Muhammet BUĞRA KARAASLAN
(Osmancık Devlet Hastanesi, Kardiyoloji Bölümü, Çorum, Türkiye)
Ali DENİZ
(Çukurova Üniversitesi, Tıp Fakültesi, Kardiyoloji Bölümü, Adana, Türkiye)
İsmail Cem ERAY
(Çukurova Üniversitesi, Tıp Fakültesi, Genel Cerrahi Bölümü, Adana, Türkiye)
Sedef KURAN
(Çukurova Üniversitesi, Tıp Fakültesi, Gastroenteroloji Bölümü, Adana, Türkiye)
Sevinç Püren YÜCEL
(Çukurova Üniversitesi, Tıp Fakültesi, Biyoistatistik Bölümü, Adana, Türkiye)
Özsun Serkan SÖNMEZ
(Elektrik ve Elektronik Mühendisi, Türkiye)
Aziz İnan ÇELİK
(Gebze Fatih Devlet Hastanesi, Kardiyoloji Bölümü, Kocaeli, Türkiye)
Onur Sinan DEVECİ
(Çukurova Üniversitesi, Tıp Fakültesi, Kardiyoloji Bölümü, Adana, Türkiye)
Mesut DEMİR
(Çukurova Üniversitesi, Tıp Fakültesi, Kardiyoloji Bölümü, Adana, Türkiye)
Mehmet KANADAŞI
(Çukurova Üniversitesi, Tıp Fakültesi, Kardiyoloji Bölümü, Adana, Türkiye)
Ayhan USAL
(Çukurova Üniversitesi, Tıp Fakültesi, Kardiyoloji Bölümü, Adana, Türkiye)
Yıl: 2020Cilt: 23Sayı: 4ISSN: 2149-2263 / 2149-2271Sayfa Aralığı: 223 - 227İngilizce

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Determination of the effects of cryoablation for atrial firillation on esophageal functions
Objective: Periesophageal vagal plexus injury is a complication of cryoablation for atrial fibrillation (AF). The aim of this study is to investigate the effect of cryoablation on esophageal functions and to determine the relationship between esophageal temperature and esophageal motility. Methods: Twenty patients with symptomatic paroxysmal AF who underwent cryoablation were included in this study. The lowest cryoballoon temperature for each pulmonary vein (PV) was recorded. Esophageal temperature was measured using an esophageal probe during each cryoapplication. Esophageal manometry was performed before the procedure and one day after the procedure for each patient in order to assess the esophageal functions. Results: During the procedure, the highest esophageal temperature change was found in the left-side PVs in 13 patients (65%) and in the rightside PVs in seven patients (35%). No correlation was found between the lowest cryoballoon temperature and esophageal temperature change (r=0.22, p=0.05). It was detected that the lower esophageal sphincter pressure and esophageal contraction amplitude pressure decreased after the procedure (before: 19.7±9.3 mm Hg, after: 14.3±4.9 mm Hg, p=0.001; before: 84.5±28.3 mm Hg, after: 72.7±34.3 mm Hg, p=0.005, respectively). Five patients (25%) developed gastrointestinal symptoms after the procedure. Conclusion: During cryoablation, esophageal temperature measurement can be performed to reduce the probability of esophageal injury. Cryoablation affects esophageal motility, and esophageal manometry can be performed to detect esophageal motility impairments in patients with gastrointestinal symptoms. (Anatol J Cardiol 2020; 23: 223-7)
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