Evidence map›Paper›PMID 32491200›Full record

ArticlePacing and clinical electrophysiology : PACE2020

Atrioesophageal fistula post atrial fibrillation ablation: A multicenter study from China.

Chang-Yi Li, Song-Nan Li, Chen-Yang Jiang, Hua Fu, Ming Liang, Zu-Lu Wang, Jing-Quan Zhong, Xian-Hui Zhou, Qi Wu, Dong Chang and 9 more

Abstract readEditorialComment
PubMed Publisher
In one paragraph

Article in Pacing and clinical electrophysiology : PACE, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors.

Chang-Yi LiDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Song-Nan LiDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-3139-663X
Chen-Yang JiangDepartment of Cardiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.ORCID 0000-0002-0199-3353
Hua FuDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
Ming LiangDepartment of Cardiology, General Hospital of Northern Theater Command, Shenyang, China.
Zu-Lu WangDepartment of Cardiology, General Hospital of Northern Theater Command, Shenyang, China.
Jing-Quan ZhongKey Laboratory of Cardiovascular Remodeling and Function Research, Chinese Ministry of Education and Chinese Ministry of Health, Jinan, China.
Xian-Hui ZhouCardiac Pacing and Electrophysiological Division, The First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Qi WuDepartment of Cardiology, The Third Hospital of Datong, Datong, China.
Dong ChangDepartment of Cardiology, Xiamen Cardiovascular Hospital,  Xiamen University,  Xiamen,  , China.
Yan WangDepartment of Cardiology, Xiamen Cardiovascular Hospital,  Xiamen University,  Xiamen,  , China.
Gen-Qing ZhouDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0003-4506-7658
Wen-Shao LiuDepartment of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID 0000-0002-9469-1054
Wei SongDepartment of Cardiology, The Affiliated Longyan First Hospital of Fujian Medical University, Longyan, China.
Cai-Hua SangDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
De-Yong LongDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-4604-5346
Xin DuDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.
Jian-Zeng DongDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-7299-7805
Chang-Sheng MaDepartment of Cardiology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-5387-5957

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveAtrioesophageal fistula (AEF) is a rare but devastating complication with high mortality post atrial fibrillation (AF) ablation. The purpose of current study was to determine the epidemiology, clinical features, pathogenesis, and management of AEF after AF ablation. METHODS AND

resultsPatients with diagnosed AEF were included and retrospectively analyzed according to the registry of 11 centers in China from January 2010 to December 2019. A total of 16 AEF cases were identified from 44 794 patients who received a left atrial ablation procedure (0.035% per procedure). The interval from procedure to clinical onset of AEF averaged 18.3 days (3-39 days). The fever ranked the most common symptom, occurred in 14 of the 16 cases, followed by neurological deficits (n = 11), chest pain (n = 5), and hematemesis (n = 4). Patients undergoing surgical repair had a better prognosis compared to those receiving nonsurgical management ([4 of 8] 50.0% vs [8 of 8] 100%, P < .05) with an overall mortality rate of 75.0%.

conclusionAEF is highly characterized by varied manifestations. Early diagnosis and urgent surgical repair are vital to those patients and associated with improved survival rates.

Indexed as

Atrial FibrillationCatheter AblationEsophageal FistulaHeart AtriaHumansRetrospective Studiesatrial fibrillationatrioesophageal fistulafatal outcomeradiofrequency catheter ablation

Identifiers

PMID32491200

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.