Evidence map›Paper›PMID 41756165›Full record

ArticleFrontiers in cardiovascular medicine2025

Impact of age on the management and prognosis of esophageal fistula after atrial fibrillation ablation-a subanalysis of the worldwide POTTER-AF study.

Sorin S Popescu, Zeynep G Demirtakan, Vanessa Schmidt, Helmut Pürerfellner, Philipp Sommer, Christian Sohns, Christian Veltmann, Daniel Steven, K R Julian Chun, Philippe Maury and 73 more

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Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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5 · Who and what money

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83 authors.

Sorin S Popescu *Department of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Zeynep G Demirtakan *Department of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Vanessa SchmidtDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Helmut PürerfellnerDepartment of Electrophysiology, Ordensklinikum Linz Elisabethinen, Linz, Austria.
Philipp SommerKliniken für Elektrophysiologie/Rhythmologie, Herz- und Diabeteszentrum NRW, Universitätsklinik der Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
Christian SohnsKliniken für Elektrophysiologie/Rhythmologie, Herz- und Diabeteszentrum NRW, Universitätsklinik der Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
Christian VeltmannHeart Center Bremen, Electrophysiology Bremen, Bremen, Germany.
Daniel StevenDepartment for Electrophysiology, Heart Center University Cologne, Cologne, Germany.
K R Julian ChunMVZ CCB am Agaplesion Markus Krankenhaus, Frankfurt a.M., Germany.
Philippe MauryDepartment of Cardiology, University Hospital Rangueil, Toulouse, France.
Estelle GandjbakhchSorbonne Université, APHP, Pitié Salpêtrière University Hospital, Cardiology Institute, Paris, France.
Mikael LaredoSorbonne Université, APHP, Pitié Salpêtrière University Hospital, Cardiology Institute, Paris, France.
Stephan WillemsKlinik für Kardiologie und Internistische Intensivmedizin, Asklepios Klinik St. Georg, Hamburg, Germany.
Thomas BeiertHeart Center Bonn, Department of Internal Medicine II, University Hospital Bonn, Bonn, Germany.
Leon IdenHeart Center, Segeberger Kliniken (Academic Teaching Hospital of the Universities of Kiel, Lübeck and Hamburg), Bad Segeberg, Schleswig-Holstein, Germany.
Anna FütingDepartment of Electrophysiology, Alfred Krupp Hospital, Essen, Germany.
Raphael SpittlerDepartment of Cardiology II/Electrophysiology, Center for Cardiology, University Hospital Mainz, Mainz, Germany.
Sergio RichterDepartment of Internal and Cardiovascular Medicine, Herzzentrum Dresden, University Clinic, Technische Universität Dresden, Dresden, Germany.
Anja SchadeDepartment of Interventional Electrophysiology, Helios Hospital Erfurt, Erfurt, Germany.
Malte KunissDepartment of Cardiology, Kerckhoff Heart Center, Bad Nauheim, Germany.
Carsten WunderlichHelios Klinikum Pirna, Klinik für Innere Medizin II, Pirna, Germany.
Dong-In ShinDepartment of Medicine, Witten/Herdecke University, Witten, Germany.
Dirk Grosse MeininghausDepartment of Cardiology, Medical University Lausitz-Carl Thiem, Cottbus, Germany.
Marc BonselsKliniken Maria Hilf GmbH, Mönchengladbach, Germany.
David ReekDepartment of Cardiology, University Hospital Augsburg, Augsburg, Germany.
Uwe WiegandSana-Klinikum Remscheid GmbH, Akademisches Lehrkrankenhaus der Universität zu Köln, Remscheid, Germany.
Alexander BauerDiak-Klinikum Schwäbisch Hall und Klinikum Crailsheim, Schwäbisch Hall, Germany.
Andreas MetznerUniversitäres Herz- und Gefäßzentrum, Klinik für Kardiologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Lars EckardtDepartment of Cardiology II (Electrophysiology), University Hospital Münster, Münster, Germany.
Olaf KrahnefeldSana Kliniken Lübeck, Lübeck, Germany.
Christian SticherlingDepartment of Cardiology, University Hospital Basel, Basel, Switzerland.
Michael KühneDepartment of Cardiology, University Hospital Basel, Basel, Switzerland.
Dinh Quang NguyenSt. Vinzenz-Hospital Köln, Köln, Germany.
Laurent RotenDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Dominik LinzDepartment of Cardiology, Maastricht University Medical Center and Cardiovascular Research Institute Maastricht, Maastricht, Netherlands.
Pepijn van der VoortCatharina Hospital, Eindhoven, Netherlands.
Bart A MulderDepartment of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Johan VijgenHeart Center Hasselt, Jessa Hospital, Hasselt, Belgium.
Alexandre AlmoradHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.
Charles GuenanciaCardiology Department, Dijon University Hospital, Dijon, France.
Laurent FauchierService de Cardiologie, Centre Hospitalier Universitaire Trousseau, Tours, France.
Serge BovedaHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.
