{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:51:27Z","timestamp":1753876287987,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T00:00:00Z","timestamp":1728000000000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Atrio-oesophageal fistula following percutaneous catheter ablation is a rare but potentially life-threatening complication. This case report highlights the advantages of a less invasive treatment for covered oesophageal perforation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 66-year-old male patient underwent catheter ablation with high-power short-duration radiofrequency for symptomatic (EHRA III, tachy-cardiomyopathy) persistent atrial fibrillation (AF). Post-procedural routine endoscopic examination revealed a thermal oesophageal lesion. Progression of the lesions in early follow-up examinations led to a CT scan that showed a covered perforation. Antibiotic coverage and parenteral nutrition were initiated. The patient was transferred to a multidisciplinary centre for evaluation of invasive treatments. Endoscopically, the lesions were slowly progressing, while retaining their endoluminal borders. Application of five through-the-scope clips resulted in temporary shielding that was replaced with two further clips 3 days later. This allowed for internal oesophageal healing and prevention of mediastinal infections. Due to recurrence of the AF, a repeat ablation with pulsed field was performed. Follow-up endoscopic examination after one year revealed no relevant lesions. Sinus rhythm and slight odynophagia persisted.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case underlines the importance of less invasive treatments for oesophageal lesions after catheter ablation, where endoluminal borders are preserved and approximation of the wound-margins allows for tissue repair. Although, this kind of treatment requires timely and thorough investigations as endoscopy and CT scan to exclude (peri-)cardiac involvement.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae534","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T17:07:09Z","timestamp":1728061629000},"source":"Crossref","is-referenced-by-count":0,"title":["Treatment of oesophageal perforation with through-the-scope clips post-high-power short-duration atrial fibrillation ablation: case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7261-7512","authenticated-orcid":false,"given":"Henriette","family":"Zimmeck","sequence":"first","affiliation":[{"name":"Electrophysiology Department, Heart Center, University of Leipzig , Str\u00fcmpellstra\u00dfe 39, 04289 Leipzig ,","place":["Germany"]},{"name":"Leipzig Heart Institute GmbH , Str\u00fcmpellstra\u00dfe 39, 04289 Leipzig 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