Pulsed field ablation of refractory alternating atrial fibrillation and atrial flutter using Impella CP in a patient with cardiogenic shock: a case report
This case underscores the feasibility of PFA-assisted PVI and PWI with Impella CP in the management of acute AF/AFLUT-induced cardiogenic shock. It highlights the role of mechanical circulatory support in enabling successful SVT ablation in haemodynamically unstable patients, offering an alternative to atrioventricular node ablation in critical situations.
Authors
- G Mastella
- Manuel Rattka (ORCID: https://orcid.org/0000-0002-3269-3871)
- Eimo Martens (ORCID: https://orcid.org/0000-0002-5801-0901)
- Karl‐Ludwig Laugwitz (ORCID: https://orcid.org/0000-0003-4948-4846)
- Isabel Rattka
Institutions
- European Union (BE)
- German Centre for Cardiovascular Research (DE)
- ERN GUARD-Heart (NL)
- Technical University of Munich (DE)
Publication Details
- Journal
- European Heart Journal - Case Reports
- Published
- 2025-04-28
- DOI
- https://doi.org/10.1093/ehjcr/ytaf216
- Citations
- 2
- Primary Topic
- Cardiac Arrhythmias and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 2.78