ArticleHeart rhythm O22026
"Awake and Ablated": First experience with a balloon-in-basket PFA system without propofol.
Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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.
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Who cites it
7 citing papers in PubMed.
- Anaesthetic Techniques for Cardiac Ablation-A Scoping Review.Acta anaesthesiologica Scandinavica · 2026Article
- Monitored anesthesia care versus general anesthesia for balloon-in-basket pulsed-field ablation of atrial fibrillation: an age-matched analysis of procedural timing and acute procedural outcomes.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026Article
- Successful isolation of arrhythmogenic superior vena cava via balloon-in-basket pulsed field ablation: Overcoming phrenic nerve proximity.HeartRhythm case reports · 2026Article
- Versatility of the novel balloon-in-basket pulsed field ablation catheter: Pulmonary vein isolation and beyond.Heart rhythm O2 · 2026Article
- Transient phrenic nerve stunning during superior vena cava isolation after focal pulsed field ablation.HeartRhythm case reports · 2026Article
- Pulmonary vein isolation using a novel balloon-in-basket pulsed field ablation system: The Lübeck how-to protocol.Heart rhythm O2 · 2026Article
- Biomarker response to balloon-in-basket pulsed field ablation: does posterior wall isolation matter?Frontiers in cardiovascular medicine · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Pulsed field ablation (PFA) is a novel technique for pulmonary vein isolation (PVI) in atrial fibrillation, offering myocardial selectivity and a favorable safety profile. The balloon-in-basket (BiB)-PFA system enables circumferential PVI with optimized tissue contact. PFA is typically performed under deep sedation or general anesthesia, increasing procedural risk and logistical burden. Objective: This study evaluated the safety, feasibility, and patient experience of BiB-PVI under conscious sedation, keeping patients awake and avoiding routine use of propofol. Methods: Consecutive patients undergoing de novo PVI were prospectively enrolled. Conscious sedation included fentanyl, midazolam, metamizole, and lidocaine; propofol was used for direct-current cardioversion only. Patient experience was assessed via structured questionnaires at 3 time points: during ablation and 1 hour and 1 day after the procedure. Pain, dyspnea, and anxiety were rated on numeric rating scales (0-10); satisfaction and recommendation were rated on visual analog scales (0%-100%). Results: 14 patients (86% male; age 70.6 ± 9.8 years; BMI 27.7 ± 3.7 kg/m Conclusion: PFA using the BiB-PFA system under conscious sedation is safe, feasible, and well tolerated, enabling streamlined workflows with high patient satisfaction.
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