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July 30, 2026Journal of Medical CasesOpen Access

Kill Four Birds With One Stone: Ablation of Atrial Fibrillation, Atrial Flutter, and Supraventricular Tachycardia Plus Left Atrial Appendage

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Key result

One-stop RF ablation and LAAO successfully treats 1 patient with persistent AF, AFL, and SVT.

  • n=1

Why the study?

To better understand the management of persistent AF through sequential catheter radiofrequency ablation and left atrial appendage occlusion when overlapping atrial arrhythmias are present.

Design

Case report

Authors

ZQZuo Feng QinHubei University of MedicineYWYou WuHubei University of MedicineYZYu ZhanSun Yat-sen University

Discussion

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Overview

May support one-stop ablation plus LAAO feasibility in select cases; leaves open need for prospective validation before adoption.

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Key Points

  • This research aims to explore the effectiveness of a combined catheter ablation and left atrial appendage occlusion strategy for treating atrial fibrillation and related conditions.
  • A case of persistent atrial fibrillation underwent a one-stop catheter radiofrequency ablation procedure with left atrial appendage occlusion.
  • Transcatheter intervention was guided by electroanatomical mapping, targeting distinct electrophysiological substrates.
  • Challenges included the development of atrial flutter and dual-pathway supraventricular tachycardia during the procedure.
  • Radiofrequency ablation successfully addressed atrial fibrillation, atrial flutter, and supraventricular tachycardia despite encountered challenges.
  • Left atrial appendage occlusion was performed satisfactorily, ensuring comprehensive treatment for the conditions.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
1 patient with persistent atrial fibrillation undergoing a one-stop procedure combining catheter radiofrequency ablation with left atrial appendage occlusion.
I
Intervention
One-stop procedure combining catheter radiofrequency ablation (for AF, AFL, and SVT) with left atrial appendage occlusion (LAAO)
O
Outcome
Procedural success (successful radiofrequency ablation and satisfactory LAAO)

A one-stop transcatheter procedure can successfully treat multiple distinct arrhythmias (AF, AFL, SVT) and perform LAAO in a single session.

Cite This Study

Qin et al. (2026) conducted a case report in Persistent atrial fibrillation (n=1). Catheter radiofrequency ablation with left atrial appendage occlusion was evaluated. A one-stop procedure combining radiofrequency ablation and left atrial appendage occlusion was successfully performed in 1 patient with persistent AF who developed AFL and SVT intraoperatively.

synapsesocial.com/papers/6a6af4e960e2b924d3ea06fchttps://doi.org/10.14740/jmc5352
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Also Consider

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

  1. 1Catheter Ablation for Long-Standing Persistent Atrial Fibrillation2015 · 13 citations
  2. 2Electrophysiological Features of Atrial Tachyarrhythmias and Rhythm Outcome in Patients Receiving Repeat Catheter Ablation after Surgical Atrial Fibrillation Ablation plus Left Atrial Appendage Excision2025
  3. 3Catheter ablation of atrial flutter: Critical isthmus identification and localization2020
  4. 4Catheter ablation of atrial flutter: Critical isthmus identification and localization2020 · 3 citations
  5. 5Surgical treatment of atrial tachycardia arising from left atrial appendage2020 · 1 citations