Characterization of circumferential antral pulmonary vein isolation areas resulting from pulsed-field catheter ablation.

ABSTRACT:

Aims

The cornerstone of pulmonary vein (PV) isolation (PVI) is a wide-area circumferential ablation (WACA) resulting in an antral PVI area. Pulsed-field ablation (PFA) is a new nonthermal 'single-shot' PVI technique resulting in well-characterized posterior isolation areas. However, information on circumferential PVI area is lacking. Thus, we sought to characterize the circumferential antral PVI areas after PFA-PVI.

Methods and results

Atrial fibrillation (AF) patients underwent fluoroscopy-guided PVI with a pentaspline PFA catheter. Ultra-high-density voltage maps using a 20-polar circular mapping catheter were created before and immediately after PVI to identify and quantify (i) insufficient isolation areas per antral PV segment (10-segment model) and (ii) enlarged left at

SUBMITTER: Bohnen M 

PROVIDER: S-EPMC10103571 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature