Pulsed-field ablation for the management of para-Hisian accessory
pathways in patients
Abstract
Introduction: We present the application of pulsed-field
ablation (PFA) for the treatment of para-Hisian accessory pathways
(APs). Medthods: We consecutively enrolled patients diagnosed
with paroxysmal supraventricular tachycardia (PSVT) to undergo PFA
isolation. Two patients of this series exhibited para-Hisian AP and
experienced frequent palpitations. The JJEC PFA catheter were used to
deliver PFA applications. Results: No complications occurred,
even when pulsed ablation was performed in proximity to the His bundle.
During the 6-month follow-up visits, the patients remained free of
palpitations and arrhythmias. Conclusions: This report suggests
that PFA serve as a novel and effective modality for para-Hisian AP
ablation.