Avoidance of Lethal Isotherm Formation in Esophageal Tissue with an Active Cooling Device Under High-Power, Short-Duration Ablation

M Mercado Montoya, E Berjano, SR Mickelsen… - Circulation, 2021 - Am Heart Assoc
Introduction: Atrioesophageal fistula (AEF) is a severe complication of left atrial ablation for
the treatment of atrial fibrillation. Thermal injury is the proposed mechanism, and a potential …

Impact of time between stacked lesions during radiofrequency atrial ablation with active esophageal cooling

M Mercado Montoya, T Gomez-Bustamante… - Circulation, 2022 - Am Heart Assoc
Background: Active esophageal cooling during radiofrequency (RF) ablation of the left
atrium (LA) has been shown to reduce esophageal injury. Although no atrioesophageal …

Esophageal cooling for protection during left atrial ablation: a systematic review and meta-analysis

LWM Leung, MM Gallagher, P Santangeli… - Journal of Interventional …, 2020 - Springer
Purpose Thermal damage to the esophagus is a risk from radiofrequency (RF) ablation of
the left atrium for the treatment of atrial fibrillation (AF). The most extreme type of thermal …

Modeling esophageal protection from radiofrequency ablation via a cooling device: an analysis of the effects of ablation power and heart wall dimensions

M Mercado, L Leung, M Gallagher, S Shah… - BioMedical Engineering …, 2020 - Springer
Background Esophageal thermal injury can occur after radiofrequency (RF) ablation in the
left atrium to treat atrial fibrillation. Existing methods to prevent esophageal injury have …

Proactive esophageal cooling protects against thermal insults during high-power short-duration radiofrequency cardiac ablation

M Mercado Montoya, T Gomez Bustamante… - International Journal …, 2022 - Taylor & Francis
Background Proactive cooling with a novel cooling device has been shown to reduce
endoscopically identified thermal injury during radiofrequency (RF) ablation for the treatment …

Cooling or warming the esophagus to reduce esophageal injury during left atrial ablation in the treatment of atrial fibrillation

J Zagrodzky, MM Gallagher, LWM Leung… - JoVE (Journal of …, 2020 - jove.com
Ablation of the left atrium using either radiofrequency (RF) or cryothermal energy is an
effective treatment for atrial fibrillation (AF) and is the most frequent type of cardiac ablation …

A pilot study of an esophageal cooling device during radiofrequency ablation for atrial fibrillation

B Clark, N Alvi, J Hanks, B Suprenant - medRxiv, 2020 - medrxiv.org
Background Esophageal thermal injury is a risk of ablation of the posterior left atrium despite
various devices utilized to date. Objective Evaluate the potential of a commercially-available …

ANALYSIS OF SAFETY THRESHOLDS WITH ACTIVE ESOPHAGEAL COOLING

E Kulstad, M Mercado-M, T Gomez, E Berjano… - Journal of the American …, 2023 - jacc.org
Background Active esophageal cooling is increasingly being used during radiofrequency
(RF) ablation of the left atrium (LA) for the treatment of atrial fibrillation. This study aimed to …

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

CM Tschabrunn, S Attalla, J Salas, DS Frankel… - Journal of Interventional …, 2022 - Springer
Background Severe endoscopically detected esophageal thermal lesions (EDELs) have
been associated with higher risk of progression to atrio-esophageal fistula (AEF) following …

Luminal esophageal temperature monitoring to reduce esophageal thermal injury during catheter ablation for atrial fibrillation: a review

AJ Kadado, JG Akar, JP Hummel - Trends in Cardiovascular Medicine, 2019 - Elsevier
Over the past decade, catheter ablation for atrial fibrillation has emerged as an important
rhythm control strategy. One of the most dreaded complications of this procedure is atrio …