Evidence map›Paper›PMID 42555236›Full record

ArticleJournal of cardiovascular electrophysiology2026

Early-Stage Esophago-Mediastinal Fistula After Atrial Fibrillation Radiofrequency Ablation Successfully Treated With Endoscopic Vacuum Therapy.

Rodrigo Melo Kulchetscki, Bruno da Costa Martins, Alberto Pereira Ferraz, Luan Vieira Rodrigues, Gabrieli Melissa Oissa, Muhieddine Omar Chokr, Carina Abgail Hardy, Esteban Wisnivesky Rocca Rivarola, Cristiano Faria Pisani, Maurício Scanavacca

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PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiovascular electrophysiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Rodrigo Melo KulchetsckiArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.ORCID 0000-0002-9322-5641
Bruno da Costa MartinsDigestive Endoscopy Service, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Alberto Pereira FerrazArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.
Luan Vieira RodriguesArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.ORCID 0009-0009-7090-7226
Gabrieli Melissa OissaDigestive Endoscopy Service, Hospital Alemão Oswaldo Cruz, São Paulo, Brazil.
Muhieddine Omar ChokrArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.
Carina Abgail HardyArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.
Esteban Wisnivesky Rocca RivarolaArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.
Cristiano Faria PisaniArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.ORCID 0000-0003-3457-1605
Maurício ScanavaccaArrhythmia Unit, Heart Institute, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophageal injury is a rare but potentially fatal complication of atrial fibrillation ablation, predominantly associated with thermal energy sources. CASE SUMMARY: A 37-year-old man developed an esophago-mediastinal fistula after radiofrequency ablation for atrial fibrillation. An esophageal ulcer detected on routine post-ablation endoscopy progressed despite conservative management. Endoscopic vacuum therapy was instituted for 5 days, followed by endoscopic clip closure, resulting in complete healing without surgical intervention.

conclusionThis case underscores the value of post-ablation esophageal surveillance and demonstrates endoscopic vacuum therapy as an effective, minimally invasive option for managing esophageal perforation after radiofrequency ablation.

Indexed as

Atrial FibrillationCatheter AblationEsophageal FistulaEsophagoscopyNegative-Pressure Wound TherapyAdultEsophageal PerforationHumansMaleTreatment Outcomeatrial fibrillationatrio‐esophageal fistulaendoscopic vacuum therapypulsed field ablation

Identifiers

PMID42555236
PMCPMC13576534

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.