{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:01:56Z","timestamp":1787014916075,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,3,7]],"date-time":"2006-03-07T00:00:00Z","timestamp":1141689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2006,4]]},"abstract":"<jats:p>\n                    <jats:italic>Background:<\/jats:italic>\n                    Left atrial catheter ablation (LACA) has emerged as a successful method to eliminate atrial fibrillation (AF). Recent reports have described atrio\u2010esophageal fistulas, often resulting in death, from this procedure. Temporary esophageal stenting is an established therapy for malignant esophageal disease. We describe the first case of successful temporary esophageal stenting for an esophageal perforation following LACA.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Case:<\/jats:italic>\n                    A 48\u2010year\u2010old man with symptomatic drug refractory lone AF underwent an uneventful LACA. Fifty\u2010nine ablations with an 8\u2010mm tip ablation catheter (30 seconds, 70 Watts, 55\u00b0C), as guided by 3\u2010D NavX\u2122 mapping, were performed in the left atrium to isolate the pulmonary veins as well as a left atrial flutter and roof ablation line. In addition, complex atrial electrograms in AF and sites of vagal innervation were ablated. Two weeks later, he presented with sub\u2010sternal chest pain, fever, and dysphagia. A chest CT showed a 3\u2010mm esophageal perforation at the level of the left atrium with mediastinal soiling and no pericardial effusion. An urgent upper endoscopy with placement of a PolyFlex removable esophageal stent to seal off the esophago\u2010mediastinal fistula was performed. After 3 weeks of i.v. antibiotics, naso\u2010jejunal tube feedings, and esophageal stenting, the perforation resolved and the stent was removed. Over 18 months of follow\u2010up, there have been no other complications, and he has returned to a physically active life and remains free from AF on previously ineffective anti\u2010arrhythmic drugs.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusion:<\/jats:italic>\n                    Early diagnosis of esophageal perforations following LACA may allow temporary esophageal stenting with successful esophageal healing. Prompt chest CT scans with oral and i.v. contrast should be considered in any patient with sub\u2010sternal chest pain or dysphagia following LACA.\n                  <\/jats:p>","DOI":"10.1111\/j.1540-8167.2006.00464.x","type":"journal-article","created":{"date-parts":[[2006,3,7]],"date-time":"2006-03-07T04:38:36Z","timestamp":1141706316000},"page":"435-439","source":"Crossref","is-referenced-by-count":108,"title":["Temporary Esophageal Stenting Allows Healing of Esophageal Perforations Following Atrial Fibrillation Ablation Procedures"],"prefix":"10.1111","volume":"17","author":[{"given":"T. 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