Pulsed Field Ablation for Atrial Fibrillation

被引：14

作者：

Schaack, David ^{[1
,4
]}

Schmidt, Boris ^{[1
,2
]}

Tohoku, Shota ^{[1
]}

Bordignon, Stefano ^{[1
]}

Urbanek, Lukas ^{[1
]}

Ebrahimi, Ramin ^{[1
]}

Hirokami, Jun ^{[1
]}

Efe, Tolga Han ^{[1
]}

Chen, Shaojie ^{[1
,3
]}

Chun, K. R. Julian ^{[1
,3
]}

机构：

[1] Cardioangiol Ctr Bethanien, Frankfurt, Germany

[2] Univ Klinikum Frankfurt, Med Klin 3, Klin Kardiol, Frankfurt, Germany

[3] Univ Lubeck, Sekt Med, Lubeck, Germany

[4] Cardioangiol Ctr Bethanien, Wilhelm Epstein Str, D-60431 Frankfurt, Germany

来源：

ARRHYTHMIA & ELECTROPHYSIOLOGY REVIEW | 2023年 / 12卷

关键词：

AF; catheter ablation; pulmonary vein isolation; pulsed field ablation; review; CATHETER ABLATION; RADIOFREQUENCY; ELECTROPORATION; CRYOBALLOON; MODALITY; SPASM;

D O I：

10.15420/aer.2022.45

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Catheter ablation is a widely used, effective and safe treatment for AF. Pulsed field ablation (PFA), as a novel energy source for cardiac ablation, has been shown to be tissue selective and is expected to decrease damage to non-cardiac tissue while providing high efficacy in pulmonary vein isolation. The FARAPULSE ablation system (Boston Scientific) follows the idea of single-shot ablation and is the first device approved for clinical use in Europe. Since its approval, multiple high-volume centres have performed increasing numbers of PFA procedures in patients with AF and have published their experiences. This review summarises the current clinical experience regarding the use of PFA for AF using the FARAPULSE system. It provides an overview of its efficacy and safety.

引用

页数：6

共 36 条

[1] Pulsed field ablation as first-line "efficient" rhythm control for atrial fibrillation complicated with heart failure: proof-of-concept [J].

Chen, Shaojie ;

Schmidt, Boris ;

Bordignon, Stefano ;

Tohoku, Shota ;

Urbanek, Lukas ;

Schaack, David ;

Chun, Julian K. R. .

JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 2023, 66 (03) :723-727

[2] Multi-national survey on the methods, efficacy, and safety on the post-approval clinical use of pulsed field ablation (MANIFEST-PF) [J].

Ekanem, Emmanuel ;

Reddy, Vivek Y. ;

Schmidt, Boris ;

Reichlin, Tobias ;

Neven, Kars ;

Metzner, Andreas ;

Hansen, Jim ;

Blaauw, Yuri ;

Maury, Philippe ;

Arentz, Thomas ;

Sommer, Philipp ;

Anic, Ante ;

Anselme, Frederic ;

Boveda, Serge ;

Deneke, Tom ;

Willems, Stephan ;

van der Voort, Pepijn ;

Tilz, Roland ;

Funasako, Moritoshi ;

Scherr, Daniel ;

Wakili, Reza ;

Steven, Daniel ;

Kautzner, Josef ;

Vijgen, Johan ;

Jais, Pierre ;

Petru, Jan ;

Chun, Julian ;

Roten, Laurent ;

Fueting, Anna ;

Rillig, Andreas ;

Mulder, Bart A. ;

Johannessen, Arne ;

Rollin, Anne ;

Lehrmann, Heiko ;

Sohns, Christian ;

Jurisic, Zrinka ;

Savoure, Arnaud ;

Combes, Stephanes ;

Nentwich, Karin ;

Gunawardene, Melanie ;

Ouss, Alexandre ;

Kirstein, Bettina ;

Manninger, Martin ;

Bohnen, Jan-Eric ;

Sultan, Arian ;

Peichl, Petr ;

Koopman, Pieter ;

Derval, Nicolas ;

Turagam, Mohit K. ;

Neuzil, Petr .

EUROPACE, 2022, :1256-1266

[3] A computational comparison of radiofrequency and pulsed field ablation in terms of lesion morphology in the cardiac chamber [J].

Gomez-Barea, Mario ;

Garcia-Sanchez, Tomas ;

Ivorra, Antoni .

SCIENTIFIC REPORTS, 2022, 12 (01)

[4] Pulsed field ablation in patients with complex consecutive atrial tachycardia in conjunction with ultra-high density mapping: Proof of concept [J].

Gunawardene, Melanie A. ;

Schaeffer, Benjamin N. ;

Jularic, Mario ;

Eickholt, Christian ;

Akbulak, Ruken O. ;

Hedenus, Katja ;

Wahedi, Rahin ;

Anwar, Omar ;

Gessler, Nele ;

Hartmann, Jens ;

Willems, Stephan .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2022, 33 (12) :2431-2443

[5] Pulsed-field ablation combined with ultrahigh-density mapping in patients undergoing catheter ablation for atrial fibrillation: Practical and electrophysiological considerations [J].

Gunawardene, Melanie A. ;

Schaeffer, Benjamin N. ;

Jularic, Mario ;

Eickholt, Christian ;

Maurer, Tilman ;

Akbulak, Ruken O. ;

Flindt, Max ;

Anwar, Omar ;

Pape, Ulrich F. ;

Maasberg, Sebastian ;

Gessler, Nele ;

Hartmann, Jens ;

Willems, Stephan .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2022, 33 (03) :345-356

[6] Coronary Spasm During Pulsed Field Ablation of the Mitral Isthmus Line [J].

Gunawardene, Melanie A. ;

Schaeffer, Benjamin N. ;

Jularic, Mario ;

Eickholt, Christian ;

Maurer, Tilman ;

Akbulak, Ruken Oe. ;

Flindt, Max ;

Anwar, Omar ;

Hartmann, Jens ;

Willems, Stephan .

JACC-CLINICAL ELECTROPHYSIOLOGY, 2021, 7 (12) :1618-1620

[7] Effects of Electrode-Tissue Proximity on Cardiac Lesion Formation Using Pulsed Field Ablation [J].

Howard, Brian ;

Verma, Atul ;

Tzou, Wendy S. ;

Mattison, Lars ;

Kos, Bor ;

Miklavcic, Damijan ;

Onal, Birce ;

Stewart, Mark T. ;

Sigg, Daniel C. .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2022, 15 (10) :706-713

[8] Characterization of Phrenic Nerve Response to Pulsed Field Ablation [J].

Howard, Brian ;

Haines, David E. ;

Verma, Atul ;

Kirchhof, Nicole ;

Barka, Noah ;

Onal, Birce ;

Stewart, Mark T. ;

Sigg, Daniel C. .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2022, 15 (06) :E010127

[9] Reduction in Pulmonary Vein Stenosis and Collateral Damage With Pulsed Field Ablation Compared With Radiofrequency Ablation in a Canine Model [J].

Howard, Brian ;

Haines, David E. ;

Verma, Atul ;

Packer, Douglas ;

Kirchhof, Nicole ;

Barka, Noah ;

Onal, Birce ;

Fraasch, Steve ;

Miklavcic, Damijan ;

Stewart, Mark T. .

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2020, 13 (09) :E008337

[10] Effect of heating on pulmonary veins: How to avoid pulmonary vein stenosis [J].

Kok, LC ;

Everett, TH ;

Akar, JG ;

Haines, DE .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2003, 14 (03) :250-254

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