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Esophageal Laceration Related to Mechanical Trauma from a General Purpose (Esophageal / Rectal) Temperature Probe Introducer Sheath During Atrial Fibrillation Ablation

Catheter Radiofrequency ablation (RFA) for the management of atrial fibrillation (AF) can be associated with serious thermal injuries of the esophagus due to the close proximity of later. Use of Esophageal/Rectal temperature monitoring probes have become a standard practice now during these procedures in order to prevent such complications. However these probes need small introducer sheaths in order to guide them into the esophagus without coiling. Due to the small size of these sheaths, they can easily get dislodged into the trachea or esophagus and cause serious complications including mucosal lacerations.

Credits: Tawseef Dar, MD; Bharath Yarlagadda, MD; Cheen Alkhatib, MD; Dhanunjaya Lakkireddy MD, FACC, FHRS

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Introduction to AFib
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