Journal: HeartRhythm Case Reports
Article Title: Pulmonary vein isolation with pentaspline pulsed field ablation catheter from an axillary venous approach in a patient with interrupted inferior vena cava: First US report
doi: 10.1016/j.hrcr.2024.12.016
Figure Lengend Snippet: Sequential fluoroscopy views of the transseptal access ( A–C ) and pulsed field ablation procedure ( D–F ). A: Transseptal access was obtained with a deflectable 40-cm Agilis sheath (Abbott, Chicago, IL) and 0.025-in endovascular TorayGuide wire (Toray Industries Inc, New York, NY). B: A balloon septostomy was performed with an 8-mm × 40-mm over-the-wire Charger TM balloon dilatation catheter (Boston Scientific, Marlborough, MA). C: A Lunderquist Extra-Stiff Double Curved Wire Guide (Cook Medical, Bloomington, IN) was used as a rail to advance the FaraDrive steerable sheath (Boston Scientific) for the pentaspline FaraWave PFA catheter (Boston Scientific). D: The left-sided pulmonary veins were targeted with a direct approach. E: A reverse-curl was used to engage the right-sided veins. F: The cavotricuspid isthmus was ablated with a direct approach with the FaraWave catheter in the flower mode.
Article Snippet: C: A Lunderquist Extra-Stiff Double Curved Wire Guide (Cook Medical, Bloomington, IN) was used as a rail to advance the FaraDrive steerable sheath (Boston Scientific) for the pentaspline FaraWave PFA catheter (Boston Scientific).
Techniques: