Pulsed field ablation as first-line treatment to reduce atrial fibrillation burden documented by pacemaker.

Pacing Clin Electrophysiol

Cardioangiologisches Centrum Bethanien (CCB), Frankfurt, Academy For Arrhythmias (FAFA), Kardiologie, Medizinische Klinik III, Agaplesion Markus Krankenhaus, Akademisches Lehrkrankenhaus der Goethe-Universität Frankfurt am Main, Frankfurt am Main, Germany.

Published: May 2023

AI Article Synopsis

  • Pulsed field ablation (PFA) is a new method for treating atrial fibrillation (AF) using high-voltage electrical energy, but is rarely used as a first-line treatment.
  • A case study involved a patient with a pacemaker (PM) who underwent successful PFA for AF, achieving pulmonary vein isolation quickly and without complications.
  • After six months, the patient showed a significant reduction in AF episodes, and there was no impact on pacemaker function.

Article Abstract

Pulsed field ablation (PFA) using high-voltage electrical energy is a novel and powerful ablation modality. However, PFA as a first-line rhythm control in atrial fibrillation (AF) has been rarely described; whether PFA interacts with the pacemaker (PM) has been seldom reported. We reported PFA of AF in a patient with PM who needed effective rhythm control. Pulmonary vein isolation (PVI) was successfully performed without complication, and the procedure was extremely fast (skin-to-skin 25 min.) with short fluoroscopic time (3.9 min). PFA had no influence on the PM function. Six months' follow-up showed good clinical outcome and significantly decreased AF burden.

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Source
http://dx.doi.org/10.1111/pace.14629DOI Listing

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