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Zero‐fluoroscopy ablation with multielectrode pulse field ablation system: Case series

Martin Rauber, Martin Manninger, Anna‐Sophie Eberl, Daniel Scherr

2023Pacing and Clinical Electrophysiology17 citationsDOIOpen Access PDF

Abstract

Pulse field ablation (PFA) is a novel nonthermal ablation modality for treatment of atrial fibrillation. While mostly lacking 3D electroanatomical mapping integration, reported radiation doses in procedures using multielectrode PFA catheters are relatively high. We report a first case series of three patients where a zero-fluoroscopy approach by intracardiac echocardiography was utilized and present a possible workflow for zero-fluoroscopy ablation with the Farapulse PFA system.

Topics & Concepts

MedicineFluoroscopyAblationAtrial fibrillationPulse (music)Intracardiac injectionRadiologyRadiofrequency ablationCatheter ablationCardiac AblationCardiologyOpticsDetectorPhysicsCardiac Arrhythmias and TreatmentsAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias