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A 54-year-old woman was referred to our institution with frequent chest discomfort and was diagnosed with drug-refractory paroxysmal atrial fibrillation. Radiofrequency catheter ablation (RFCA) was performed using a three-dimensional electroanatomic mapping system. After completion of left and right circumferential pulmonary vein isolation (CPVI), an intravenous bolus of adenosine triphosphate (ATP,...
Left atrial-esophageal (LA-Eso) fistula is now a well-recognized and fatal complication of percutaneous catheter ablation performed using radiofrequency energy for atrial fibrillation (AF). We noted an important esophageal motion during temperature monitoring by a multipolar sensing probe, which could resolve several potential concerns of accurate esophageal temperature measurement and could consequently...
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