Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation

9.2K Views

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06:25 min

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March 15th, 2020

DOI :

10.3791/60733-v

March 15th, 2020

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Jason Zagrodzky¹, Mark M. Gallagher², Lisa W. M. Leung², Tiffany Sharkoski³, Pasquale Santangeli⁴, Cory Tschabrunn⁴, Jose M. Guerra⁵, Bieito Campos⁵, John MacGregor⁶, Jamal Hayat², Brad Clark⁷, Alex Mazur⁸, Marcel Feher⁹, Martin Arnold⁹, Mark Metzl¹⁰, Jose Nazari¹⁰, Erik Kulstad¹¹

¹St. David's South Austin Medical Center, ²St George's University Hospitals NHS Foundation Trust, St. George's, University of London, ³Hospital of the University of Pennsylvania, Perelman Center for Advanced Medicine, ⁴University of Pennsylvania Perelman School of Medicine, ⁵Hospital de la Santa Creu I Sant Pau, Universitat Autònoma de Barcelona, CIBERCV, ⁶PeaceHealth Medical Group, St. Joseph Medical Center, ⁷St. Vincent Hospital, ⁸University of Iowa, ⁹University Hospital Erlangen, ¹⁰NorthShore University Health System, ¹¹Department of Emergency Medicine, University of Texas, Southwestern Medical Center

Summary

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Esophagus Cooling

Esophagus Warming

Esophageal Injury

Left Atrial Ablation

Atrial Fibrillation Treatment

Thermal Energy Transfer

Procedure Delay Avoidance

Radio Frequency Ablation

Temperature Management Device

Fluoroscopy Placement

Intracardiac Echocardiography

Heat Exchanger Temperature Control

Chapters in this video

0:04

Introduction

0:57

Placement of Device

2:35

Temperature Modulation and Monitoring

3:44

Temperature Monitoring and Troubleshooting

4:40

Removal of Device

5:12

Results: Outcomes of Esophageal Cooling during Left Atrial Ablation

5:55

Conclusion

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