Unexpected acute kidney injury requiring dialysis after routine pulsed field pulmonary vein isolation: a case report

While prior experience suggests that limiting PFA applications to fewer than 70 may reduce the risk of haemolysis-associated renal injury, this case demonstrates that even with 40 applications and minimal systemic haemolysis, AKI requiring dialysis can occur. This highlights the need for heightened vigilance, early fluid management, and prompt intervention to support renal recovery after PFA.