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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Catheter ablation for atrial fibrillation

5

XI.bl Pericardial-esophageal fistula

1
Last update : 30/08/2021
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist
See also under
Anticoagulants, direct oral (anti-thrombin, -IIa, -Xa) - NOAC
3
Anticoagulants, oral (vitamin K antagonists-VKA)
5
Electrophysiologic procedures
2

Publications

Pericardial-Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation.
The Thoracic and cardiovascular surgeon reports 2022 Jan;11;e27-e29 2022 Jan
Esophagopericardial Fistula Following Radiofrequency Ablation for Atrial Fibrillation: Insights Into Its Management.
JACC. Case reports 2021 Jul 21;3;1132-1135 2021 Jul 21

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