Incidences of esophageal injury during esophageal temperature monitoring: a comparative study of a multi-thermocouple temperature probe and a deflectable temperature probe in atrial fibrillation ablation

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• 作者：Taishi Kuwahara (1)
  Atsushi Takahashi (1)
  Yoshihide Takahashi (1)
  Kenji Okubo (1)
  Katsumasa Takagi (1)
  Tadashi Fujino (1)
  Shigeki Kusa (1)
  Masateru Takigawa (1)
  Yuji Watari (1)
  Kazuya Yamao (1)
  Emiko Nakashima (1)
  Naohiko Kawaguchi (1)
  Hiroyuki Hikita (1)
  Akira Sato (2)
  Kazutaka Aonuma (2)
  
• 关键词：Atrial fibrillation ; Catheter ablation ; Esophageal temperature monitoring ; Multi ; thermocouple probe
• 刊名：Journal of Interventional Cardiac Electrophysiology
• 出版年：2014
• 出版时间：April 2014
• 年：2014
• 卷：39
• 期：3
• 页码：251-257
• 全文大小：
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  2. Kuwahara, T., Takahashi, A., Kobori, A., Miyazaki, S., Takahashi, Y., Takei, A., et al. (2009). Safe and effective ablation of atrial fibrillation: importance of esophageal temperature monitoring to avoid periesophageal nerve injury as a complication of pulmonary vein isolation. / Journal of Cardiovascular Electrophysiology, 20(1), 1-. CrossRef
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• 作者单位：Taishi Kuwahara (1)
  Atsushi Takahashi (1)
  Yoshihide Takahashi (1)
  Kenji Okubo (1)
  Katsumasa Takagi (1)
  Tadashi Fujino (1)
  Shigeki Kusa (1)
  Masateru Takigawa (1)
  Yuji Watari (1)
  Kazuya Yamao (1)
  Emiko Nakashima (1)
  Naohiko Kawaguchi (1)
  Hiroyuki Hikita (1)
  Akira Sato (2)
  Kazutaka Aonuma (2)
  
  1. Cardiovascular Center, Yokosuka Kyousai Hospital, 1-16 Yonegahama-dori, Yokosuka, Kanagawa, 238-8558, Japan
  2. Cardiology Division, Institute of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
  
• ISSN：1572-8595

文摘

Purpose The study aim was to compare the incidence of esophageal injuries between different temperature probes in the monitoring of esophageal temperature during atrial fibrillation (AF) ablation. Methods One hundred patients with drug-resistant AF were prospectively and randomly assigned into two groups according to the esophageal temperature probe used: the multi-thermocouple probe group (n--0) and the deflectable temperature probe group (n--0). Extensive pulmonary vein (PV) isolation was performed with a 3.5-mm open irrigated tip ablation catheter by using a radiofrequency (RF) power of 25-0?W. In both groups, the esophageal temperature thermocouple was placed on the area of the esophagus adjacent to the ablation site. When the esophageal temperature reached 42?°C, the RF energy delivery was stopped. Esophageal endoscopy was performed 1?day after the catheter ablation. Results No differences existed between the two groups in terms of clinical background and various parameters related to the catheter ablation, including RF delivery time and number of RF deliveries at an esophageal temperature of >42?°C. Esophageal lesions, such as esophagitis and esophageal ulcers, occurred in 10/50 (20?%) and 15/50 (30?%) patients in the multi-thermocouple and deflectable temperature probe groups, respectively (P--.25). Most lesions were mild to moderate injuries, and all were cured using conservative treatment. Conclusion The incidence of esophageal injury was almost equal between the multi-thermocouple temperature probe and the deflectable temperature probe during esophageal temperature monitoring. Most of the esophageal lesions that developed during esophageal temperature monitoring were mild to moderate and reversible.