Pulsed electric field and radiofrequency ablation for paroxysmal supraventricular tachycardia: a propensity score-matched comparison (PFA-SVT study)

Rehorn M, Sacks NC, Emden MR, Healey B, Preib MT, Cyr PL, Pokorney SD (2021) Prevalence and incidence of patients with paroxysmal supraventricular tachycardia in the United States. J Cardiovasc Electrophysiol 32(8):2199–2206

Article  PubMed  Google Scholar 

Naccarelli GV, Shih HT, Jalal S (1995) Catheter ablation for the treatment of paroxysmal supraventricular tachycardia. J Cardiovasc Electrophysiol 6(10 Pt 2):951–961

Article  CAS  PubMed  Google Scholar 

Nakagawa H, Jackman WM (2007) Catheter ablation of paroxysmal supraventricular tachycardia. Circulation 116(21):2465–2478

Article  PubMed  Google Scholar 

Doldi F, Geßler N, Anwar O, Kahle AK, Scherschel K, Rath B, Köbe J, Lange PS, Frommeyer G, Metzner A et al (2023) In-hospital mortality and major complications related to radiofrequency catheter ablations of over 10 000 supraventricular arrhythmias from 2005 to 2020: individualized case analysis of multicentric administrative data. EP Europace 25(1):130–136

Article  PubMed  PubMed Central  Google Scholar 

Chrispin J, Misra S, Marine JE, Rickard J, Barth A, Kolandaivelu A, Ashikaga H, Tandri H, Spragg DD, Crosson J et al (2018) Current management and clinical outcomes for catheter ablation of atrioventricular nodal re-entrant tachycardia. Europace 20(4):e51–e59

Article  PubMed  Google Scholar 

Holmqvist F, Kesek M, Englund A, Blomström-Lundqvist C, Karlsson LO, Kennebäck G, Poçi D, Samo-Ayou R, Sigurjónsdóttir R, Ringborn M et al (2019) A decade of catheter ablation of cardiac arrhythmias in Sweden: ablation practices and outcomes. Eur Heart J 40(10):820–830

Article  PubMed  PubMed Central  Google Scholar 

Sawan N, Eitel C, Thiele H, Tilz R (2016) Ablation of supraventricular tachycardias : complications and emergencies. Herzschrittmacherther Elektrophysiol 27(2):143–150

Article  CAS  PubMed  Google Scholar 

Eckardt L, Doldi F, Anwar O, Gessler N, Scherschel K, Kahle AK, von Falkenhausen AS, Thaler R, Wolfes J, Metzner A et al (2023) Major in-hospital complications after catheter ablation of cardiac arrhythmias: individual case analysis of 43 031 procedures. Europace. https://doi.org/10.1093/europace/euad361

Article  PubMed  PubMed Central  Google Scholar 

Clague JR, Dagres N, Kottkamp H, Breithardt G, Borggrefe M (2001) Targeting the slow pathway for atrioventricular nodal reentrant tachycardia: initial results and long-term follow-up in 379 consecutive patients. Eur Heart J 22(1):82–88

Article  CAS  PubMed  Google Scholar 

Brugada J, Katritsis DG, Arbelo E, Arribas F, Bax JJ, Blomström-Lundqvist C, Calkins H, Corrado D, Deftereos SG, Diller GP et al (2020) 2019 ESC guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC). Eur Heart J 41(5):655–720

Article  PubMed  Google Scholar 

Dos Santos Sousa IB, Chokr MO, Melo SL, Pisani CF, Hardy CA, de Moura LG, Sacilotto L, Wu TC, Darrieux FCC, Scanavacca MI (2024) Comparison between cryotherapy and radiofrequency energy sources for parahisian accessory pathway percutaneous ablation. J Interv Card Electrophysiol 67(9):1981–1991

Article  PubMed  Google Scholar 

Piccini JP, Russo AM, Sharma PS, Kron J, Tzou W, Sauer W, Park DS, Birgersdotter-Green U, Frankel DS, Healey JS et al (2022) Advances in cardiac electrophysiology. Circ Arrhythm Electrophysiol 15(12):e009911

Article  PubMed  Google Scholar 

Baykaner T, Fazal M, Verma A (2022) Taking the “pulse” of pulsed-field ablation: real-world experience. J Cardiovasc Electrophysiol 33(3):357–359

Article  PubMed  PubMed Central  Google Scholar 

Moshkovits Y, Grynberg D, Heller E, Maizels L, Maor E (2023) Differential effect of high-frequency electroporation on myocardium vs. non-myocardial tissues. EP Europace 25(2):748–755

Article  Google Scholar 

Casciola M, Keck D, Feaster TK, Blinova K (2022) Human cardiomyocytes are more susceptible to irreversible electroporation by pulsed electric field than human esophageal cells. Physiol Rep 10(20):e15493

Article  PubMed  PubMed Central  Google Scholar 

Reddy VY, Gerstenfeld EP, Natale A, Whang W, Cuoco FA, Patel C, Mountantonakis SE, Gibson DN, Harding JD, Ellis CR et al (2023) Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation. N Engl J Med 389(18):1660–1671

