{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:30:06Z","timestamp":1769841006091,"version":"3.49.0"},"reference-count":16,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,6,15]],"date-time":"2016-06-15T00:00:00Z","timestamp":1465948800000},"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":[[2016,9]]},"abstract":"<jats:title>Esophagus\u2010Related Complications After Cryoablation<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Monitoring luminal esophageal temperatures (LETs) helps predict esophageal thermal lesions (ETLs) after catheter ablation. This study aimed to evaluate esophagus\u2010related complications after second\u2010generation cryoballoon ablation under simultaneous LETs monitoring from 2 esophageal probes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Forty consecutive paroxysmal atrial fibrillation patients undergoing second\u2010generation cryoballoon ablation under conscious sedation followed by esophagogastroscopy were prospectively included. Two temperature probes inserted bi\u2010nasally (both non\u2010deflectable in 13, non\u2010deflectable and deflectable in 27 patients) were used for LET monitoring. Pulmonary vein isolation was performed with one 28\u2010mm balloon using single 3\u2010minute freeze techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The lowest LETs significantly correlated between different probes; however, deflectable probe showed significantly lower nadir LETs than non\u2010deflectable probes (14.6 \u00b1 9.2 vs. 20.0 \u00b1 10.6 \u2103, P&lt;0.0001). Esophagogastroscopy post\u2010ablation demonstrated ETLs and gastroparesis in 8 (20%) and 7 (17.5%) patients (total 13 [32.5%]), respectively. The optimal cutoff for the lowest LET measured on any probe for predicting no ETLs was 12.8 \u2103 (sensitivity 78.1%, specificity 100%). When using deflectable and non\u2010deflectable catheters, the optimal cutoff point for the lowest LET for predicting no ETLs was 11.4 \u2103 (sensitivity 70.0%, specificity 100%) and 19.4 \u2103 (sensitivity 63.6%, specificity 100%), respectively. No ETLs were detected in 12 (30%) patients with the esophagus located between the left atrium and spine. All esophagus\u2010related complications were asymptomatic and had healed on repeat esophagogastroscopy by a mean of 53 \u00b1 25 days after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The lowest LET highly depended on the temperature probe location. However, if a different cutoff value was applied, LET monitoring, regardless of the probe type, and anatomical information might help predict ETLs during second\u2010generation cryoballoon ablation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.13015","type":"journal-article","created":{"date-parts":[[2016,5,25]],"date-time":"2016-05-25T08:09:55Z","timestamp":1464163795000},"page":"1038-1044","source":"Crossref","is-referenced-by-count":45,"title":["Esophagus\u2010Related Complications During Second\u2010Generation Cryoballoon Ablation\u2014Insight from Simultaneous Esophageal Temperature Monitoring from 2 Esophageal Probes"],"prefix":"10.1111","volume":"27","author":[{"given":"SHINSUKE","family":"MIYAZAKI","sequence":"first","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital  Tsuchiura Ibaraki"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HIROAKI","family":"NAKAMURA","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital  Tsuchiura Ibaraki"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HIROSHI","family":"TANIGUCHI","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital  Tsuchiura Ibaraki"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TAKAMITSU","family":"TAKAGI","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital  Tsuchiura Ibaraki"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JIN","family":"IWASAWA","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital  Tsuchiura Ibaraki"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"TOMONORI","family":"WATANABE","sequence":"additional","affiliation":[{"name":"Cardiovascular Center Tsuchiura Kyodo Hospital  Tsuchiura 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