Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, United States.
Dell Medical School, University of Texas, Austin, Texas, United States.
Pacing Clin Electrophysiol. 2020 Jul;43(7):640-645. doi: 10.1111/pace.13938. Epub 2020 Jun 1.
Atrioesophageal fistula (AEF) is a rare but deadly complication of radiofrequency ablation for atrial fibrillation. Given its rarity, the diagnosis of AEF is usually delayed with a wide variation in management strategies, which contribute to the high mortality associated with AEF. As such, the most important step of AEF management is prevention, whereas early diagnosis and treatment are crucial to reduce its associated high mortality.
房室管瘘(Atrioesophageal fistula,AEF)是心房颤动射频消融治疗的罕见但致命的并发症。鉴于其罕见性,AEF 的诊断通常会被延迟,且管理策略差异很大,这导致与 AEF 相关的高死亡率。因此,AEF 管理最重要的步骤是预防,而早期诊断和治疗对于降低其相关的高死亡率至关重要。