Use of optimal fluoroscopic angulation to facilitate effective pulsed
field ablation in a patient with atrial fibrillation
Abstract
Introduction: This case report describes the use of a
PulseSelect™ catheter in a patient with atrial fibrillation (AF), using
optimal fluoroscopic angulation to ensure tissue-catheter contact during
pulsed field ablation (PFA). Methods and Results: A 51-year-old
woman with paroxysmal AF underwent PFA using a PulseSelect™ catheter.
Preprocedural cardiac computed tomography was used to identify the
optimal fluoroscopic angulations for obtaining en face and perpendicular
views for pulmonary vein isolation (PVI). Complete PVI was achieved,
with no AF recurrence within a 3-month follow-up. Conclusion:
This case demonstrates the feasibility of obtaining and applying optimal
fluoroscopic angulation during PFA using the PulseSelect™.