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Pulsed-field ablation for the management of para-Hisian accessory pathways in patients
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  • Wentao Li,
  • Fanghui Li,
  • Yao Tong,
  • Aobo Gong,
  • Rui Zeng
Wentao Li
West China Hospital of Sichuan University

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Fanghui Li
West China Hospital of Sichuan University
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Yao Tong
West China Hospital of Sichuan University
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Aobo Gong
West China Hospital of Sichuan University
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Rui Zeng
West China Hospital of Sichuan University
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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.