Demonstrates the feasibility of right internal jugular access for pulsed field ablation in a patient with an inferior vena cava filter.
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PFA via right internal jugular access may be feasible in IVC filter patients; hypothesis-generating case supports alternative routes but should not yet change practice.
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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Kim et al. (2026) studied this question.
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