Yves De GreefHeart Rhythm Management Centre, Postgraduate Program in Cardiac Electrophysiology and Pacing, Universitair Ziekenhuis Brussel-Vrije Universiteit Brussel, European Reference Networks Guard-Heart, Brussels, Belgium.
Antoine Da CostaDivision of Cardiology, Jean Monnet University, Saint-Etienne, France.
Pierre JaisCHU Bordeaux, University of Bordeaux, Bordeaux, France.
Antoine MilhemLa Rochelle Hospital, La Rochelle, France.
Laurence JeselUniversity Hospital Strasbourg, Strasbourg, France.
Rodrigue GarciaDepartment of Cardiology, University Hospital of Poitiers, Poitiers, France.
Hervé PotyClinique Tonkin, Lyon, France.
Ziad KhoueiryClinique Saint Pierre, Perpignan, France.
Julien SeitzHospital St. Joseph, Marseille, France.
Julien LaborderieBayonne Hospital, France.
Alexis MechulanHospital Clairval, Marseille, France.
Francois BrigadeauUniversity Hospital Lille, France.
Alexandre ZhaoClinique Ambroise Parée, Paris, France.
Yannick SaludasClinique Pôle Santé République, Clermont Ferrand, France.
Olivier PiotCentre Cardiologie du Nord, Saint Denis, France.
Nikhil AhluwaliaBarts Heart Centre, Barts Health NHS Trust, London, United Kingdom.
Claire MartinRoyal Papworth Hospital, Cambridge, United Kingdom.
Jian ChenDepartment of Heart Disease, Haukeland University Hospital, University of Bergen, Bergen, Norway.
Bor AntolicDepartment of Cardiology, University Medical Center Ljubljana, Ljubljana, Slovenia.
Georgios LeventopoulosUniversity of Patras, Greece.
Emin Evren ÖzcanHeart Rhythm Management Center, Dokuz Eylul University, Izmir, Türkiye.
Hikmet YorgunDepartment of Cardiology, Hacettepe University, Ankara, Türkiye.
Serkan CayDepartment of Cardiology, Division of Arrhythmia and Electrophysiology, University of Health Sciences, Yuksek Ihtisas Cardiovascular Building, Ankara City Hospital, Ankara, Türkiye.
Kivanc YalinCerrahpasa Faculty of Medicine, Department of Cardiology, Istanbul University-Cerrahpasa, Istanbul, Türkiye.
Maichel Sobhy BotrosDepartment of Critical Care Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ewa Jędrzejczyk-PatejDepartment of Cardiology, Congenital Heart Diseases and Electrotherapy, Silesian Centre for Heart Diseases, Zabrze, Poland.
Osamu InabaDepartment of Cardiology, Japanese Red Cross Saitama Hospital, Japan.
Ken OkumuraDivision of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Koichiro EjimaDepartment of Cardiology, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.
Houman KhakpourUCLA Cardiac Arrhythmia Center, Los Angeles, CA, United States.
John N CatanzaroDonald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY, United States.
Vivek ReddyHelmsley Electrophysiology Center, Mount Sinai Fuster Heart Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Andrea NataleSt. David's Medical Center, Texas Cardiac Arrhythmia Institute, Austin, TX, United States.
Hermann BlessbergerDepartment of Cardiology, Kepler University Hospital, Linz, Austria.
Bing YangDepartment of Cardiology, Shanghai East Hospital, Tongji University, Shanghai, China.
Julia VoglerDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Karl-Heinz KuckDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
José Luis MerinoLa Paz University Hospital, Universidad Autónoma de Madrid, Idipaz, Madrid, Spain.
Ahmad KeelaniDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Christian-H HeegerDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.
Roland Richard TilzDepartment of Rhythmology, University Heart Center Lübeck, University Hospital Schleswig-Holstein, Lübeck, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Esophageal fistula (EF) is a rare but devastating complication following atrial fibrillation (AF) ablation. Data regarding the impact of age on EF are scarce. Objective: To study the impact of age on the management and prognosis of EF following catheter ablation for AF. Methods: The POTTER-AF study is a worldwide registry on EF following catheter ablation for AF. A total of 553,729 patients underwent AF ablation in 214 centers between 1996 and 2022. Of them, 138 patients experienced EF, and data regarding age, management, and prognosis were available in 113 patients. The population was divided based on the median age. Results: The median age was 63 years; 54 patients were <63 years old (Group 1), and 59 patients were ≥63 years old (Group 2). The groups were similar regarding procedural characteristics. The older population had a shorter time to symptom onset [15.0 (6.0, 21.0) vs. 21.0 (10.0, 25.3) days; Conclusion: The older population had a shorter time to symptom onset, was less likely to receive a brain CT or MRI, and more likely to be treated by an endoscopic approach only. The older patient group showed a trend toward a higher fatality.

Indexed as

ageatrial fibrillationcatheter ablationcomplicationesophageal fistula

Identifiers

PMID41756165
PMCPMC12932516

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