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Pulmonary Vein Isolation-induced Vagal Nerve Injury and Gastric Motility Disorders detected by Electrogastrography - The Side Effects of Pulmonary Vein Isolation in Atrial Fibrillation (SEPIA) Study: Discussion and Conclusion.

Dirk Grosse MeininghausRobert FreundTobias KleemannJ Christoph GellerHarald Matthes
Published in: Journal of cardiovascular electrophysiology (2023)
Between February 2021 und January 2022, 85 patients (67±10 years, 53% male) were included, 33 were treated with CB and 52 with RF (38 with moderate power moderate duration [25-30W] and 14 with high power short duration [50W]). blation-induced VNI was detected in 27/85 patients independent of the energy form. Patients with VNI more frequently had postprocedural endoscopically detected pathology (8% mucosal esophageal lesions, 36% periesophageal edema, 33% food retention) but there was incomplete overlap. Preexisting esophagitis increased the likelihood of VNI. Ablation data and esophageal temperature data did not predict VNI. This article is protected by copyright. All rights reserved.
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