Arrhythmias & electrophysiology

Eliminating transseptal sheath exchange for pulsed field ablation procedures using a direct over-the-needle transseptal access with the Faradrive sheath

EuropacePublished Prospective cohort study

Authors' conclusion

An over-the-needle TSP directly with the PFA sheath proved feasible and safe in our study.

Study context

Population
Patients undergoing pulmonary vein isolation (PVI) using pulsed field ablation (PFA)
Participants
100 patients
Outcome
Feasibility and safety of direct over-the-needle TSP with the PFA sheath
Methodological detailstwo centres, single-group
  • Two centres
  • Single-group

Main finding

As reported in the abstract

Successful TSP via the PFA sheath

Complications

0

Observational data: associations, not effects.

Further findings

Median time from first groin puncture to completed left atrial (LA) access
12 min (IQR 8-16 min)

Safety

Transseptal puncture (TSP) via the PFA sheath successful in all patients; no complications occurred
0

Original publication

Eliminating transseptal sheath exchange for pulsed field ablation procedures using a direct over-the-needle transseptal access with the Faradrive sheath. Europace. Published 9 March 2023. doi:10.1093/europace/euad060

Summarised from the published abstract; every number is checked against it

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