{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T18:48:38Z","timestamp":1773686918655,"version":"3.50.1"},"reference-count":37,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["heartrhythmopen.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart Rhythm O2"],"published-print":{"date-parts":[[2021,12]]},"DOI":"10.1016\/j.hroo.2021.11.002","type":"journal-article","created":{"date-parts":[[2021,11,5]],"date-time":"2021-11-05T18:55:26Z","timestamp":1636138526000},"page":"570-577","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":15,"special_numbering":"PA","title":["Esophageal temperature during atrial fibrillation ablation poorly predicts esophageal injury: An observational study"],"prefix":"10.1016","volume":"2","author":[{"given":"Tarek","family":"Ayoub","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4820-8102","authenticated-orcid":false,"given":"Abdel Hadi","family":"El Hajjar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gursukhman Deep","family":"Singh Sidhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arezu","family":"Bhatnagar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yichi","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Mekhael","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charbel","family":"Noujaim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lilas","family":"Dagher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Pottle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0454-0541","authenticated-orcid":false,"given":"Nassir","family":"Marrouche","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.hroo.2021.11.002_bib1","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1111\/j.1540-8159.2010.02990.x","article-title":"Atrial fibrillation ablation: \"perpetual motion\" of open irrigated tip catheters at 50 W is safe and improves outcomes","volume":"34","author":"Winkle","year":"2011","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib2","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1016\/j.hrthm.2018.11.031","article-title":"Low complication rates using high power (45-50 W) for short duration for atrial fibrillation ablations","volume":"16","author":"Winkle","year":"2019","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2021.11.002_bib3","doi-asserted-by":"crossref","first-page":"962","DOI":"10.1093\/europace\/eul100","article-title":"The effectiveness of a high output\/short duration radiofrequency current application technique in segmental pulmonary vein isolation for atrial fibrillation","volume":"8","author":"Nilsson","year":"2006","journal-title":"Europace"},{"key":"10.1016\/j.hroo.2021.11.002_bib4","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.118.006681","article-title":"High-resolution infrared thermal imaging of the esophagus during atrial fibrillation ablation as a predictor of endoscopically detected thermal lesions: results from the HEAT-AF study","volume":"11","author":"Deneke","year":"2018","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib5","first-page":"874","article-title":"Five seconds of 50-60 W radio frequency atrial ablations were transmural and safe: an in\u00a0vitro mechanistic assessment and force-controlled in\u00a0vivo validation","volume":"19","author":"Bhaskaran","year":"2017","journal-title":"Europace"},{"key":"10.1016\/j.hroo.2021.11.002_bib6","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1016\/j.jacc.2014.12.053","article-title":"Global survey of esophageal and gastric injury in atrial fibrillation ablation: incidence, time to presentation, and outcomes","volume":"65","author":"Barbhaiya","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib7","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1016\/j.hrthm.2005.09.012","article-title":"Relationship of the esophagus and aorta to the left atrium and pulmonary veins: implications for catheter ablation of atrial fibrillation","volume":"2","author":"Cury","year":"2005","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2021.11.002_bib8","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.tcm.2018.09.010","article-title":"Luminal esophageal temperature monitoring to reduce esophageal thermal injury during catheter ablation for atrial fibrillation: a review","volume":"29","author":"Kadado","year":"2019","journal-title":"Trends Cardiovasc Med"},{"key":"10.1016\/j.hroo.2021.11.002_bib9","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1088\/0967-3334\/28\/5\/001","article-title":"Esophageal temperature monitoring during radiofrequency catheter ablation: experimental study based on an agar phantom model","volume":"28","author":"Rodr\u00edguez","year":"2007","journal-title":"Physiol Meas"},{"key":"10.1016\/j.hroo.2021.11.002_bib10","doi-asserted-by":"crossref","first-page":"1229","DOI":"10.1093\/europace\/euv057","article-title":"EFFICAS II: optimization of catheter contact force improves outcome of pulmonary vein isolation for paroxysmal atrial