Arrhythmias & electrophysiology
Ablation of accessory pathways in different anatomic locations using focal pulsed field ablation
Authors' conclusion
Focal PFA for AP shows promising results in terms of efficacy and safety.
Study context
- Population
- Patients with indication for accessory pathway ablation (WPW syndrome / atrioventricular reentrant tachycardia), incl. pediatric3 pediatric
- Participants
- 14 patients
- Outcome
- Efficiency (termination of AP conduction) and long-term outcome of AP ablation
Methodological detailsAP locations: 3 right free wall, 3 posteroseptal, 8 left-sided, Follow-up 1-3 months after ablation; additional check-up at 6 and 12 months
- AP locations: 3 right free wall, 3 posteroseptal, 8 left-sided
- Follow-up 1-3 months after ablation; additional check-up at 6 and 12 months
Main finding
As reported in the abstract
Termination of AP conduction
Termination of AP conduction achieved in all procedures
14
Observational data: associations, not effects.
Further findings
Successful ablation through coronary sinus (CS) (left-sided APs)
- Ablation through CS successful in patients with left-sided APs
- 7 of 8
Conduction recurrence through AP · median follow-up 5.5 months
- Patients with documented conduction recurrence through AP
- 1
Safety
Complications
- No complications reported
Original publication
Ablation of accessory pathways in different anatomic locations using focal pulsed field ablation. Heart Rhythm. Published 16 March 2024. doi:10. 1016/ j. hrthm. 2024. 03. 030
Summarised from the published abstract; every number is checked against it