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Review
. 2024 Nov 4.
doi: 10.1111/pace.15101. Online ahead of print.

Coronary Spasm Due to Pulsed Field Ablation: A State-of-the-Art Review

David A Ramirez  1 , Kara Garrott  1 , Ann Garlitski  1 , Brendan Koop  1
Affiliations
Review

Coronary Spasm Due to Pulsed Field Ablation: A State-of-the-Art Review

David A Ramirez et al. Pacing Clin Electrophysiol. .

Abstract

With the ever-growing population of patients undergoing cardiac ablation with pulsed electric fields, there is a need to understand secondary effects from the therapy. Coronary artery spasm is one such effect that has recently emerged as the subject of further investigation in electrophysiology literature. This review aims to elucidate the basic anatomy underlying vascular spasm due to pulsed electric fields and the effects of irreversible electroporation on coronary arteries. This review also aims to gather the current preclinical and clinical data regarding the physiology and function of coronary arteries following electroporation.

Keywords: coronary spasm; irreversible electroporation; pulsed field ablation; vascular smooth muscle.

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