Zero-fluoroscopy ablation with multielectrode pulse field ablation system: Case series

Abstract

Pulse field ablation (PFA) is a novel nonthermal ablation modality for treatment of atrial fibrillation. While mostly lacking 3D electroanatomical mapping integration, reported radiation doses in procedures using multielectrode PFA catheters are relatively high. We report a first case series of three patients where a zero-fluoroscopy approach by intracardiac echocardiography was utilized and present a possible workflow for zero-fluoroscopy ablation with the Farapulse PFA system.

Keywords: Farapulse; fluoroless ablation; intracardiac echocardiography; pulse field ablation; zero-fluoroscopy.