Pulsed field surgical ablation treatment for atrial fibrillation: The first case report_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Jian ^1,2 , LIU Fangzhou ^1,2 , GUO Haijiang ^1,2 , LIN Weidong ^1,2 , LIU Haozhong ^1,2,3 , TAN Tong ^1,2 , MA Jianrui ^1,2,3 , HUANG Huanlei ^1,2 , XUE Yumei ^1,2 , CHEN Jimei ^1,2 , ZHUANG Jian ^1,2 ,  GUO Huiming ^1,2

1. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, 510080, P. R. China;
2. Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, 510080, P. R. China;
3. Shantou University Medical College, Shantou, 515041, Guangdong, P. R. China;

Corresponding author：

GUO Huiming, Email: guohuiming@gdph.org.cn

Keywords：

Atrial fibrillation; surgical treatment; pulsed field ablation; new energy source; case report

DOI：

10.7507/1007-4848.202307020

Video：

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Atrial fibrillation is a common clinical arrhythmia with a high incidence. The main clinical treatment methods for atrial fibrillation at present include radiofrequency catheter ablation and cryoablation. In recent years, pulsed field ablation, a new energy source with tissue specificity, is gradually being used in clinical practice. This article presents the world's first case of atrial fibrillation treated with pulsed field surgical ablation, in which the patient underwent surgical intervention of the valves and coronary arteries at the same time and recovered to sinus rhythm intraoperatively. 24 hour-Holter electrocardiogram after 1 month and 3 months showed no atrial fibrillation. The patient’s symptoms, cardiac function, and quality of life improved significantly.

Citation： LIU Jian, LIU Fangzhou, GUO Haijiang, LIN Weidong, LIU Haozhong, TAN Tong, MA Jianrui, HUANG Huanlei, XUE Yumei, CHEN Jimei, ZHUANG Jian, GUO Huiming. Pulsed field surgical ablation treatment for atrial fibrillation: The first case report. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(11): 1656-1659. doi: 10.7507/1007-4848.202307020 Copy

1.	Zimetbaum P. Atrial fibrillation. Ann Intern Med, 2017, 166(5): ITC33-ITC48.33-48.
2.	Wingerter R, Steiger N, Burrows A, et al. Impact of lifestyle modification on atrial fibrillation. Am J Cardiol, 2020, 125(2): 289-297.
3.	Calkins H, Hindricks G, Cappato R, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Europace, 2018, 20(1): e1-e160.
4.	Knotts RJ, Barbhaiya CR. High-power, short-duration ablation for atrial fibrillation: Pros and cons. Prog Cardiovasc Dis, 2021, 66: 86-91.
5.	Aksu T, Yalin K, Guler TE, et al. Acute procedural complications of cryoballoon ablation: A comprehensive review. J Atr Fibrillation, 2019, 12(3): 2208.
6.	Verma A, Asivatham SJ, Deneke T, et al. Primer on pulsed electrical field ablation: Understanding the benefits and limitations. Circ Arrhythm Electrophysiol, 2021, 14(9): e010086.
7.	Reddy VY, Neuzil P, Koruth JS, et al. Pulsed field ablation for pulmonary vein isolation in atrial fibrillation. J Am Coll Cardiol, 2019, 74(3): 315-326.
8.	Reddy VY, Anic A, Koruth J, et al. Pulsed field ablation in patients with persistent atrial fibrillation. J Am Coll Cardiol, 2020, 76(9): 1068-1080.
9.	Reddy VY, Dukkipati SR, Neuzil P, et al. Pulsed field ablation of paroxysmal atrial fibrillation: 1-year outcomes of IMPULSE, PEFCAT, and PEFCATⅡ. JACC Clin Electrophysiol, 2021, 7(5): 614-627.
10.	Verma A, Haines DE, Boersma LV, et al. Pulsed field ablation for the treatment of atrial fibrillation: PULSED AF Pivotal Trial. Circulation, 2023, 147(19): 1422-1432.
11.	Lemoine MD, Mencke C, Nies M, et al. Pulmonary vein isolation by pulsed-field ablation induces less neurocardiac damage than cryoballoon ablation. Circ Arrhythm Electrophysiol, 2023, 16(4): e011598.
12.	Di Monaco A, Vitulano N, Troisi F, et al. Pulsed field ablation to treat atrial fibrillation: A review of the literature. J Cardiovasc Dev Dis, 2022, 9(4): 94.
13.	Kaminska I, Kotulska M, Stecka A, et al. Electroporation-induced changes in normal immature rat myoblasts (H9C2). Gen Physiol Biophys, 2012, 31(1): 19-25.
14.	Neven K, van Es R, van Driel V, et al. Acute and long-term effects of full-power electroporation ablation directly on the porcine esophagus. Circ Arrhythm Electrophysiol, 2017, 10(5): e004672.
15.	van Zyl M, Asirvatham SJ. Safety and efficacy with pulsed field ablation: Having the cake and eating it too. Circ Arrhythm Electrophysiol, 2023, 16(4): e011955.

