학술논문

Pulsed field ablation as first‐line treatment to reduce atrial fibrillation burden documented by pacemaker.
Document Type
Article
Source
Pacing & Clinical Electrophysiology. May2023, Vol. 46 Issue 5, p414-418. 5p.
Subject
*SICK sinus syndrome
*ECHOCARDIOGRAPHY
*MINIMALLY invasive procedures
*ATRIAL fibrillation
*CATHETER ablation
*FLUOROSCOPY
*CARDIAC pacemakers
*PULMONARY veins
*ANGIOGRAPHY
Language
ISSN
0147-8389
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. [ABSTRACT FROM AUTHOR]