{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T20:31:55Z","timestamp":1779309115936,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T00:00:00Z","timestamp":1569801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Ablation index (AI), a novel parameter defining energy application at single ablation lesions, calculated by integration of ablation time, energy, catheter stability, and contact force, has been documented to be associated with effective lesions and higher ablation efficacy. Using a prespecified target AI in addition to acute lesion efficacy may affect local collateral damage like esophageal thermal injury when used for guiding radiofrequency (RF) ablation at the posterior left atrial (LA) wall.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>Consecutive patients undergoing first AF ablations using AI were included. Ablation energy was reduced to 25\u2009W when ablating at posterior LA wall. Two different individually defined AI target values were used (300 and 350 for posterior wall ablation). Esophageal endoscopy (EE) was performed 1 to 3 days after ablation procedure to document and categorize endoscopically detected esophageal thermal lesion (EDEL).<\/jats:p><jats:p>Two\u2010hundred and eleven consecutive patients with postprocedural EE were included. Incidence of EDEL was 14% (29 of 211 patients; mild category 1 lesions in 22 of 29 patients (76%) and severe category 2 lesions (ulcers\u2009&gt;\u20095\u2009mm) in 7 of 29 patients (24% of EDEL group, 3% of total group). Ablation time at posterior LA wall (9.5 vs 9.0\u2009minutes [<jats:italic>P<\/jats:italic>\u2009=\u2009.67]) was comparable in patients with and without EDEL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>LA posterior wall RF ablation adopting AI \u2264350 was associated with 14% esophageal thermal injury including 3% of severe esophageal thermal ulcers. This incidence is comparable to historic control groups with non AI\u2013guided AF ablation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.14193","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T04:39:50Z","timestamp":1569559190000},"page":"2256-2261","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Incidence of acute thermal esophageal injury after atrial fibrillation ablation guided by prespecified ablation index"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4291-2417","authenticated-orcid":false,"given":"Philipp","family":"Halbfass","sequence":"first","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"},{"name":"Department of Cardiology and Angiology Philipps\u2010University Marburg  Marburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Artur","family":"Berkovitz","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Borche","family":"Pavlov","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Sonne","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Nentwich","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Ene","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Hoerning","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Rh\u00f6n\u2010Klinikum Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Barth","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Zacher","sequence":"additional","affiliation":[{"name":"Department of Clinical Documentation and Statistics Rh\u00f6n\u2010Klinikum Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Deneke","sequence":"additional","affiliation":[{"name":"Clinic for Invasive Electrophysiology Heart Center Bad Neustadt  Bad Neustadt a.d. Saale Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"e_1_2_9_1_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eux376"},{"key":"e_1_2_9_1_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.109.859116"},{"key":"e_1_2_9_1_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2018.09.027"},{"key":"e_1_2_9_1_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2009.01493.x"},{"key":"e_1_2_9_1_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.117.005233"},{"key":"e_1_2_9_1_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.118.006681"},{"key":"e_1_2_9_1_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8167.2010.01916.x"},{"key":"e_1_2_9_1_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euq061"},{"key":"e_1_2_9_1_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2014.01.010"},{"key":"e_1_2_9_1_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12394"},{"key":"e_1_2_9_1_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2009.625"},{"key":"e_1_2_9_1_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.108.815266"},{"key":"e_1_2_9_1_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.12736"},{"issue":"7","key":"e_1_2_9_1_15_1","first-page":"1116","article-title":"Impact of surround flow catheter tip irrigation in contact force ablation on the incidence of asymptomatic oesophageal lesions after atrial fibrillation ablation: a prospective comparative study","volume":"19","author":"Halbfass P","year":"2017","journal-title":"Europace"},{"key":"e_1_2_9_1_16_1","first-page":"385","article-title":"Incidence of asymptomaticoesophageal lesions after atrial fibrillation ablation using an oesophageal temperature probe with insulated thermocouples: a comparative controlled study","volume":"19","author":"Halbfass P","year":"2016","journal-title":"Europace"},{"key":"e_1_2_9_1_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2015.04.005"},{"key":"e_1_2_9_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hlc.2018.05.197"},{"key":"e_1_2_9_1_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euy121"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjce.14193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.14193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jce.14193","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.14193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T16:25:44Z","timestamp":1693844744000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.14193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,30]]},"references-count":18,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2019,11]]}},"alternative-id":["10.1111\/jce.14193"],"URL":"https:\/\/doi.org\/10.1111\/jce.14193","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,30]]},"assertion":[{"value":"2019-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}