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预防、诊断和处理房室食管瘘。

Prevention, diagnosis, and management of atrioesophageal fistula.

机构信息

Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, United States.

Dell Medical School, University of Texas, Austin, Texas, United States.

出版信息

Pacing Clin Electrophysiol. 2020 Jul;43(7):640-645. doi: 10.1111/pace.13938. Epub 2020 Jun 1.

DOI:10.1111/pace.13938
PMID:32400890
Abstract

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.

摘要

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。

相似文献

1
Prevention, diagnosis, and management of atrioesophageal fistula.预防、诊断和处理房室食管瘘。
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2
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引用本文的文献

1
More attention should be paid to atrial-esophageal fistula, and not all atrial-esophageal fistulas are iatrogenic.应更多关注心房食管瘘,且并非所有心房食管瘘都是医源性的。
Ann Transl Med. 2023 Aug 30;11(10):372. doi: 10.21037/atm-23-1275. Epub 2023 Aug 3.
2
Posterior wall thickness of the confluent inferior pulmonary veins measured by left atrial intracardiac echocardiography: implications for catheter ablation.左房心内超声测量融合下肺静脉后壁厚度:对导管消融的影响。
J Interv Card Electrophysiol. 2024 Jan;67(1):193-201. doi: 10.1007/s10840-023-01613-w. Epub 2023 Jul 25.
3
Posterior wall isolation via a multi-electrode radiofrequency balloon catheter: feasibility, technical considerations, endoscopic findings and comparison with cryoballoon technologies.
通过多电极射频球囊导管进行后壁隔离:可行性、技术考量、内镜检查结果及与冷冻球囊技术的比较
J Interv Card Electrophysiol. 2024 Mar;67(2):273-283. doi: 10.1007/s10840-023-01549-1. Epub 2023 Apr 27.
4
Reply from authors: Preventing atrioesophageal fistula: A dish best served cold.作者回复:预防心房食管瘘:事后诸葛亮。
JTCVS Tech. 2022 Apr 30;14:154. doi: 10.1016/j.xjtc.2022.04.025. eCollection 2022 Aug.