Do oesophageal temperature probes actually make left atrial ablation safer and are we still using them? That’s the question behind the new EHRA Scientific Initiatives Committee survey on the contemporary use of oesophageal temperature probes (ETPs) during left atrial ablation and the subject of our latest #EHRA_SICsays conversation with @AriSultanEP. 232 physicians from 37 countries responded and the picture is far from uniform. ETPs are used predominantly during thermal ablation, while their use with pulsed field ablation is uncommon. Even when probes are used, temperature thresholds and the response to temperature excursions vary considerably between centres. The key issue isn’t simply whether we monitor temperature. It’s what that monitoring actually achieves. Current randomized and observational evidence has not established that ETPs prevent oesophageal injury or atrio-oesophageal fistula, and 56% cited lack of evidence for AEF prevention as a reason for not using them. Meanwhile, the growing use of PFA is reshaping oesophageal protection strategies altogether. 🎙️ Watch the discussion with @AriSultanEP 👇 📄 Read the full manuscript: bit.ly/4hGfaXZ Does oesophageal temperature monitoring still have a place in your left atrial ablation workflow? #EHRA_SICsays #EHRA_ESC #EPeeps #AtrialFibrillation #CatheterAblation #PulsedFieldAblation #Electrophysiology @LauraPerotta @JarkkoKarvonen @jongichun @micaela_ebert @DrCherylTeresEP @HaranBurri @veramasloo @drtahasahin @AugustoMeretta @JacopoImberti @cespon_maria @jadczyk @Fede79Miglio @CarolRemme @LA_Stanciulescu @VerenaTscholl @Amar__taha @mattans5 @AmrAbdin10 @JuliaCTourigny @DrMarkMills @RachelterBekke @FraSantoroMD @Pierre_Olt @cris_lozano @LinaMarcantoni @ChristianHeeger