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November 27, 2025Journal of ArrhythmiaOpen Access

Pulmonary Vein Isolation Using a Circular Multielectrode Pulsed Field Ablation Catheter via a Jugular Vein Approach

Takahiko Nagase Chiyo Yoshino Ryuichi Kato Masao Kuwada

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Abstract

PVI by catheter ablation for atrial fibrillation via a superior approach is technically challenging. However, the circular multielectrode PFA catheter is feasible for PVI via a superior jugular vein approach. AP, anteroposterior; LAO, left anterior oblique; PA, posteroanterior; PFA, pulsed field ablation; PVI, pulmonary vein isolation.

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Nagase et al. (2025) studied this question.

synapsesocial.com/papers/694031cb2d562116f2906816 https://doi.org/10.1002/joa3.70239

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

1A Superior Solution: Pulmonary Vein Isolation and Linear Ablation via the Right Internal Jugular Approach Using a Lattice-Tip Catheter in Patients with Inferior Vena Cava Occlusionother · 2026
2Pulmonary Vein and Left Atrial Posterior Wall Isolation Using a Balloon-in-Basket Pulsed-Field Ablation Catheter via the Superior Vena Cava Approach in a Patient with Interrupted Inferior Vena Cava: A Case Reportcase_report · 2026
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5Feasibility of Atrial Fibrillation Ablation via Right Internal Jugular Access Using a Lattice-Tip Pulsed Field Ablation System in the Presence of Inferior Vena Cava Aplasia: First Clinical Experience.case_report · 2026

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Pulsed‐Electrical Field Ablation Completes Pulsed‐Field Ablation—Lessons Learned on Tissue Proximity Indication in Pulmonary Vein Isolation2025
Pulmonary vein isolation with pentaspline pulsed field ablation catheter from an axillary venous approach in a patient with interrupted inferior vena cava: First US report2025
Pulsed field ablation using a multielectrode variable-loop circular catheter via a superior approach in a patient with dextrocardia, situs inversus, and interrupted inferior vena cava: a case report2026

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