One-stop strategy combining pulmonary vein isolation with balloon-in-basket pulsed field ablation and left atrial appendage closure: a case report

This case highlights the feasibility of combining balloon-in-basket based PFA with LAAC in a single procedure. Performing ablation prior to LAAC may help avoid potential interactions between the ablation catheter and the occlusion device, while careful procedural planning can ensure optimal device sizing and complete sealing of the appendage, even in the context of post-ablation tissue changes.

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Publication Details

Journal
European Heart Journal - Case Reports
Published
2025-11-27
DOI
https://doi.org/10.1093/ehjcr/ytaf627
Primary Topic
Atrial Fibrillation Management and Outcomes
Type
article
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article

One-stop strategy combining pulmonary vein isolation with balloon-in-basket pulsed field ablation and left atrial appendage closure: a case report

David Schaack, K. R. Julian Chun, Boris Schmidt, Melanie Gunawardene et al.
European Heart Journal - Case Reports
Atrial Fibrillation Management and Outcomes
article

One-stop strategy combining pulmonary vein isolation with balloon-in-basket pulsed field ablation and left atrial appendage closure: a case report

David Schaack, K. R. Julian Chun, Boris Schmidt, Melanie Gunawardene, Lukas Urbanek
article en

Abstract

This case highlights the feasibility of combining balloon-in-basket based PFA with LAAC in a single procedure. Performing ablation prior to LAAC may help avoid potential interactions between the ablation catheter and the occlusion device, while careful procedural planning can ensure optimal device sizing and complete sealing of the appendage, even in the context of post-ablation tissue changes.

European Heart Journal - Case ReportsVol. 9(12)
Goethe University Frankfurt (DE), Universitäres Kinderwunschzentrum Lübeck (DE), Klinikum Frankfurt Höchst (DE), Cardiovascular Center Frankfurt (DE), University Hospital Frankfurt (DE), Agaplesion Bethanien Krankenhaus (DE), Agaplesion Markus Hospital (DE), Frankfurt University of Applied Sciences (DE), University of Lübeck (DE)
Openalex Percentile: Top 45%
Atrial Fibrillation Management and Outcomes
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One-stop strategy combining pulmonary vein isolation with balloon-in-basket pulsed field ablation and left atrial appendage closure: a case report — David Schaack, K. R. Julian Chun, et al. · European Heart Journal - Case Reports (2025) | TGRS Research Map | TGRS