Termination of Superior Vena Cava- Focal Atrial Tachycardia Using
FARAWAVE Pulse Field Ablation: A Case Report
Abstract
Pulse field ablation (PFA) has shown great promise as a non-thermal
approach for atrial fibrillation (AF) and atrial tachycardias ablation,
avoiding complications faced with traditional radiofrequency (RF) and
cryoablation techniques. In this case report, we detail the effective
ablation using the FARAWAVE PFA system to ablate a focal atrial
tachycardia originating from the superior vena cava (SVC) in a
60-year-old male patient with a history of paroxysmal AF and prior RF
ablation. Despite adhering to his medical therapy, the patient continued
to experience symptoms. The catheter ablation done under general
anesthesia involved multiple ablations in a basket configuration to
isolate the SVC, successfully eliminating the tachycardia. This case
underscores the adaptability of PFA in treating complex arrhythmias
beyond pulmonary vein isolation and its potential to minimize procedural
complications compared to conventional ablation methods. The safety and
efficacy of PFA, particularly in challenging anatomical areas like the
SVC, are highlighted by this case. Further studies are needed to assess
long-term outcomes and establish the FARAWAVE catheter in the PFA as a
safe and effective treatment for atrial tachycardias in hard-to-reach
locations.