ArticleJACC. Case reports2025
Laryngospasm During Pulsed Field Ablation of the Left Superior Pulmonary Vein.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Practical guide on the use of the PulseSelect pulsed field ablation system for atrial fibrillation ablation procedures.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026Guideline
- Ablation with the circular pulsed field ablation catheter: Tips & techniques for using the PulseSelect catheter.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Review
- Functional-anatomic mapping in cardioneuroablation: The importance of a standardized anesthesia protocol.Heart rhythm O2 · 2026Article
- Relationship between coughing and bispectral index-guided sedation during pulsed field ablation for atrial fibrillation and its impact on mid-term outcomes.Heart rhythm O2 · 2026Article
- Monitored anaesthesia care without endotracheal intubation and general anaesthesia in pulsed field atrial fibrillation ablation.European heart journal open · 2026Article
- Successful isolation of persistent left superior vena cava using very high-power, short-duration radiofrequency ablation: Case report.HeartRhythm case reports · 2026Article
- Laryngospasm during pulsed field ablation: A sign of warning for a device-specific complication?HeartRhythm case reports · 2025Article
- Difficult ventilation with suspected laryngospasm in patients undergoing pulsed field ablation for atrial fibrillation under general anesthesia using laryngeal mask airway: A case series.HeartRhythm case reports · 2025Article
- Incidence of cough reflex and vagal response among various pulsed field ablation systems: a multicenter registry study.Clinical research in cardiology : official journal of the German Cardiac Society · 2025Article
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Pulsed field ablation (PFA) is an innovative, nonthermal, and effective method for pulmonary vein isolation, with a favorable safety profile in the treatment of atrial fibrillation (AF). Case Summary: A 74-year-old woman underwent elective pulmonary vein isolation with PFA for paroxysmal AF under general anesthesia with a laryngeal mask airway. During PFA delivery to the left superior pulmonary vein, a vocal cord spasm occurred, requiring immediate airway intervention. Ventilation was restored with a muscle relaxant followed by endotracheal intubation. Discussion: Although muscle contractions and vasospasms have been documented previously during PFA, this case is the first to be reported of laryngospasm. We hypothesize that it may result from direct stimulation of the recurrent laryngeal or vagus nerve owing to the superior vein course and deep catheter positioning. Take-Home Message: Because laryngospasm may occur, preparation for acute airway obstruction management is essential during PFA for AF.
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