Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter
Introduction: Some reports have described superior vena cava isolation (SVCI) by the pentaspline pulsed-field ablation (PFA) catheter. However, this report presents a case series of superior vena cava (SVC) fibrillation successfully treated using a circular multielectrode array PFA catheter. Methods...
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Elsevier
2025-07-01
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| Series: | JACC: Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666084925006436 |
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| author | Masatsugu Nozoe, MD, PhD Hiroshi Mannoji, MD, PhD Ryo Miyake, MD Sayana Kuraoka, MD Akihito Ishikita, MD, PhD Nobuhiro Suematsu, MD, PhD Toru Kubota, MD, PhD |
| author_facet | Masatsugu Nozoe, MD, PhD Hiroshi Mannoji, MD, PhD Ryo Miyake, MD Sayana Kuraoka, MD Akihito Ishikita, MD, PhD Nobuhiro Suematsu, MD, PhD Toru Kubota, MD, PhD |
| author_sort | Masatsugu Nozoe, MD, PhD |
| collection | DOAJ |
| description | Introduction: Some reports have described superior vena cava isolation (SVCI) by the pentaspline pulsed-field ablation (PFA) catheter. However, this report presents a case series of superior vena cava (SVC) fibrillation successfully treated using a circular multielectrode array PFA catheter. Methods: We performed SVCI using a PulseSelect PFA catheter (Medtronic) in 11 cases. SVCI was performed when the earliest activation during ectopy was inside the SVC. In the second session, SVCI was routinely performed if the myocardial sleeves were of sufficient length. Results: The mean number of PFA deliveries was 7.8 ± 2.1 applications. Short-term success of SVC isolation was achieved in all patients. Importantly, no cases of sinus node dysfunction or persistent phrenic nerve palsy were observed in this study. Conclusions: A circular multielectrode array PFA catheter is useful and safe for treating non–pulmonary vein foci triggered by the SVC. |
| format | Article |
| id | doaj-art-0fccbc87f7084513afde104d9dbdb8ea |
| institution | Kabale University |
| issn | 2666-0849 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JACC: Case Reports |
| spelling | doaj-art-0fccbc87f7084513afde104d9dbdb8ea2025-08-20T03:29:34ZengElsevierJACC: Case Reports2666-08492025-07-01301710386510.1016/j.jaccas.2025.103865Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array CatheterMasatsugu Nozoe, MD, PhD0Hiroshi Mannoji, MD, PhD1Ryo Miyake, MD2Sayana Kuraoka, MD3Akihito Ishikita, MD, PhD4Nobuhiro Suematsu, MD, PhD5Toru Kubota, MD, PhD6Address for correspondence: Dr Masatsugu Nozoe, 1-3-46, Tenjin, Chuo-ku, Fukuoka 810-0001, Japan.; Division of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanDivision of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanDivision of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanDivision of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanDivision of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanDivision of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanDivision of Cardiology, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, JapanIntroduction: Some reports have described superior vena cava isolation (SVCI) by the pentaspline pulsed-field ablation (PFA) catheter. However, this report presents a case series of superior vena cava (SVC) fibrillation successfully treated using a circular multielectrode array PFA catheter. Methods: We performed SVCI using a PulseSelect PFA catheter (Medtronic) in 11 cases. SVCI was performed when the earliest activation during ectopy was inside the SVC. In the second session, SVCI was routinely performed if the myocardial sleeves were of sufficient length. Results: The mean number of PFA deliveries was 7.8 ± 2.1 applications. Short-term success of SVC isolation was achieved in all patients. Importantly, no cases of sinus node dysfunction or persistent phrenic nerve palsy were observed in this study. Conclusions: A circular multielectrode array PFA catheter is useful and safe for treating non–pulmonary vein foci triggered by the SVC.http://www.sciencedirect.com/science/article/pii/S2666084925006436atrial fibrillationnon–pulmonary vein focicircular multielectrode array catheterpulsed-field ablationsuperior vena cava |
| spellingShingle | Masatsugu Nozoe, MD, PhD Hiroshi Mannoji, MD, PhD Ryo Miyake, MD Sayana Kuraoka, MD Akihito Ishikita, MD, PhD Nobuhiro Suematsu, MD, PhD Toru Kubota, MD, PhD Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter JACC: Case Reports atrial fibrillation non–pulmonary vein foci circular multielectrode array catheter pulsed-field ablation superior vena cava |
| title | Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter |
| title_full | Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter |
| title_fullStr | Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter |
| title_full_unstemmed | Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter |
| title_short | Successful Pulsed-Field Ablation of Superior Vena Cava Fibrillation Using a Circular Multielectrode Array Catheter |
| title_sort | successful pulsed field ablation of superior vena cava fibrillation using a circular multielectrode array catheter |
| topic | atrial fibrillation non–pulmonary vein foci circular multielectrode array catheter pulsed-field ablation superior vena cava |
| url | http://www.sciencedirect.com/science/article/pii/S2666084925006436 |
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