Superior vena cava isolation using a pentaspline pulsed-field ablation catheter: feasibility and safety in patients undergoing atrial fibrillation catheter ablation

被引：14

作者：

Ollitrault, Pierre ^{[1
]}

Chaumont, Corentin ^{[2
]}

Font, Jonaz ^{[1
,3
]}

Manninger, Martin ^{[4
]}

Conti, Sergio ^{[5
]}

Matusik, Pawel T. ^{[6
,7
]}

Mulder, Bart A. ^{[8
]}

Ferchaud, Virginie ^{[1
]}

Pellissier, Arnaud ^{[1
]}

Al Khoury, Mayane ^{[1
]}

Milliez, Paul ^{[1
,3
]}

Champ-Rigot, Laure ^{[1
]}

Anselme, Frederic ^{[2
]}

机构：

[1] Reg Univ Hosp, Dept Cardiol, Electrophysiol Unit, Ave Cote Nacre, F-14000 Caen, France

[2] Rouen Univ, Dept Cardiol, Med Ctr, Rue Germont, F-76031 Rouen, France

[3] Pole Format & Rech Sante, Dept Cardiol, Rue Rochambelles, F-14000 Caen, France

[4] Graz Univ, Dept Internal Med, Div Cardiol, Med Ctr, Graz, Austria

[5] ARNAS Civ Hosp, Dept Cardiol, Palermo, Italy

[6] St John Paul II Hosp, Dept Cardiol, Pradnicka 80, PL-31202 Krakow, Poland

[7] Jagiellonian Univ Med Coll, Inst Cardiol, Fac Med, Pradnicka 80, Krakow, Poland

[8] Univ Groningen, Dept Cardiol, Med Ctr, Groningen, Netherlands

来源：

EUROPACE | 2024年 / 26卷 / 07期

关键词：

Pulsed-field ablation; Catheter ablation; Atrial fibrillation; Superior vena cava; Feasibility; Outcome; PULMONARY VEIN ISOLATION; INJURY;

D O I：

10.1093/europace/euae160

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims Superior vena cava (SVC) isolation during atrial fibrillation catheter ablation is limited by the risk of collateral damage to the sinus node and/or the phrenic nerve. Due to its tissue-specificity, we hypothesized the feasibility and safety of pulsed-field ablation (PFA)-based SVC isolation.Methods and results One hundred and five consecutive patients undergoing PFA-based AF catheter ablation were prospectively included. After pulmonary vein isolation (+/- posterior wall isolation and electrical cardioversion), SVC isolation was performed using a standardized workflow. Acute SVC isolation was achieved in 105/105 (100%) patients after 6 +/- 1 applications. Transient phrenic nerve stunning occurred in 67/105 (64%) patients but without phrenic nerve palsy at the end of the procedure and at hospital discharge. Transient high-degree sinus node dysfunction occurred in 5/105 (4.7%) patients, with no recurrence at the end of the procedure and until discharge. At the 3-month follow-up visit, no complication occurred.Conclusion SVC isolation using a pentaspline PFA catheter is feasible and safe. Graphical Abstract

引用

页数：7

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