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Esophageal cooling for protection: an innovative tool that improves the safety of atrial fibrillation ablation
- Source :
- Expert review of medical devices. 17(10)
- Publication Year :
- 2020
-
Abstract
- This letter to the editor concerns the article: 'Innovative tools for atrial fibrillation ablation' by Rottner et al., published in the journal on 13th of May 2020. We read the article with great interest and congratulate the authors on an impressively detailed summary of the current tools and technological advances in atrial fibrillation ablation. Improving the safety of this procedure is very important due to widespread clinical practice and the increasing demand for this procedure. We would like to share further discussion with the authors and the journal's readership on current advances in improving the safety of this procedure - esophageal cooling. The results of a large randomized trial was recently presented, the IMPACT study (NCT03819946), which showed that a simple, standardized method of esophageal cooling with the ensoETM® device can significantly reduce esophageal thermal injury by 83.4%. Esophageal protection is important as esophageal injury has a high mortality rate to those that sustain this injury although the overall incidence is low. Rottner et al. discuss a much smaller study on esophageal cooling and the limitations of this study are also discussed.
- Subjects :
- medicine.medical_specialty
Letter to the editor
medicine.medical_treatment
Biomedical Engineering
Catheter ablation
030204 cardiovascular system & hematology
03 medical and health sciences
0302 clinical medicine
Esophagus
Internal medicine
Atrial Fibrillation
medicine
Humans
Randomized Controlled Trials as Topic
Equipment Safety
business.industry
Atrial fibrillation
General Medicine
Ablation
medicine.disease
Cold Temperature
Cardiology
Catheter Ablation
Surgery
Esophageal injury
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 17452422
- Volume :
- 17
- Issue :
- 10
- Database :
- OpenAIRE
- Journal :
- Expert review of medical devices
- Accession number :
- edsair.doi.dedup.....ce0267675a3a421a16716c3ebdd13511