The Drug-Induced Respiratory Disease Website

Catheter ablation for atrial fibrillation

Pericardial-esophageal fistula

Sylvin EA, Jassar AS, Kucharczuk JC, Vallabhajosyula P

Pericardial-Esophageal Fistula: A Rare but Increasing Complication of Cardiac Ablation.

The Thoracic and cardiovascular surgeon reports 2022 Jan;11;e27-e29 — 2022 Jan — e27-e29

Kheslat HH, Kelly S, Singh H, Crozier I

Esophagopericardial Fistula Following Radiofrequency Ablation for Atrial Fibrillation: Insights Into Its Management.

JACC. Case reports 2021 Jul 21;3;1132-1135 — 2021 Jul 21 — 1132-1135

Diagnosing DIRD

Drug and radiation history

Drug singularity - Correct identification of the drug

Consistent timing of exposure v. onset of symptoms

Clinical, imaging, BAL, pathological pattern consistent with the specific drug

Careful exlusion of another cause

Remission of symptoms with removal of drug

Recurrence with rechallenge (rarely advisable)

Causality assessment

LATEST CHANGELOG

No activity has been recorded yet.