Sequential Isolation of Persistent Left Superior Vena Cava and Right Superior Vena Cava Using Pulsed-field Ablation with a Pentaspline Catheter for Recurrent Persistent Atrial Fibrillation

Amulya Gupta; Murtaza Sundhu; Madhu Reddy; Seth H Sheldon; Amit Noheria

doi:10.19102/icrm.2024.15092

Sequential Isolation of Persistent Left Superior Vena Cava and Right Superior Vena Cava Using Pulsed-field Ablation with a Pentaspline Catheter for Recurrent Persistent Atrial Fibrillation

J Innov Card Rhythm Manag. 2024 Sep 15;15(9):6004-6010. doi: 10.19102/icrm.2024.15092. eCollection 2024 Sep.

Authors

Amulya Gupta¹, Murtaza Sundhu¹, Madhu Reddy¹, Seth H Sheldon¹, Amit Noheria¹

Affiliation

¹ Department of Cardiovascular Medicine, The University of Kansas Medical Center, Kansas City, KS, USA.

Abstract

Pulsed-field ablation (PFA) is a novel technology for atrial fibrillation (AF) ablation that can deliver energy precisely with a lower risk of damage to the surrounding organs. Persistent left superior vena cava (PLSVC) is a congenital variant that can act as a driver of AF, and its isolation may be required in recurrent persistent AF. We describe a case where PFA was used for isolation of the right superior vena cava, PLSVC, and posterior wall of the left atrium.

Keywords: Persistent atrial fibrillation; persistent left superior vena cava; pulsed-field ablation.

Publication types

Case Reports