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November 4, 2024Pacing and Clinical Electrophysiology16 citationsOpen Access

Coronary Spasm Due to Pulsed Field Ablation: A State‐of‐the‐Art Review

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DRDavid A. RamirezBoston Scientific (United States)KGKara GarrottBoston Scientific (United States)
Ann C. Garlitski
Ann C. GarlitskiElectrophysiology

Structured PICO

What are the effects of pulsed field ablation on coronary artery spasm and physiology in patients undergoing cardiac ablation?

P
Population
Patients undergoing cardiac ablation with pulsed electric fields
I
Intervention
Pulsed field ablation (irreversible electroporation)
O
Outcome
Coronary artery spasm and effects on coronary arteriessafety

This state-of-the-art review summarizes current preclinical and clinical data on coronary artery spasm as a secondary effect of pulsed field ablation.

Abstract

With the ever-growing population of patients undergoing cardiac ablation with pulsed electric fields, there is a need to understand secondary effects from the therapy. Coronary artery spasm is one such effect that has recently emerged as the subject of further investigation in electrophysiology literature. This review aims to elucidate the basic anatomy underlying vascular spasm due to pulsed electric fields and the effects of irreversible electroporation on coronary arteries. This review also aims to gather the current preclinical and clinical data regarding the physiology and function of coronary arteries following electroporation.

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Cite This Study

Ramirez et al. (2024) studied this question.

synapsesocial.com/papers/69d56f9e75589c71d767d9d3https://doi.org/10.1111/pace.15101
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Also Consider

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

  1. 1Remote diffuse multi-coronary artery spasm following pulmonary vein and posterior wall isolation, using a focal monopolar pulsed field ablation catheter2025 · 7 citations
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  5. 5Pulsed Field Ablation and Neurocardiology: Inert to Efferents or Delayed Destruction?2024 · 2 citations