What does this research mean for the field?

Pulsed field ablation for atrial fibrillation can be feasibly performed via a right internal jugular approach in patients with an inferior vena cava filter. Novelty: ClaimNovelty.METHODOLOGICAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

March 3, 2026

Right Internal Jugular Pulsed Field Ablation for Atrial Fibrillation in a Patient With an Inferior Vena Cava Filter

Key Points

Effective rhythm control achieved through pulsed field ablation in atrial fibrillation patients.
Patient had a history of sick sinus syndrome and peripheral arterial disease, complicating treatment options.

Structured PICO

Population

A 77-year-old man with peripheral arterial disease, sick sinus syndrome, hypertension, paroxysmal atrial fibrillation (AF), and an inferior vena cava filter, with a normally functioning dual-chamber pacemaker, presenting for rhythm control due to frequent symptomatic AF episodes (n=1).

Intervention

Right internal jugular pulsed field ablation (catheter ablation)

Demonstrates the feasibility of right internal jugular access for pulsed field ablation in a patient with an inferior vena cava filter.

Abstract

A 77-year-old man with peripheral arterial disease, sick sinus syndrome, hypertension, and paroxysmal atrial fibrillation (AF) presented for rhythm control. He had a normally functioning dual-chamber pacemaker but had frequent symptomatic AF episodes and elected catheter ablation.

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Cite This Study

Kim et al. (Thu,) studied this question.

synapsesocial.com/papers/69a75f27c6e9836116a2a540 https://doi.org/https://doi.org/10.25270/jic/26.00023

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