Determination of the effects of cryoablation for atrial fibrillation on esophageal functions
Objective: Periesophageal vagal plexus injury is a complication of cryoablation for atrial fibrillation (AF). The aim of this study is to investigate the effect of cryoablation on esophageal functions and to determine the relationship between esophageal temperature and esophageal motility. Methods:...
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2020-03-01
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doaj-5b54584bb75847a8a29ecc532df65f522021-01-19T08:02:49ZengKARE PublishingAnatolian Journal of Cardiology2149-22632020-03-0123422322710.14744/AnatolJCardiol.2019.01651AJC-01651Determination of the effects of cryoablation for atrial fibrillation on esophageal functionsMuhammet Buğra Karaaslan0Ali Deniz1Ismail Cem Eray2Sedef Kuran3Sevinc Puren Yucel4Ozsun Serkan Sonmez5Aziz Inan Çelik6Onur Sinan Deveci7Mesut Demir8Mehmet Kanadası9Ayhan Usal10Department of Cardiology, Osmancık State Hospital; Çorum-TurkeyDepartment of Cardiology, Faculty of Medicine, Çukurova University; Adana-TurkeyDepartment of General Surgery, Faculty of Medicine, Çukurova University; Adana-TurkeyDepartment of Gastroenterology,Faculty of Medicine, Çukurova University; Adana-TurkeyDepartment of Biostatistics, Faculty of Medicine, Çukurova University; Adana-TurkeyElectrical and Electronics EngineerDepartment of Cardiology, Gebze Fatih State Hospital; Kocaeli-TurkeyDepartment of Cardiology, Faculty of Medicine, Çukurova University; Adana-TurkeyDepartment of Cardiology, Faculty of Medicine, Çukurova University; Adana-TurkeyDepartment of Cardiology, Faculty of Medicine, Çukurova University; Adana-TurkeyDepartment of Cardiology, Faculty of Medicine, Çukurova University; Adana-TurkeyObjective: Periesophageal vagal plexus injury is a complication of cryoablation for atrial fibrillation (AF). The aim of this study is to investigate the effect of cryoablation on esophageal functions and to determine the relationship between esophageal temperature and esophageal motility. Methods: Twenty patients with symptomatic paroxysmal AF who underwent cryoablation were included in this study. The lowest cryoballoon temperature for each pulmonary vein (PV) was recorded. Esophageal temperature was measured using an esophageal probe during each cryoapplication. Esophageal manometry was performed before the procedure and one day after the procedure for each patient in order to assess the esophageal functions. Results: During the procedure, the highest esophageal temperature change was found in the left-side PVs in 13 patients (65%) and in the right-side PVs in seven patients (35%). No correlation was found between the lowest cryoballoon temperature and esophageal temperature change (r=0.22, p=0.05). It was detected that the lower esophageal sphincter pressure and esophageal contraction amplitude pressure decreased after the procedure (before: 19.7+-9.3 mm Hg, after: 14.3+-4.9 mm Hg, p=0.001; before: 84.5+-28.3 mm Hg, after: 72.7+-34.3 mm Hg, p=0.005, respectively). Five patients (25%) developed gastrointestinal symptoms after the procedure. Conclusion: During cryoablation, esophageal temperature measurement can be performed to reduce the probability of esophageal injury. Cryoablation affects esophageal motility, and esophageal manometry can be performed to detect esophageal motility impairments in patients with gastrointestinal symptoms.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-01651atrial fibrillationcryoablationesophagusesophageal manometry |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhammet Buğra Karaaslan Ali Deniz Ismail Cem Eray Sedef Kuran Sevinc Puren Yucel Ozsun Serkan Sonmez Aziz Inan Çelik Onur Sinan Deveci Mesut Demir Mehmet Kanadası Ayhan Usal |
spellingShingle |
Muhammet Buğra Karaaslan Ali Deniz Ismail Cem Eray Sedef Kuran Sevinc Puren Yucel Ozsun Serkan Sonmez Aziz Inan Çelik Onur Sinan Deveci Mesut Demir Mehmet Kanadası Ayhan Usal Determination of the effects of cryoablation for atrial fibrillation on esophageal functions Anatolian Journal of Cardiology atrial fibrillation cryoablation esophagus esophageal manometry |
author_facet |
Muhammet Buğra Karaaslan Ali Deniz Ismail Cem Eray Sedef Kuran Sevinc Puren Yucel Ozsun Serkan Sonmez Aziz Inan Çelik Onur Sinan Deveci Mesut Demir Mehmet Kanadası Ayhan Usal |
author_sort |
Muhammet Buğra Karaaslan |
title |
Determination of the effects of cryoablation for atrial fibrillation on esophageal functions |
title_short |
Determination of the effects of cryoablation for atrial fibrillation on esophageal functions |
title_full |
Determination of the effects of cryoablation for atrial fibrillation on esophageal functions |
title_fullStr |
Determination of the effects of cryoablation for atrial fibrillation on esophageal functions |
title_full_unstemmed |
Determination of the effects of cryoablation for atrial fibrillation on esophageal functions |
title_sort |
determination of the effects of cryoablation for atrial fibrillation on esophageal functions |
publisher |
KARE Publishing |
series |
Anatolian Journal of Cardiology |
issn |
2149-2263 |
publishDate |
2020-03-01 |
description |
Objective: Periesophageal vagal plexus injury is a complication of cryoablation for atrial fibrillation (AF). The aim of this study is to investigate the effect of cryoablation on esophageal functions and to determine the relationship between esophageal temperature and esophageal motility.
Methods: Twenty patients with symptomatic paroxysmal AF who underwent cryoablation were included in this study. The lowest cryoballoon temperature for each pulmonary vein (PV) was recorded. Esophageal temperature was measured using an esophageal probe during each cryoapplication. Esophageal manometry was performed before the procedure and one day after the procedure for each patient in order to assess the esophageal functions.
Results: During the procedure, the highest esophageal temperature change was found in the left-side PVs in 13 patients (65%) and in the right-side PVs in seven patients (35%). No correlation was found between the lowest cryoballoon temperature and esophageal temperature change (r=0.22, p=0.05). It was detected that the lower esophageal sphincter pressure and esophageal contraction amplitude pressure decreased after the procedure (before: 19.7+-9.3 mm Hg, after: 14.3+-4.9 mm Hg, p=0.001; before: 84.5+-28.3 mm Hg, after: 72.7+-34.3 mm Hg, p=0.005, respectively). Five patients (25%) developed gastrointestinal symptoms after the procedure.
Conclusion: During cryoablation, esophageal temperature measurement can be performed to reduce the probability of esophageal injury. Cryoablation affects esophageal motility, and esophageal manometry can be performed to detect esophageal motility impairments in patients with gastrointestinal symptoms. |
topic |
atrial fibrillation cryoablation esophagus esophageal manometry |
url |
https://jag.journalagent.com/z4/download_fulltext.asp?pdir=anatoljcardiol&un=AJC-01651 |
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