Evidence map›Paper›PMID 40823514›Full record

ArticleEuropean heart journal. Case reports2025

Streamlined concomitant pulse field ablation-based pulmonary vein isolation and left atrial appendage occlusion via a single venous access approach: a case report.

Christian-H Heeger, Henning Rolfes, Lena Böttcher, Felix Meincke, Martin W Bergmann

Abstract readCase Reports
In one paragraph

Article in European heart journal. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. COnCOmitaNt pulsed field ablation-based pUlmonary vein isolation and lefT atrial appendage closure: the COCONUT study.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 · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Christian-H HeegerDepartment of Rhythmology, Cardiology and Internal Medicine, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, Hamburg 22763, Germany.ORCID https://orcid.org/0000-0002-9014-8097
Henning RolfesDepartment of Rhythmology, Cardiology and Internal Medicine, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, Hamburg 22763, Germany.
Lena BöttcherDepartment of Rhythmology, Cardiology and Internal Medicine, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, Hamburg 22763, Germany.
Felix MeinckeDepartment of Rhythmology, Cardiology and Internal Medicine, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, Hamburg 22763, Germany.ORCID https://orcid.org/0000-0002-6636-8444
Martin W BergmannDepartment of Rhythmology, Cardiology and Internal Medicine, Asklepios Klinik Altona, Paul-Ehrlich-Straße 1, Hamburg 22763, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pulsed field ablation (PFA) is a novel non-thermal cardiac ablation method utilizing irreversible electroporation which has been introduced especially for treatment of atrial fibrillation (AF) by pulmonary vein isolation (PVI). Interventional left atrial appendage closure (LAAC) is an alternative to oral anticoagulation (OAC) in patients with non-valvular AF and high stroke risk who are ineligible for OAC. A concomitant PVI and LAAC might be beneficial for patients. Case summary: In an 82-year-old male patient with symptomatic persistent AF, CHA Discussion: A streamlined concomitant PFA-based PVI and LAAC procedure utilizing FARAPULSE and WATCHMAN FLX devices seems to be feasible and safe. Swelling of the ridge after PVI was observed; however, the sizing measurements have been performed prior PVI, and the LAAC procedure was successful with no evidence for gaps or leakage. A concomitant approach might be a suitable option for selected patients.

Indexed as

Case reportLeft atrial appendage closurePulmonary vein isolationPulsed field ablation

Identifiers

PMID40823514
PMCPMC12352103

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.