Arrhythmias & electrophysiology
Results of ICE-Guided Isolation of the Superior Vena Cava With Pulsed Field Ablation
Authors' conclusion
Intracardiac echocardiography-guided PFA can effectively isolate the SVC with a good safety profile.
Study context
- Population
- Patients with atrial fibrillation undergoing pulsed field ablation for pulmonary vein isolation plus superior vena cava isolationpatients receiving SVCI included in the analysis, 1,600 consecutive patients undergoing pulsed field ablation (PFA) included
- Participants
- 616 patients
- Comparison
- Flower configuration vs basket configuration
- Flower configurationn = 10
- Outcome
- Acute SVCI
Methodological detailsconsecutive patients, intracardiac echocardiography-guided
- Consecutive patients
- Intracardiac echocardiography-guided
Main finding
As reported in the abstract
Acute SVCI achieved
616 patients
100%
Safety
| Outcome | Flower configuration | Basket configuration |
|---|---|---|
| Sinus node injury and phrenic nerve stunning · during the procedure | ||
| Transient sinus node injuries | 2 | — not stated in the abstract |
| Episodes of phrenic nerve stunning | 2 | — not stated in the abstract |
| Episode of phrenic nerve stunning | — not stated in the abstract | 1 |
— not stated in the abstract
- Sinus node injury and phrenic nerve stunning: flower configuration events resolved spontaneously during the procedure
- Sinus node injury and phrenic nerve stunning: basket configuration episode regressed before the end of the procedure
Permanent damage · at discharge and at 2-month follow-up
- No permanent damages were registered
Original publication
Results of ICE-Guided Isolation of the Superior Vena Cava With Pulsed Field Ablation. JACC Clin Electrophysiol. Published 22 January 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →