Does pulsed field ablation via jugular transseptal puncture allow safe and effective treatment of atrial fibrillation in a patient with dextrocardia and interrupted inferior vena cava?
Pulsed field ablation via jugular transseptal puncture is a feasible and safe approach for treating atrial fibrillation in patients with complex congenital anatomy such as dextrocardia and interrupted inferior vena cava.
Our case report highlights the role of multimodality pre-procedural imaging and the necessity of adapting procedural techniques, such as jugular TSP, to safely and effectively perform AF ablation in patients with complex congenital anatomy, as dextrocardia with I-IVC. The use of one-shot variable loop PFA catheter in such a challenging anatomical scenario allows an effective and safe treatment for transcatheter AF ablation in this case.
Scaglione et al. (Thu,) studied this question.