Key result
Pulsed field ablation was successfully performed in a patient with a pacemaker without complications or device interference, resulting in decreased atrial fibrillation burden at 6 months.
Why the study?
Pulsed field ablation as a first-line rhythm control in AF has been rarely described, and whether it interacts with pacemakers has been seldom reported.
Does pulsed field ablation safely reduce atrial fibrillation burden in a patient with a pacemaker?
Case Report (n=1)
Does pulsed field ablation safely reduce atrial fibrillation burden in a patient with a pacemaker?
Pulsed field ablation can be safely and rapidly performed as a first-line rhythm control strategy in patients with pacemakers without affecting device function.
PFA for AF in a patient with PM appears feasible in this case; leaves open safety and efficacy in larger cohorts.
Pulsed field ablation (PFA) using high-voltage electrical energy is a novel and powerful ablation modality. However, PFA as a first-line rhythm control in atrial fibrillation (AF) has been rarely described; whether PFA interacts with the pacemaker (PM) has been seldom reported. We reported PFA of AF in a patient with PM who needed effective rhythm control. Pulmonary vein isolation (PVI) was successfully performed without complication, and the procedure was extremely fast (skin-to-skin 25 min.) with short fluoroscopic time (3.9 min). PFA had no influence on the PM function. Six months' follow-up showed good clinical outcome and significantly decreased AF burden.
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Chen et al. (2022) conducted a case report in Atrial fibrillation (n=1). Pulsed field ablation was evaluated on Clinical outcome and atrial fibrillation burden. Pulsed field ablation was successfully performed in a patient with a pacemaker without complications or device interference, resulting in decreased atrial fibrillation burden at 6 months.
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