emDocs - June 3, 2020 - By Arnold C and Hamm J
Reviewed by: Montrief T, Koyfman A and Long B
"Take Home Points:
- The overall complication rate for cardiac ablation is 6.29%.
- Atrio-esophageal fistula has up to a 100% mortality without surgery. If considered, emergently consult cardiothoracic surgery.
- EGD may cause fatal massive air embolism in the setting of atrio-esophageal fistula. Avoid even in the case of gross hematemesis.
- Delayed cardiac tamponade may occur even up to several weeks out from the ablation.
- Atypical migraine is a rare post ablation complication and should be considered a diagnosis of exclusion."