Multivessel Coronary Vasospasm Causing Cardiogenic Shock After Anatomically Remote Pulsed Field Ablation for Atrial
Kanto Saida1, Junichiro Miyamoto1, Yu Michiura1
1Department of Cardiology, Tokyo Metropolitan Bokutoh Hospital, Tokyo, Japan.
JACC. Case Reports
|June 20, 2026
Summary
Generalized coronary vasospasm is a rare but serious complication following pulsed field ablation (PFA). Prompt diagnosis via coronary angiography and vasodilator treatment are crucial for managing this potentially life-threatening condition.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Devices
Background:
- Coronary vasospasm is an uncommon complication after pulsed field ablation (PFA).
- Generalized vasospasm remote from treated sites is less understood.
- PFA is a novel cardiac ablation technology.
Keywords:
cardiogenic shockdexmedetomidineintracoronary nitroglycerinposterior wall isolationpulmonary vein isolationvasospastic anginaMore Related Videos
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