{Reference Type}: Case Reports
{Title}: Electroporation saves the day again: Pulsed-field ablation for phrenic nerve-sparing in right atrial tachycardia.
{Author}: Lozano-Granero C;Franco E;Matía-Francés R;Amores-Luque M;Hernández-Madrid A;Sánchez-Pérez I;Zamorano JL;Moreno J;
{Journal}: J Cardiovasc Electrophysiol
{Volume}: 0
{Issue}: 0
{Year}: 2024 Aug 13
{Factor}: 2.942
{DOI}: 10.1111/jce.16402
{Abstract}: BACKGROUND: Pulsed-field ablation (PFA) is a novel nonthermal energy that shows unique features that can be of use beyond pulmonary vein ablation, like tissue selectivity or proximity rather than contact dependency.
RESULTS: We report three cases of right focal atrial tachycardias arising from the superior cavoatrial junction and the crista terminalis, in close relationship with the phrenic nerve, effectively ablated using a commercially available PFA catheter designed for pulmonary vein isolation without collateral damage.
CONCLUSIONS: PFA can be useful for treating right atrial tachycardias involving sites near the phrenic nerve, avoiding the need for complex nerve-sparing strategies.