{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:43:14Z","timestamp":1789486994644,"version":"build-2803163510"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Esophageal injury is a rare but potentially fatal complication of atrial fibrillation ablation, predominantly associated with thermal energy sources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Summary<\/jats:title>\n                    <jats:p>A 37\u2010year\u2010old man developed an esophago\u2010mediastinal fistula after radiofrequency ablation for atrial fibrillation. An esophageal ulcer detected on routine post\u2010ablation endoscopy progressed despite conservative management. Endoscopic vacuum therapy was instituted for 5 days, followed by endoscopic clip closure, resulting in complete healing without surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case underscores the value of post\u2010ablation esophageal surveillance and demonstrates endoscopic vacuum therapy as an effective, minimally invasive option for managing esophageal perforation after radiofrequency ablation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70473","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:54:23Z","timestamp":1785941663000},"page":"2147-2151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early\u2010Stage Esophago\u2010Mediastinal Fistula After Atrial Fibrillation Radiofrequency Ablation Successfully Treated With Endoscopic Vacuum Therapy"],"prefix":"10.1111","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9322-5641","authenticated-orcid":false,"given":"Rodrigo Melo","family":"Kulchetscki","sequence":"first","affiliation":[{"name":"Arrhythmia Unit, Heart Institute, Hospital das Cl\u00ednicas University of S\u00e3o Paulo Medical School S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno da Costa","family":"Martins","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Service Hospital Alem\u00e3o Oswaldo Cruz S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto Pereira","family":"Ferraz","sequence":"additional","affiliation":[{"name":"Arrhythmia Unit, Heart Institute, Hospital das Cl\u00ednicas University of S\u00e3o Paulo Medical School S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7090-7226","authenticated-orcid":false,"given":"Luan Vieira","family":"Rodrigues","sequence":"additional","affiliation":[{"name":"Arrhythmia Unit, Heart Institute, Hospital das Cl\u00ednicas University of S\u00e3o Paulo Medical School S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrieli Melissa","family":"Oissa","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Service Hospital Alem\u00e3o Oswaldo Cruz S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhieddine Omar","family":"Chokr","sequence":"additional","affiliation":[{"name":"Arrhythmia Unit, Heart Institute, Hospital das Cl\u00ednicas University of S\u00e3o Paulo Medical School S\u00e3o Paulo S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina 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