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Case Reports
. 2024 Nov 13;11(2):164-166.
doi: 10.1016/j.hrcr.2024.11.005. eCollection 2025 Feb.

Mapping and ablation of left atrial macro-reentrant tachycardia with a novel circular pulsed field ablation catheter

Affiliations
Case Reports

Mapping and ablation of left atrial macro-reentrant tachycardia with a novel circular pulsed field ablation catheter

Tillman Dahme et al. HeartRhythm Case Rep. .
No abstract available

Keywords: 3D-mapping; Atrial fibrillation; Atypical atrial flutter; Electroporation; Left atrial macro-reentrant tachycardia; PFA; Pulmonary vein isolation; Pulsed field ablation.

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Conflict of interest statement

Tillman Dahme has received speaker’s honoraria from Biosense Webster/Johnson & Johnson, Boehringer Ingelheim, Medtronic, AstraZeneca, Bayer, Daiichi Sankyo, Novartis, Sanofi Aventis; the rest of the authors have no conflicts of interest.

Figures

Figure 1
Figure 1
Electroanatomic map of the left atrium obtained with the VARIPULSE catheter (Biosense Webster, Irvine, CA) showing clockwise perimitral flutter.
Figure 2
Figure 2
Voltage map (left upper corner) and local activation time map (right upper corner) of the left atrium and termination of the tachyarrhythmia into sinus rhythm by pulsed field ablation (bottom). Ablation sites are indicated by small green dots (CARTO VISITAG grid; Biosense Webster, Irvine, CA).

References

    1. Nair DG, Gomez T, De Potter T. VARIPULSE: a step-by-step guide to pulmonary vein isolation. Cardiovasc Electrophysiol Published online July 14, 2024. https://doi.org/10.1111/jce.16366 - DOI - PubMed
    1. Duytschaever M., De Potter T., Grimaldi M., et al. Paroxysmal atrial fibrillation ablation using a novel variable-loop biphasic pulsed field ablation catheter integrated with a 3-dimensional mapping system: 1-year outcomes of the multicenter inspIRE study. Circ Arrhythm Electrophysiol. 2023;16(3) doi: 10.1161/CIRCEP.122.011780. - DOI - PMC - PubMed
    1. De Potter T., Grimaldi M., Duytschaever M., et al. Predictors of success for pulmonary vein isolation with pulsed-field ablation using a variable-loop catheter with 3D mapping integration: complete 12-month outcomes from inspIRE. Circ Arrhythm Electrophysiol. 2024;17(5) doi: 10.1161/CIRCEP.123.012667. - DOI - PMC - PubMed
    1. Reddy V.Y., Calkins H., Mansour M., et al. LB-469804-04 long-term safety and effectiveness after paroxysmal atrial fibrillation pulsed field ablation from the U.S. multicenter admIRE study. Heart Rhythm. 2024;21:1197–1198.
    1. Ammar S., Luik A., Hessling G., et al. Ablation of perimitral flutter: acute and long-term success of the modified anterior line. Europace. 2015;17:447–452. - PubMed

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