fibrillation","volume":"17","author":"Kautzner","year":"2015","journal-title":"Europace"},{"key":"10.1016\/j.hroo.2021.11.002_bib11","doi-asserted-by":"crossref","first-page":"e275","DOI":"10.1016\/j.hrthm.2017.05.012","article-title":"2017 HRS\/EHRA\/ECAS\/APHRS\/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"14","author":"Calkins","year":"2017","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2021.11.002_bib12","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.120.008602","article-title":"Characteristics of esophageal injury in ablation of atrial fibrillation using a high-power short-duration setting","volume":"13","author":"Kaneshiro","year":"2020","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib13","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1111\/pace.13865","article-title":"Relevance of esophageal position and temperature on thermal injuries and rhythm outcome in atrial fibrillation ablations","volume":"43","author":"Stauber","year":"2020","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib14","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1111\/jce.14989","article-title":"High-power, short-duration atrial fibrillation ablation compared with a conventional approach: outcomes and reconnection patterns","volume":"32","author":"Hansom","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"issue":"8","key":"10.1016\/j.hroo.2021.11.002_bib15","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCEP.117.005233","article-title":"Progression From Esophageal Thermal Asymptomatic Lesion to Perforation Complicating Atrial Fibrillation Ablation: A Single-Center Registry","volume":"10","author":"Halbfass","year":"2017","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib16","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1111\/jce.14973","article-title":"Ablation index-guided high-power (50W)short -durationfor left atrial anterior and roofline ablation :feasibility ,procedural data ,and lesion analysis ( AIHigh -PowerLinear Ablation )","volume":"32","author":"Zanchi","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib17","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.jacep.2017.11.018","article-title":"High-power and short-duration ablation for pulmonary vein isolation","volume":"4","author":"Leshem","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib18","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.1016\/j.jacep.2018.07.017","article-title":"High-power radiofrequency catheter ablation of atrial fibrillation","volume":"4","author":"Baher","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib19","doi-asserted-by":"crossref","first-page":"721","DOI":"10.1016\/j.hrthm.2020.01.014","article-title":"Esophageal temperature dynamics during high-power short-duration posterior wall ablation","volume":"17","author":"Barbhaiya","year":"2020","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2021.11.002_bib20","doi-asserted-by":"crossref","first-page":"143","DOI":"10.4070\/kcj.2020.0323","article-title":"Esophageal thermal injury after catheter ablation for atrial fibrillation with high-power (50 watts) radiofrequency energy","volume":"51","author":"Do","year":"2021","journal-title":"Korean Circ J"},{"key":"10.1016\/j.hroo.2021.11.002_bib21","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1161\/CIRCEP.108.789552","article-title":"Esophageal injury and temperature monitoring during atrial fibrillation ablation","volume":"1","author":"Singh","year":"2008","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib22","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1093\/europace\/euy121","article-title":"Prevalence and prevention of oesophageal injury during atrial fibrillation ablation: a systematic review and meta-analysis","volume":"21","author":"Ha","year":"2019","journal-title":"Europace"},{"key":"10.1016\/j.hroo.2021.11.002_bib23","doi-asserted-by":"crossref","first-page":"2256","DOI":"10.1111\/jce.14193","article-title":"Incidence of acute thermal esophageal injury after atrial fibrillation ablation guided by prespecified ablation index","volume":"30","author":"Halbfass","year":"2019","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib24","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1161\/CIRCEP.108.805366","article-title":"Limitations of esophageal temperature-monitoring to prevent esophageal injury during atrial fibrillation ablation","volume":"1","author":"Nakagawa","year":"2008","journal-title":"Circ Arrhythm Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib25","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1007\/s10840-013-9868-5","article-title":"Incidences of esophageal injury during esophageal temperature monitoring: a comparative study of a multi-thermocouple temperature probe and a deflectable temperature probe in atrial fibrillation ablation","volume":"39","author":"Kuwahara","year":"2014","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib26","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1111\/jce.12180","article-title":"Multi-sensor esophageal temperature probe used during radiofrequency ablation for atrial fibrillation is associated with