Alvise Del Monte, Domenico Giovanni Della Rocca, Luigi Pannone, Giampaolo Vetta, María Cespón Fernández, Lorenzo Marcon, Ioannis Doundoulakis, Sahar Mouram, Charles Audiat, Sarah Zeriouh, Cinzia Monaco, Maysam Al Housari, Andrés Betancur, Roberto Mené, Saverio Iacopino, Antonio Sorgente, Gezim Bala, Erwin Ströker, Juan Sieira, Alexandre Almorad, Andrea Sarkozy, Serge Boveda, Carlo de Asmundis, Gian-Battista Chierchia
BACKGROUND: Pulsed field ablation (PFA) is selective for the myocardium. However, vagal responses and reversible effects on ganglionated plexi (GP) are observed during pulmonary vein isolation (PVI). Anterior-right GP ablation has been proven to effectively prevent vagal responses during radiofrequency-based PVI. OBJECTIVE: We hypothesize that PFA-induced transient anterior-right GP modulation when targeting the right superior pulmonary vein (RSPV) before any other pulmonary veins (PVs) may effectively prevent intraprocedural vagal responses...
January 28, 2024: Heart Rhythm: the Official Journal of the Heart Rhythm Society