Pulsed field ablation using a pentaspline catheter can cause left atrial endothelial disruption, a potentially underdetected complication visible via intracardiac echocardiography.
Case Report (n=2)
No
Does pulsed field ablation using a pentaspline catheter cause endothelial disruption in patients with atrial fibrillation?
Endothelial disruption is a newly recognized, potentially thrombogenic complication of pulsed field ablation that can be detected using intracardiac echocardiography positioned in the left atrium.
Wong et al. (2026) conducted a case report in Atrial fibrillation (n=2). Pulsed field ablation (FARAPULSE system) was evaluated on Endothelial disruption. Pulsed field ablation using a pentaspline catheter can cause left atrial endothelial disruption, a potentially underdetected complication visible via intracardiac echocardiography.