Acute kidney injury after pulsed field ablation in a patient with Waldenström’s macroglobulinemia: A case report
Pulsed field ablation (PFA) has recently gained prominence as an effective and myocardial-selective energy source for the treatment of atrial fibrillation (AF). Unlike conventional thermal ablation such as radiofrequency and cryoballoon ablation, PFA induces myocardial cell death through electroporation by delivering high-voltage, short-duration electrical fields, while selectively preserving adjacent noncardiac structures, including the esophagus and phrenic nerve.1,2 Although PFA is associated with a favorable safety profile, emerging evidence suggests that procedure-related hemolysis may occur, potentially leading to acute kidney injury (AKI).
Authors
- Masanaru Sawada (ORCID: https://orcid.org/0000-0002-9663-7617)
- Koichi Nagashima (ORCID: https://orcid.org/0000-0003-2326-225X)
- Shun Ito (ORCID: https://orcid.org/0000-0001-8830-8103)
- Moyuru Hirata (ORCID: https://orcid.org/0000-0003-2701-486X)
- Yuji Wakamatsu (ORCID: https://orcid.org/0000-0002-1540-8514)
- Naoto Otsuka
- Hideki Nakamura (ORCID: https://orcid.org/0000-0002-5837-6348)
- Ryuta Watanabe (ORCID: https://orcid.org/0000-0003-2664-7139)
- Sayaka Kurokawa (ORCID: https://orcid.org/0000-0002-7989-3985)
- Shu Hirata
- Yasuo Okumura (ORCID: https://orcid.org/0000-0002-5734-4811)
- Yuji Saito
- Shimon Otake
- Katsuhiro Miura
Institutions
- Nihon University (JP)
Publication Details
- Journal
- HeartRhythm Case Reports
- Published
- 2025-08-12
- DOI
- https://doi.org/10.1016/j.hrcr.2025.08.007
- Citations
- 2
- Primary Topic
- Chronic Lymphocytic Leukemia Research
- Type
- article
- Field-Weighted Citation Impact
- 3.25