1. Zimetbaum P. Atrial fibrillation. Ann Intern Med, 2017, 166(5): ITC33-ITC48.33-48.
2. Wingerter R, Steiger N, Burrows A, et al. Impact of lifestyle modification on atrial fibrillation. Am J Cardiol, 2020, 125(2): 289-297.
3. Calkins H, Hindricks G, Cappato R, et al. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation. Europace, 2018, 20(1): e1-e160.
4. Knotts RJ, Barbhaiya CR. High-power, short-duration ablation for atrial fibrillation: Pros and cons. Prog Cardiovasc Dis, 2021, 66: 86-91.
5. Aksu T, Yalin K, Guler TE, et al. Acute procedural complications of cryoballoon ablation: A comprehensive review. J Atr Fibrillation, 2019, 12(3): 2208.
6. Verma A, Asivatham SJ, Deneke T, et al. Primer on pulsed electrical field ablation: Understanding the benefits and limitations. Circ Arrhythm Electrophysiol, 2021, 14(9): e010086.
7. Reddy VY, Neuzil P, Koruth JS, et al. Pulsed field ablation for pulmonary vein isolation in atrial fibrillation. J Am Coll Cardiol, 2019, 74(3): 315-326.
8. Reddy VY, Anic A, Koruth J, et al. Pulsed field ablation in patients with persistent atrial fibrillation. J Am Coll Cardiol, 2020, 76(9): 1068-1080.
9. Reddy VY, Dukkipati SR, Neuzil P, et al. Pulsed field ablation of paroxysmal atrial fibrillation: 1-year outcomes of IMPULSE, PEFCAT, and PEFCATⅡ. JACC Clin Electrophysiol, 2021, 7(5): 614-627.
10. Verma A, Haines DE, Boersma LV, et al. Pulsed field ablation for the treatment of atrial fibrillation: PULSED AF Pivotal Trial. Circulation, 2023, 147(19): 1422-1432.
11. Lemoine MD, Mencke C, Nies M, et al. Pulmonary vein isolation by pulsed-field ablation induces less neurocardiac damage than cryoballoon ablation. Circ Arrhythm Electrophysiol, 2023, 16(4): e011598.
12. Di Monaco A, Vitulano N, Troisi F, et al. Pulsed field ablation to treat atrial fibrillation: A review of the literature. J Cardiovasc Dev Dis, 2022, 9(4): 94.
13. Kaminska I, Kotulska M, Stecka A, et al. Electroporation-induced changes in normal immature rat myoblasts (H9C2). Gen Physiol Biophys, 2012, 31(1): 19-25.
14. Neven K, van Es R, van Driel V, et al. Acute and long-term effects of full-power electroporation ablation directly on the porcine esophagus. Circ Arrhythm Electrophysiol, 2017, 10(5): e004672.
15. van Zyl M, Asirvatham SJ. Safety and efficacy with pulsed field ablation: Having the cake and eating it too. Circ Arrhythm Electrophysiol, 2023, 16(4): e011955.

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