Evidence map›Paper›PMID 41649435›Full record

ArticleJACC. Case reports2026

Pulsed-Field Ablation With Transcatheter Left Atrial Appendage Occlusion for Left Atrial Appendage-Origin Atrial Tachycardia.

Junya Komatsu, Hiroki Sugane, Yuki Nishimura, Nao Okamoto, Hayato Hosoda, Yoko Nakaoka, Shinji Mito, Shuichi Seki, Kazuya Kawai

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Junya KomatsuDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Hiroki SuganeDepartment of Cardiology, Chikamori Hospital, Kochi, Japan. Electronic address: skywalker6284@gmail.com.
Yuki NishimuraDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Nao OkamotoDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Hayato HosodaDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Yoko NakaokaDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Shinji MitoDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Shuichi SekiDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.
Kazuya KawaiDepartment of Cardiology, Chikamori Hospital, Kochi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulsed-field ablation (PFA) may be an emerging treatment for left atrial appendage (LAA)-origin atrial tachycardia (AT), but it may cause thrombus in the LAA. Concomitant transcatheter LAA occlusion (LAAO) may address this risk. CASE SUMMARY: A 54-year-old man with symptomatic LAA-origin AT underwent PFA. Post-PFA transesophageal echocardiography showed significant pectinate muscle edema with narrowing of the LAA orifice. To avoid late peridevice leak, a 40-mm Watchman FLX Pro (Boston Scientific) was implanted with intentional overcompression. At the 1-month follow-up, cardiac computed tomography demonstrated a complete LAA seal with adequate device compression. DISCUSSION: Concomitant PFA and LAAO is feasible for LAA-origin AT. Because PFA can induce significant edema within the LAA, device selection based on pre-PFA imaging is critical to ensure durable sealing. TAKE-HOME MESSAGES: Careful pre-PFA imaging-based device sizing is critical when combining PFA with LAAO in patients with LAA-origin AT.

Indexed as

left atrial appendage closure and catheter ablationleft atrial appendage isolationpulse field ablation

Identifiers

PMID41649435
PMCPMC13008510

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