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J Thorac Cardiovasc Surg 2003;126:2119-2120
© 2003 The American Association for Thoracic Surgery

Letter to the editor

Esophageal perforation during left atrial radiofrequency ablation

Axel Laczkovics, PhD, MD, Krishna Khargi, MD, Thomas Deneke, MD

Department of Cardiothoracic Surgery and Cardiology, University Hospital Bergmannsheil Bochum, Bochum, Germany

The first 20% of the full text of this article appears below.

To the Editor:

Doll and colleagues1 reported an esophageal perforation incidence of 1% (4/387) after left atrial ablation with intraoperative radiofrequency ablation for atrial fibrillation. Risk factors could not be identified; therefore, they recommended against the use of intraoperative radiofrequency ablation for atrial fibrillation. In our opinion, however, a combination of various factors—such the device, the handling of device, the application time, the lesion pattern, and the surgical access—contribute to this complication, rather than the mere use of radiofrequency.

Doll and colleagues1 used temperature-controlled radiofrequency ablation with a 10-mm T-shaped rigid ablation probe (Radios 504; Osypka GmbH, Grenzach, Wyhlen, Germany) targeting a temperature of 60°C for . . . [Full Text of this Article]


Related Article

Reply to the Editor
N. Doll, F. W. Mohr, and M. A. Borger
J. Thorac. Cardiovasc. Surg. 2003 126: 2120. [Extract] [Full Text] [PDF]



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