Safety and Feasibility of Pulsed Field Ablation With a Pentaspline Catheter in Patients With Extravascular ICD
Pulsed-field ablation (PFA) in patients with an implanted extravascular implantable cardioverter-defibrillator (EV-ICD) poses theoretical risks of electromagnetic interference or lead displacement. We report two cases of atrial fibrillation (AF) ablation using the FARAPULSE pentaspline catheter after EV-ICD implantation. In both patients, PFA was successfully performed without significant changes of the parameters/functions of the EV-ICDs. No lead dislodgement was observed on a fluoroscopy examination. These cases suggest that AF ablation using PFA can be safely performed in patients with EV-ICDs.
Authors
- Masato Fukunaga (ORCID: https://orcid.org/0000-0002-0230-4556)
- Rei Kuji
- Jun Hirokami (ORCID: https://orcid.org/0000-0001-5588-0533)
- Tomonori Katsuki (ORCID: https://orcid.org/0000-0003-1178-3832)
- Kengo Korai (ORCID: https://orcid.org/0000-0001-9676-7684)
- Norihito Oyanagi
- Keigo Misonou (ORCID: https://orcid.org/0009-0002-1155-0190)
- Kenichi Hiroshima
- Koumei Onuki (ORCID: https://orcid.org/0009-0006-5569-972X)
- M Nagashima
- Hidetaka Chinen
- Hiroki Nagai
- Maiko Kuroda
- Hiroyuki Kono
- Kenji Ando
Institutions
- Kokura Memorial Hospital (JP)
Publication Details
- Journal
- Pacing and Clinical Electrophysiology
- Published
- 2026-05-31
- DOI
- https://doi.org/10.1111/pace.70312
- Primary Topic
- Cardiac Arrhythmias and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00