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May 31, 2026HeartRhythm Case Reports0 citationsOpen Access

Ablation of a persistent left superior vena cava using a balloon-in-basket PFA catheter

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MBMartens BroesDMDuytschaever MattiasTRTavernier René

Key Result

Ablation of a persistent left superior vena cava using the Abbott Volt PFA catheter achieved complete electrical isolation without complications in a 60-year-old woman with paroxysmal AF.

Key Points

  • This report aims to highlight the successful use of a novel PFA catheter for ablation in a patient with PLSVC.
  • Case report of a 60-year-old woman with symptomatic paroxysmal atrial fibrillation.
  • Catheter ablation performed using the Abbott Volt™ pulsed field ablation system.
  • Standard pulmonary vein isolation was complemented by ablation of PLSVC.
  • Successful electrical isolation of PLSVC achieved during the procedure.
  • No complications observed throughout the ablation process.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
60-year-old woman with symptomatic paroxysmal atrial fibrillation (AF) and an uncommon anatomical variant (persistent left superior vena cava with absence of the right superior vena cava)
I
Intervention
Catheter ablation including standard pulmonary vein isolation (PVI) and ablation of the persistent left superior vena cava using the Abbott Volt™ pulsed field ablation (PFA) system
O
Outcome
Complete electrical isolation of the persistent left superior vena cava

This case report demonstrates the feasibility and safety of using a novel balloon-in-basket pulsed field ablation catheter to isolate a persistent left superior vena cava in a patient with paroxysmal atrial fibrillation.

Abstract

This case report describes a 60-year-old woman with symptomatic paroxysmal atrial fibrillation (AF) who underwent catheter ablation using a novel pulsed field ablation (PFA) system. During the procedure, an uncommon anatomical variant - a persistent left superior vena cava (PLSVC) with absence of the right superior vena cava - was identified. In addition to standard pulmonary vein isolation (PVI), successful ablation of the PLSVC was performed using the Abbott Volt™ PFA catheter, achieving complete electrical isolation without complications.

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Cite This Study

Broes et al. (2026) conducted a case report in Symptomatic paroxysmal atrial fibrillation with persistent left superior vena cava (n=1). Abbott Volt™ PFA catheter was evaluated on Complete electrical isolation. Ablation of a persistent left superior vena cava using the Abbott Volt PFA catheter achieved complete electrical isolation without complications in a 60-year-old woman with paroxysmal AF.

synapsesocial.com/papers/6a1bcfe15783ba022b6fbd66https://doi.org/10.1016/j.hrcr.2026.05.012
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