Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.

Background Atrial fibrillation ablation implies a risk of esophageal thermal injury. Esophageal position can be analyzed with imaging techniques, but evidence for esophageal mobility is inconsistent. Objectives The purpose of this study was to analyze esophageal position stability from one procedure...

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Autores: Teres, C, Soto-Iglesias, D, Penela, D, Jáuregui, B, Ordoñez, A, Chauca, A, Carreño, JM, Scherer, C, Huguet, M, Ramírez, C, Mandujano, JT, Maldonado, G, Panaro, A, Carballo, J, Cámara, Ó, Ortiz-Pérez, JT, Berruezo, A
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Universidad de Zaragoza
Repositorio:Zaguán. Repositorio Digital de la Universidad de Zaragoza
OAI Identifier:oai:zaguan.unizar.es:168328
Acceso en línea:http://zaguan.unizar.es/record/168328
Access Level:acceso abierto
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spelling Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.Teres, CSoto-Iglesias, DPenela, DJáuregui, BOrdoñez, AChauca, ACarreño, JMScherer, CHuguet, MRamírez, CMandujano, JTMaldonado, GPanaro, ACarballo, JCámara, ÓOrtiz-Pérez, JTBerruezo, ABackground Atrial fibrillation ablation implies a risk of esophageal thermal injury. Esophageal position can be analyzed with imaging techniques, but evidence for esophageal mobility is inconsistent. Objectives The purpose of this study was to analyze esophageal position stability from one procedure to another and during a single procedure. Methods Esophageal position was compared in 2 patient groups. First, preprocedural multidetector computerized tomography (MDCT) of first pulmonary vein isolation and redo intervention (redo group) was segmented with ADAS 3D™ to compare the stability of the atrioesophageal isodistance prints. Second, 3 imaging modalities were compared for the same procedure (multimodality group): (1) preprocedural MDCT; (2) intraprocedural fluoroscopy obtained with the transesophageal echocardiographic probe in place with CARTOUNIVU™; and (3) esophageal fast anatomic map (FAM) at the end of the procedure. Esophageal position correlation between different imaging techniques was computed in MATLAB using semiautomatic segmentation analysis. Results Thirty-five redo patients were analyzed and showed a mean atrioesophageal distance of 1.2 ± 0.6 mm and a correlation between first and redo procedure esophageal fingerprint of 91% ± 5%. Only 3 patients (8%) had a clearly different position. The multi-imaging group was composed of 100 patients. Esophageal position correlation between MDCT and CARTOUNIVU was 82% ± 10%; between MDCT and esophageal FAM was 80% ± 12%; and between esophageal FAM and CARTOUNIVU was 83% ± 15%. Conclusion There is high stability of esophageal position between procedures and from the beginning to the end of a procedure. Further research is undergoing to test the clinical utility of the esophageal fingerprinted isodistance map to the posterior atrial wall.2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://zaguan.unizar.es/record/168328reponame:Zaguán. Repositorio Digital de la Universidad de Zaragozainstname:Universidad de ZaragozaInglésinfo:eu-repo/semantics/openAccessoai:zaguan.unizar.es:1683282026-05-29T13:59:51Z
dc.title.none.fl_str_mv Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
title Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
spellingShingle Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
Teres, C
title_short Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
title_full Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
title_fullStr Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
title_full_unstemmed Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
title_sort Relationship between the posterior atrial wall and the esophagus: Esophageal position during atrial fibrillation ablation.
dc.creator.none.fl_str_mv Teres, C
Soto-Iglesias, D
Penela, D
Jáuregui, B
Ordoñez, A
Chauca, A
Carreño, JM
Scherer, C
Huguet, M
Ramírez, C
Mandujano, JT
Maldonado, G
Panaro, A
Carballo, J
Cámara, Ó
Ortiz-Pérez, JT
Berruezo, A
author Teres, C
author_facet Teres, C
Soto-Iglesias, D
Penela, D
Jáuregui, B
Ordoñez, A
Chauca, A
Carreño, JM
Scherer, C
Huguet, M
Ramírez, C
Mandujano, JT
Maldonado, G
Panaro, A
Carballo, J
Cámara, Ó
Ortiz-Pérez, JT
Berruezo, A
author_role author
author2 Soto-Iglesias, D
Penela, D
Jáuregui, B
Ordoñez, A
Chauca, A
Carreño, JM
Scherer, C
Huguet, M
Ramírez, C
Mandujano, JT
Maldonado, G
Panaro, A
Carballo, J
Cámara, Ó
Ortiz-Pérez, JT
Berruezo, A
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
description Background Atrial fibrillation ablation implies a risk of esophageal thermal injury. Esophageal position can be analyzed with imaging techniques, but evidence for esophageal mobility is inconsistent. Objectives The purpose of this study was to analyze esophageal position stability from one procedure to another and during a single procedure. Methods Esophageal position was compared in 2 patient groups. First, preprocedural multidetector computerized tomography (MDCT) of first pulmonary vein isolation and redo intervention (redo group) was segmented with ADAS 3D™ to compare the stability of the atrioesophageal isodistance prints. Second, 3 imaging modalities were compared for the same procedure (multimodality group): (1) preprocedural MDCT; (2) intraprocedural fluoroscopy obtained with the transesophageal echocardiographic probe in place with CARTOUNIVU™; and (3) esophageal fast anatomic map (FAM) at the end of the procedure. Esophageal position correlation between different imaging techniques was computed in MATLAB using semiautomatic segmentation analysis. Results Thirty-five redo patients were analyzed and showed a mean atrioesophageal distance of 1.2 ± 0.6 mm and a correlation between first and redo procedure esophageal fingerprint of 91% ± 5%. Only 3 patients (8%) had a clearly different position. The multi-imaging group was composed of 100 patients. Esophageal position correlation between MDCT and CARTOUNIVU was 82% ± 10%; between MDCT and esophageal FAM was 80% ± 12%; and between esophageal FAM and CARTOUNIVU was 83% ± 15%. Conclusion There is high stability of esophageal position between procedures and from the beginning to the end of a procedure. Further research is undergoing to test the clinical utility of the esophageal fingerprinted isodistance map to the posterior atrial wall.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.none.fl_str_mv http://zaguan.unizar.es/record/168328
url http://zaguan.unizar.es/record/168328
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv
publisher.none.fl_str_mv
dc.source.none.fl_str_mv reponame:Zaguán. Repositorio Digital de la Universidad de Zaragoza
instname:Universidad de Zaragoza
instname_str Universidad de Zaragoza
reponame_str Zaguán. Repositorio Digital de la Universidad de Zaragoza
collection Zaguán. Repositorio Digital de la Universidad de Zaragoza
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