Article  CAS  PubMed  Google Scholar 

Ekanem E, Neuzil P, Reichlin T, Kautzner J, van der Voort P, Jais P, Chierchia GB, Bulava A, Blaauw Y, Skala T et al (2024) Safety of pulsed field ablation in more than 17,000 patients with atrial fibrillation in the MANIFEST-17K study. Nat Med 30(7):2020–2029

Article  CAS  PubMed  PubMed Central  Google Scholar 

Verma A, Boersma L, Haines DE, Natale A, Marchlinski FE, Sanders P, Calkins H, Packer DL, Hummel J, Onal B et al (2022) First-in-human experience and acute procedural outcomes using a novel pulsed field ablation system: the PULSED AF pilot trial. Circ Arrhythm Electrophysiol 15(1):e010168

Article  CAS  PubMed  Google Scholar 

Gómez-Torres F, Ruíz-Sauri A (2021) Morphometric analysis of the His bundle (atrioventricular fascicle) in humans and other animal species. Histological and immunohistochemical study. Vet Res Commun 45(4):319–327

Article  PubMed  Google Scholar 

Zhai Z, Ling Y, Wang Y, Shi L, Liu X (2024) Preclinical evaluation of reversible pulsed electrical field: electrophysiological and histological assessment of myocardium. Front Cardiovasc Med 11:1426920

Article  PubMed  PubMed Central  Google Scholar 

van Zyl M, Ladejobi AO, Tri JA, Yasin OZ, Connolly RJ, Danitz DJ, DeSimone CV, Killu AM, Maor E, Asirvatham SJ (2021) Reversible atrioventricular conduction impairment following bipolar nanosecond electroporation of the interventricular septum. JACC Clin Electrophysiol 7(2):255–257

Article  PubMed  Google Scholar 

Zeng R, Li F, Jiang J, Cui K, Yang Q, Gao J, Zhu X, Shi T, Li W, Tong Y et al (2024) The safety and feasibility of pulsed-field ablation in atrioventricular nodal re-entrant tachycardia: first-in-human pilot trial. JACC Clin Electrophysiol 10(1):82–92

Article  PubMed  Google Scholar 

Li F, Gong A, Hu H, Cui K, Yang Q, Pu X, Chen S, Jiang J, Fu H, Liu H et al (2024) Pulsed field ablation of paroxysmal supraventricular tachycardia: a prospective multicenter single-arm study in China. Circ Arrhythm Electrophysiol 17(12):e013206

Article  CAS  PubMed  Google Scholar 

Shen C, Du X, Dai J, Feng M, Yu Y, Liu J, Fu G, Wang B, Jiang Y, Jin H et al (2024) Outcomes of focal pulsed field ablation for paroxysmal supraventricular tachycardia. Can J Cardiol 40(7):1294–1303

PubMed  Google Scholar 

Shen C, Jia Z, Yu Y, Feng M, Du X, Fu G, Yu L, Wu T, Jiang Y, Jin H et al (2024) Efficacy and safety of pulsed field ablation for accessory pathways: a pilot study. Europace. https://doi.org/10.1093/europace/euae139

Article  PubMed  PubMed Central  Google Scholar 

Brachmann J, Lewalter T, Kuck KH, Andresen D, Willems S, Spitzer SG, Straube F, Schumacher B, Eckardt L, Danilovic D et al (2017) Long-term symptom improvement and patient satisfaction following catheter ablation of supraventricular tachycardia: insights from the German ablation registry. Eur Heart J 38(17):1317–1326

Article  PubMed  Google Scholar 

Porter MJ, Morton JB, Denman R, Lin AC, Tierney S, Santucci PA, Cai JJ, Madsen N, Wilber DJ (2004) Influence of age and gender on the mechanism of supraventricular tachycardia. Heart Rhythm 1(4):393–396

Article  PubMed  Google Scholar 

Pokorney SDSS, Wood K, Bharucha D, Granger B, Desai N (2024) Characterizing paroxysmal supraventricular tachycardia episodes by patient-perceived episode duration, symptoms, and severity: longitudinal patient-reported outcomes. Europace. https://doi.org/10.1093/europace/euae102.267

Article  PubMed Central  Google Scholar 

Xue Y, Zhan X, Wu S, Wang H, Liu Y, Liao Z, Deng H, Duan X, Zeng S, Liang D et al (2017) Experimental, pathologic, and clinical findings of radiofrequency catheter ablation of para-hisian region from the right ventricle in dogs and humans. Circ Arrhythm Electrophysiol. https://doi.org/10.1161/CIRCEP.116.005207

Article  PubMed  Google Scholar 

Sawalha K, Pundlik S, Khawaja U, Seraj S, Abdelazeem M, Abozenah M, Chalhoub F (2026) Safety and outcomes of pulsedfield ablation in the management of supraventricular arrhythmia: A systematic review. Trends Cardiovasc Med 36(1):37-42. https://doi.org/10.1016/j.tcm.2025.07.008

Katritsis DG (2018) Catheter ablation of atrioventricular nodal re-entrant tachycardia: facts and fiction. Arrhythm Electrophysiol Rev 7(4):230–231

Article  PubMed  PubMed Central  Google Scholar 

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