核心概念
Esophageal fistula complications in atrial fibrillation ablation have high mortality rates and require prompt diagnosis and management.
摘要
The content discusses the rare but serious complication of esophageal fistula (EF) following catheter ablation for atrial fibrillation (AF). The POTTER AF study highlighted a 65.8% mortality rate for EF cases, emphasizing the importance of timely diagnosis and appropriate management strategies. Delays in diagnosis, common symptoms, diagnostic modalities, treatment methods, and outcomes are detailed. Surgery was associated with the lowest mortality rate, reducing the risk of death by about 68%. The study also highlighted the limitations and challenges in managing EF complications.
Rare but serious complication of catheter ablation for AF
POTTER AF study: 65.8% mortality rate for EF cases
Delays in diagnosis, common symptoms, diagnostic modalities
Treatment methods and outcomes
Surgery associated with the lowest mortality rate
Limitations and challenges in managing EF complications
統計資料
The incidence of esophageal fistula was 0.025%, approximately 25 per 100,000 patients.
Death occurred in 65.8% of EF cases.
Surgery was associated with a mortality odds ratio of 0.321.
Conservative management had a mortality odds ratio of 7.463.
引述
"I promise you that you will have a very clear plan how to diagnose and treat patients with esophageal fistula once you have seen this presentation." - Prof Roland Tilz