Incidences of esophageal injury during esophageal temperature monitoring: a comparative study of a multi-thermocouple temperature probe and a deflectable temperature ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-02-16

AUTHORS

Taishi Kuwahara, Atsushi Takahashi, Yoshihide Takahashi, Kenji Okubo, Katsumasa Takagi, Tadashi Fujino, Shigeki Kusa, Masateru Takigawa, Yuji Watari, Kazuya Yamao, Emiko Nakashima, Naohiko Kawaguchi, Hiroyuki Hikita, Akira Sato, Kazutaka Aonuma

ABSTRACT

PurposeThe 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.MethodsOne 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 = 50) and the deflectable temperature probe group (n = 50). Extensive pulmonary vein (PV) isolation was performed with a 3.5-mm open irrigated tip ablation catheter by using a radiofrequency (RF) power of 25–30 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.ResultsNo 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 = 0.25). Most lesions were mild to moderate injuries, and all were cured using conservative treatment.ConclusionThe 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. More... »

PAGES

251-257

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10840-013-9868-5

DOI

http://dx.doi.org/10.1007/s10840-013-9868-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1037438714

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24532111


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22 schema:description PurposeThe 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.MethodsOne 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 = 50) and the deflectable temperature probe group (n = 50). Extensive pulmonary vein (PV) isolation was performed with a 3.5-mm open irrigated tip ablation catheter by using a radiofrequency (RF) power of 25–30 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.ResultsNo 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 = 0.25). Most lesions were mild to moderate injuries, and all were cured using conservative treatment.ConclusionThe 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.
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29 schema:keywords AF
30 MethodsOne hundred patients
31 RF delivery
32 RF delivery time
33 RF energy delivery
34 ResultsNo differences
35 ablation
36 ablation catheter
37 ablation site
38 aim
39 area
40 atrial fibrillation ablation
41 background
42 catheter
43 catheter ablation
44 clinical background
45 comparative study
46 conservative treatment
47 days
48 deflectable temperature probe
49 deflectable temperature probe group
50 delivery
51 delivery time
52 differences
53 different temperature probes
54 drug-resistant AF
55 endoscopy
56 energy delivery
57 esophageal endoscopy
58 esophageal injury
59 esophageal lesions
60 esophageal temperature
61 esophageal temperature monitoring
62 esophageal temperature probe
63 esophageal temperature thermocouple
64 esophageal ulcer
65 esophagitis
66 esophagus
67 extensive pulmonary vein isolation
68 fibrillation ablation
69 group
70 hundred patients
71 incidence
72 injury
73 isolation
74 lesions
75 moderate injury
76 monitoring
77 most lesions
78 multi-thermocouple probe group
79 multi-thermocouple temperature probe
80 number
81 parameters
82 patients
83 power
84 probe
85 probe group
86 pulmonary vein isolation
87 radiofrequency power
88 sites
89 study
90 study aim
91 temperature
92 temperature monitoring
93 temperature probe
94 temperature probe group
95 temperature thermocouples
96 terms
97 thermocouples
98 time
99 tip ablation catheter
100 treatment
101 ulcers
102 vein isolation
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