Atrial Fibrillation Clinical Trial
Official title:
Early Detection and Treatment of Esophageal Injury After Catheter Ablation for Atrial Fibrillation
The purpose of this study is to prospectively follow the next 200 patients who undergo catheter ablation of atrial fibrillation for symptoms and signs of esophageal injury.
The purpose of this study is to prospectively follow the next 200 patients who undergo
catheter ablation of atrial fibrillation and endoscopy. If any signs of esophageal injury are
seen on endoscopy the patients will be treated with omeprazole and sucralfate and they will
have repeat endoscopy in two weeks. Patients who do not have any esophageal injury will be
contacted by telephone in two weeks to be assessed for GI symptoms.
Specific Aims: The specific aims of the study are to:
1. Assess the incidence of visible transmural esophageal injury following extensive
ablation in the posterior left atrium as measured by endoscopy1
2. Assess whether early detection of esophageal injury by endoscopy and treatment will
prevent development of more serious injury such as left atrial-esophageal fistula
3. Identify predictors of esophageal injury. In particular, to assess if esophageal
temperature rises during ablation correlate with development of esophageal injury and if
the absence of esophageal temperature rise during ablation correlate with the absence of
esophageal injury.
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