Further mechanistic evidence against luminal esophageal temperature monitoring?

Article Cardiac & Cardiovascular Systems

Active esophageal cooling for the prevention of thermal injury during atrial fibrillation ablation: a randomized controlled pilot study

Cory M. Tschabrunn et al.

Summary: Active esophageal cooling using the Attune Medical Esophageal Heat Transfer Device may reduce the occurrence of severe endoscopically detected esophageal thermal lesions, offering potential benefits in preventing complications following radiofrequency catheter ablation for atrial fibrillation.

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY (2022)

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Article Cardiac & Cardiovascular Systems

Randomized comparison of oesophageal protection with a temperature control device: results of the IMPACT study

Lisa W. M. Leung et al.

Summary: Thermal protection of the esophagus significantly reduces ablation-related thermal injury compared with standard care. This method of esophageal protection is safe and does not compromise the efficacy or efficiency of the ablation procedure.

EUROPACE (2021)

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Article Cardiac & Cardiovascular Systems

An initial ex vivo evaluation of temperature profile and thermal injury formation on the epiesophageal surface during radiofrequency ablation

Ronit Kar et al.

Summary: This study compared the effects of standard ablation and high-power, short-duration (HPSD) ablation on esophageal thermal injury, finding that HPSD ablation led to greater increases in esophageal surface and endoluminal temperatures, resulting in more esophageal injury.

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY (2021)

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Article Cardiac & Cardiovascular Systems

Temperature monitoring and temperature-driven irrigated radiofrequency energy titration do not prevent thermally induced esophageal lesions in pulmonary vein isolation: A randomized study controlled by esophagoscopy before and after catheter ablation

Dirk Grosse Meininghaus et al.

Summary: Monitoring of luminal esophageal temperature does not prevent ablation-induced esophageal lesions. Patients without temperature surveillance were not at higher risk, but temperatures exceeding 42 degrees Celsius were associated with an increased likelihood of mucosal lesions.

HEART RHYTHM (2021)

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Article Cardiac & Cardiovascular Systems

Catheter ablation of atrial fibrillation using ablation index-guided high power (50 W) for pulmonary vein isolation with or without esophageal temperature probe (the AI-HP ES0 II)

Shaojie Chen et al.

HEART RHYTHM (2020)

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Article Cardiac & Cardiovascular Systems

Oesophageal Probe Evaluation in Radiofrequency Ablation of Atrial Fibrillation (OPERA): results from a prospective randomized trial

Katharina Schoene et al.

EUROPACE (2020)

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Article Cardiac & Cardiovascular Systems

2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation: Executive summary

Hugh Calkins et al.

EUROPACE (2018)

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Further mechanistic evidence against luminal esophageal temperature monitoring?

Related references

Active esophageal cooling for the prevention of thermal injury during atrial fibrillation ablation: a randomized controlled pilot study

Randomized comparison of oesophageal protection with a temperature control device: results of the IMPACT study

An initial ex vivo evaluation of temperature profile and thermal injury formation on the epiesophageal surface during radiofrequency ablation

Temperature monitoring and temperature-driven irrigated radiofrequency energy titration do not prevent thermally induced esophageal lesions in pulmonary vein isolation: A randomized study controlled by esophagoscopy before and after catheter ablation

Catheter ablation of atrial fibrillation using ablation index-guided high power (50 W) for pulmonary vein isolation with or without esophageal temperature probe (the AI-HP ES0 II)

Oesophageal Probe Evaluation in Radiofrequency Ablation of Atrial Fibrillation (OPERA): results from a prospective randomized trial

2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation: Executive summary

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