, Serkan
dc.contributor.authorYalin, Kivanc
dc.contributor.authorBotros, Maichel Sobhy
dc.contributor.authorMahmoud, Ahmed Taher
dc.contributor.authorJȩdrzejczyk-Patej, Ewa
dc.contributor.authorInaba, Osamu
dc.contributor.authorOkumura, Ken
dc.contributor.authorEjima, Koichiro
dc.contributor.authorKhakpour, Houman
dc.contributor.authorBoyle, Noel
dc.contributor.authorCatanzaro, John N
dc.contributor.authorReddy, Vivek
dc.contributor.authorMohanty, Sanghamitra
dc.contributor.authorNatale, Andrea
dc.contributor.authorBlessberger, Hermann
dc.contributor.authorYang, Bing
dc.contributor.authorStevens, Irene
dc.contributor.authorSommer, Philipp
dc.contributor.authorVeltmann, Christian
dc.contributor.authorSteven, Daniel
dc.contributor.authorVogler, Julia
dc.contributor.authorKuck, Karl-Heinz
dc.contributor.authorMerino, José Luis
dc.contributor.authorKeelani, Ahmad
dc.contributor.authorHeeger, Christian-H
dc.date.accessioned2023-09-22T12:55:19Z
dc.date.available2023-09-22T12:55:19Z
dc.date.created2023-09-18T10:50:08Z
dc.date.issued2023
dc.identifier.issn0195-668X
dc.identifier.urihttps://hdl.handle.net/11250/3091415
dc.description.abstractAims Oesophageal fistula represents a rare but dreadful complication of atrial fibrillation catheter ablation. Data on its incidence, management, and outcome are sparse. Methods and results This international multicentre registry investigates the characteristics of oesophageal fistulae after treatment of atrial fibrillation by catheter ablation. A total of 553 729 catheter ablation procedures (radiofrequency: 62.9%, cryoballoon: 36.2%, other modalities: 0.9%) were performed, at 214 centres in 35 countries. In 78 centres 138 patients [0.025%, radiofrequency: 0.038%, cryoballoon: 0.0015% (P < 0.0001)] were diagnosed with an oesophageal fistula. Peri-procedural data were available for 118 patients (85.5%). Following catheter ablation, the median time to symptoms and the median time to diagnosis were 18 (7.75, 25; range: 0–60) days and 21 (15, 29.5; range: 2–63) days, respectively. The median time from symptom onset to oesophageal fistula diagnosis was 3 (1, 9; range: 0–42) days. The most common initial symptom was fever (59.3%). The diagnosis was established by chest computed tomography in 80.2% of patients. Oesophageal surgery was performed in 47.4% and direct endoscopic treatment in 19.8% and conservative treatment in 32.8% of patients. The overall mortality was 65.8%. Mortality following surgical (51.9%) or endoscopic treatment (56.5%) was significantly lower as compared to conservative management (89.5%) [odds ratio 7.463 (2.414, 23.072) P < 0.001]. Conclusion Oesophageal fistula after catheter ablation of atrial fibrillation is rare and occurs mostly with the use of radiofrequency energy rather than cryoenergy. Mortality without surgical or endoscopic intervention is exceedingly high.en_US
dc.language.isoengen_US
dc.publisherOxford University Pressen_US
dc.rightsNavngivelse-Ikkekommersiell 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/deed.no*
dc.titleA worldwide survey on incidence, management, and prognosis of oesophageal fistula formation following atrial fibrillation catheter ablation: The POTTER-AF studyen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2
dc.identifier.doi10.1093/eurheartj/ehad250
dc.identifier.cristin2175950
dc.source.journalEuropean Heart Journalen_US
dc.source.pagenumber2458-2469en_US
dc.identifier.citationEuropean Heart Journal. 2023, 44 (27), 2458-2469.en_US
dc.source.volume44en_US
dc.source.issue27en_US


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Navngivelse-Ikkekommersiell 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse-Ikkekommersiell 4.0 Internasjonal