Workflow of the zero-fluoro pulsed field ablation

IF 2.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Arrhythmia Pub Date : 2024-10-21 DOI:10.1002/joa3.13174

Shu Hirata MD, Koichi Nagashima MD, PhD, Ryuta Watanabe MD, PhD, Yuji Wakamatsu MD, PhD, Moyuru Hirata MD, Sayaka Kurokawa MD, PhD, Naoto Otsuka MD, PhD, Masanaru Sawada MD, Yasuo Okumura MD

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Abstract

Background

Zero-fluoroscopic pulsed field ablation (PFA) is the next step in advancing pulmonary vein isolation (PVI) for atrial fibrillation (AF).

Methods

A workflow incorporating a variable-loop circular PFA catheter, intracardiac echocardiography (ICE), and a visualized sheath was applied to 15 paroxysmal AF patients.

Results

It consisted of three steps: (1) positioning a non-magnetic mapping catheter in the coronary sinus after creating a right atrial matrix, (2) transseptal puncture with the sheath advancement to the left atrium under ICE guidance, and (3) PFA confirming catheter-tissue contact with tissue proximity indication.

Conclusions

This zero-fluoro PFA workflow is feasible without advanced technique.

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零氟脉冲场烧蚀的工作流程。

背景：零透视脉冲场消融（PFA）是推进肺静脉隔离（PVI）治疗心房颤动（AF）的下一步。方法：对15例阵发性房颤患者采用可变回路环形PFA导管、心内超声心动图（ICE）和可视化护套的工作流程。结果：它包括三个步骤：(1)在形成右心房基质后在冠状窦内放置无磁测图导管，(2)在ICE引导下经间隔穿刺鞘推进至左心房，(3)PFA确认导管与组织接触，组织接近指征。结论：无氟PFA工作流程是可行的，无需先进的技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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