Arrhythmias & electrophysiology

Ablation of accessory pathways in different anatomic locations using focal pulsed field ablation

Heart RhythmPublished Case series

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

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