Arrhythmias & electrophysiologyCohort study
Superior vena cava isolation using a pentaspline pulsed-field ablation catheter: feasibility and safety in patients undergoing atrial fibrillation catheter ablation
- Prospective cohort study
- consecutive patients
Authors' conclusion
SVC isolation using a pentaspline PFA catheter is feasible and safe.
Study context
- Population
- Consecutive patients undergoing pulsed-field ablation (PFA)-based AF catheter ablation
- Participants
- 105 patients
- Outcome
- Feasibility (acute SVC isolation) and safety of PFA-based SVC isolation
Main finding
As reported in the abstract
Acute SVC isolation
Acute superior vena cava (SVC) isolation achieved
105/105 (100%)
Applications to isolation
6 ± 1
Observational data: associations, not effects.
Safety
Transient phrenic nerve stunning
- Transient phrenic nerve stunning
- 67/105 (64%)
- Phrenic nerve palsy at end of procedure and at discharge
- no phrenic nerve palsy at the end of the procedure and at hospital discharge
Transient high-degree sinus node dysfunction
- Transient high-degree sinus node dysfunction
- 5/105 (4.7%)
- no recurrence at the end of the procedure and until discharge
Complications · 3-month follow-up
- No complication at 3-month follow-up
Original publication
Superior vena cava isolation using a pentaspline pulsed-field ablation catheter: feasibility and safety in patients undergoing atrial fibrillation catheter ablation. Europace. Published 14 June 2024. doi:10.1093/europace/euae160
Summarised from the published abstract; every number is checked against it