ArticleJournal of arrhythmia2021
Anatomical evaluation of the esophagus using computed tomography to predict acute gastroparesis following atrial fibrillation ablation.
Article in Journal of arrhythmia, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Esophageal temperature management during cryoballoon ablation for atrial fibrillation.Journal of cardiovascular electrophysiology · 2022Trial
- Gastric Distention after Catheter Ablation for Atrial Fibrillation.JMA journal · 2025Article
- From Fluttering Hearts to Restless Stomach: Navigating Atrial Fibrillation, Ablation and Gastroparesis.European journal of case reports in internal medicine · 2025Article
- Symptomatic Gastroparesis After Cryoballoon Ablation for Atrial Fibrillation.Korean circulation journal · 2024Article
- Symptomatic periesophageal vagal nerve injury by different energy sources during atrial fibrillation ablation.Frontiers in cardiovascular medicine · 2023Article
- Protecting Against Collateral Damage to Non-cardiac Structures During Endocardial Ablation for Persistent Atrial Fibrillation.Arrhythmia & electrophysiology review · 2022Review
- Anatomical evaluation of the esophagus using computed tomography to predict acute gastroparesis following atrial fibrillation ablation.Journal of arrhythmia · 2021Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCatheter ablation for atrial fibrillation is an effective treatment; however, periesophageal vagal nerve injury is not rare and sometimes results in acute gastroparesis (AGP) after atrial fibrillation ablation (AFA). We sought to investigate the incidence and risk factors of AGP via preprocedural computed tomography (CT) analysis.
methodsWe retrospectively reviewed 422 patients who underwent index AFA at our center. Using contrast-enhanced CT performed before ablation, the anatomical characteristics of the esophagus were compared between patients with and without post-ablation AGP. AGP was diagnosed by the presence of symptoms, fasting abdominal X-ray radiography as a screening test, and additional abdominal imaging.
resultsOf the 422 patients (age, 67 ± 11 years; male, 68.5%; cryoballoon, 63.7%), AGP developed in 14 (3.3%) patients, and six of 14 patients were asymptomatic. AGP resolved in all patients within 4 weeks without invasive treatment. In the AGP group, the esophagus was frequently located on the vertebra (middle-positioned esophagus) (AGP vs non-AGP, 42.9% vs 11.5%;
conclusionsAnatomical evaluation of the esophagus using CT may be simple and useful for predicting AGP after AFA. High-risk patients who have middle-positioned esophagus or who underwent excessive posterior wall ablation should be followed up closely.
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