Best of Heart Rhythm Case Reports for 2024-Best of Heart Rhythm Case Reports for 2024

Video Transcription

Video Summary

The session presented various case studies and discussions in the field of electrophysiology, focusing on pulse field ablation (PFA) and its application in unique clinical scenarios, alongside other techniques used in managing complex arrhythmias. Notably, Dr. Frederic and Francis Chee presented on the importance of monitoring phrenic nerve palsy during PFA procedures due to potential nerve damage identified through a case study with follow-up analyses. Dr. Yuhei Kasai highlighted the use of high-density mapping for ventricular fibrillation storm management, emphasizing strategies like Purkinje denetworking and substrate debulking.<br /><br />A particular case from a 60-year-old male with a persistent left superior vena cava (a rare but significant anatomical variance) was managed using PFA, which resulted in addressing potential arrhythmogenic sites and minimizing complications. The session also addressed challenges such as skin burns associated with high-power radiofrequency ablation in patients with higher BMI and emphasized preventative measures like optimal pad placement and use of multiple indifferent electrodes.<br /><br />Pulse field ablation emerged as a beneficial alternative to traditional thermal ablation due to its selective tissue targeting, minimization of collateral damage to surrounding structures like the esophagus, and efficiency in treating arrhythmias amidst complex anatomical conditions. Additionally, the session highlighted learning points from these practices, such as the importance of tailored ablation strategies and monitoring complications to improve procedural outcomes. The conclusion reinforced the necessity for continued research and comprehensive data analysis to better understand and mitigate complications associated with these advanced cardiac intervention techniques.

Keywords

electrophysiology

pulse field ablation

PFA

arrhythmias

phrenic nerve palsy

high-density mapping

ventricular fibrillation

thermal ablation

cardiac intervention

clinical case studies