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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Superior Vena Cava Approach for Farapulse Pulsed-Field Ablation in Patient with Paroxysmal Atrial Fibrillation: A

Qitong Zhang1, Linhua Kuang1,2, Xiaoyu Wu1

  • 1Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China.

Journal of Cardiovascular Development and Disease
|December 24, 2025
PubMed

Insights

Pulsed-field ablation (PFA) offers an alternative treatment for atrial fibrillation (AF) when standard catheter ablation is not possible. This approach, utilizing superior vena cava (SVC) access, successfully treated a patient ineligible for the typical inferior vena cava (IVC) method.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Catheter ablation is a recommended therapy for atrial fibrillation (AF).
  • The standard inferior vena cava (IVC) approach for catheter ablation is not always feasible.
  • Alternative access routes are needed for patients unsuitable for standard IVC procedures.

Keywords:
ICE-guided transseptal punctureatrial fibrillationpulsed-field ablationsuperior vena cava approach

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