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Use of optimal fluoroscopic angulation to facilitate effective pulsed field ablation in a patient with atrial fibrillation
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  • Shintaro Yamagami,
  • Shumpei Mori,
  • Tomohiro Sato,
  • Toyoki Okuda,
  • Tsukasa Motoyoshi,
  • Hirokazu Kondo,
  • Toshihiro Tamura
Shintaro Yamagami
Tenri Yorozu Sodanjo Igaku Kenkyujo

Corresponding Author:milky323@kuhp.kyoto-u.ac.jp

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Shumpei Mori
University of California Los Angeles David Geffen School of Medicine
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Tomohiro Sato
Tenri Yorozu Sodanjo Igaku Kenkyujo
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Toyoki Okuda
Tenri Yorozu Sodanjo Igaku Kenkyujo
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Tsukasa Motoyoshi
Tenri Yorozu Sodanjo Igaku Kenkyujo
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Hirokazu Kondo
Tenri Yorozu Sodanjo Igaku Kenkyujo
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Toshihiro Tamura
Tenri Yorozu Sodanjo Igaku Kenkyujo
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Abstract

Introduction: This case report describes the use of a PulseSelect™ catheter in a patient with atrial fibrillation (AF), using optimal fluoroscopic angulation to ensure tissue-catheter contact during pulsed field ablation (PFA). Methods and Results: A 51-year-old woman with paroxysmal AF underwent PFA using a PulseSelect™ catheter. Preprocedural cardiac computed tomography was used to identify the optimal fluoroscopic angulations for obtaining en face and perpendicular views for pulmonary vein isolation (PVI). Complete PVI was achieved, with no AF recurrence within a 3-month follow-up. Conclusion: This case demonstrates the feasibility of obtaining and applying optimal fluoroscopic angulation during PFA using the PulseSelect™.