increased intraluminal temperature detection and increased risk of esophageal injury compared to single-sensor probe","volume":"24","author":"Carroll","year":"2013","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib27","doi-asserted-by":"crossref","first-page":"1280","DOI":"10.1016\/j.jacep.2019.07.013","article-title":"Differences in transient thermal response of commercial esophageal temperature probes: insights from an experimental study","volume":"5","author":"Turagam","year":"2019","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib28","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1007\/s10840-019-00661-5","article-title":"Esophageal cooling for protection during left atrial ablation: a systematic review and meta-analysis","volume":"59","author":"Leung","year":"2020","journal-title":"J Interv Card Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib29","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1093\/europace\/euaa276","article-title":"Randomized comparison of oesophageal protection with a temperature control device: results of the IMPACT study","volume":"23","author":"Leung","year":"2021","journal-title":"Europace"},{"key":"10.1016\/j.hroo.2021.11.002_bib30","doi-asserted-by":"crossref","first-page":"1020","DOI":"10.1016\/j.jacep.2018.04.001","article-title":"Esophageal deviation during atrial fibrillation ablation: clinical experience with a dedicated esophageal balloon retractor","volume":"4","author":"Bhardwaj","year":"2018","journal-title":"JACC Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib31","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1111\/pace.13639","article-title":"Esophageal position, measured luminal temperatures, and risk of atrioesophageal fistula with atrial fibrillation ablation","volume":"42","author":"Sandhu","year":"2019","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib32","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1111\/jce.14853","article-title":"Anatomical insights into posterior wall isolation in patients with atrial fibrillation: a hypothesis to protect the esophagus","volume":"32","author":"Lu","year":"2021","journal-title":"J Cardiovasc Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib33","doi-asserted-by":"crossref","first-page":"e635","DOI":"10.1161\/CIRCULATIONAHA.112.000976","article-title":"Ischemic esophageal ulceration that developed after an early endoscopic surveillance in a patient receiving catheter ablation for atrial fibrillation","volume":"127","author":"Yamasaki","year":"2013","journal-title":"Circulation"},{"key":"10.1016\/j.hroo.2021.11.002_bib34","doi-asserted-by":"crossref","first-page":"248","DOI":"10.1111\/j.1540-8159.2008.02210.x","article-title":"Strategies to minimize the risk of esophageal injury durings catheter ablation for atrial fibrillation","volume":"32","author":"Bahnson","year":"2009","journal-title":"Pacing Clin Electrophysiol"},{"key":"10.1016\/j.hroo.2021.11.002_bib35","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1016\/j.hrthm.2010.02.027","article-title":"Identification of a high-risk population for esophageal injury during radiofrequency catheter ablation of atrial fibrillation: procedural and anatomical considerations","volume":"7","author":"Martinek","year":"2010","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.hroo.2021.11.002_bib36","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1088\/0967-3334\/26\/5\/020","article-title":"What affects esophageal injury during radiofrequency ablation of the left atrium? An engineering study based on finite-element analysis","volume":"26","author":"Berjano","year":"2005","journal-title":"Physiol Meas"},{"key":"10.1016\/j.hroo.2021.11.002_bib37","doi-asserted-by":"crossref","first-page":"1549","DOI":"10.1016\/j.jtcvs.2005.06.052","article-title":"Ablation of atrial fibrillation and esophageal injury: effects of energy source and ablation technique","volume":"130","author":"Aupperle","year":"2005","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Heart Rhythm O2"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666501821002129?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666501821002129?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T00:25:31Z","timestamp":1762993531000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666501821002129"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12]]},"references-count":37,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["S2666501821002129"],"URL":"https:\/\/doi.org\/10.1016\/j.hroo.2021.11.002","relation":{},"ISSN":["2666-5018"],"issn-type":[{"value":"2666-5018","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Esophageal temperature during atrial fibrillation ablation poorly predicts esophageal injury: An observational study","name":"articletitle","label":"Article Title"},{"value":"Heart Rhythm O2","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hroo.2021.11.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2021 Heart Rhythm Society. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}