Arrhythmias & electrophysiology

Pulsed Field Ablation of Paroxysmal Supraventricular Tachycardia: A Prospective Multicenter Single-Arm Study in China

Circ Arrhythm ElectrophysiolPublished Prospective multicentre single-arm study

Authors' conclusion

PFA demonstrated the feasibility of the treatment of SVT.

Study context

Population
Patients with paroxysmal supraventricular tachycardia (AVNRT, AVRT or Wolff-Parkinson-White syndrome)completed the trial
Participants
158 patients
Outcome
Acute ablation success
Methodological details8 centres in China
  • 8 centres in China

Main finding

As reported in the abstract

Acute ablation successful

157 patients

99.37%

Observational data: associations, not effects.

Secondary outcomes

PSVT recurrence · 180-day follow-up

Patients with PSVT recurrence (4 with AVRT, 1 with WPW)
5

Procedural characteristics

Skin-to-skin procedure time (min)
89.9±35.5
Median number of pulsed field ablation (PFA) discharges
12 (8-19)
Median effective PFA discharge time (ms)
4.6 (3.2-6.4)

Safety

AV block and adverse events · procedure and 180-day follow-up

Transient first-degree AV block, resolved in 12 hours (patients)
1
Transient third-degree AV block, resolved in 24 hours (patients)
1
No permanent AV block or other adverse events

Original publication

Pulsed Field Ablation of Paroxysmal Supraventricular Tachycardia: A Prospective Multicenter Single-Arm Study in China. Circ Arrhythm Electrophysiol. Published 29 November 2024. doi:10.1161/circep.124.013206

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

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