ArticleHeart rhythm O22026
Feasibility and safety of a novel very-high-power short-duration ablation strategy for superior vena cava isolation.
Article in Heart rhythm O2, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The optimal radiofrequency (RF) settings for superior vena cava isolation (SVCI), including RF delivery to the lateral superior vena cava segments, which are associated with a risk of phrenic nerve injury (PNI), remain uncertain. Objective: This study aimed to evaluate the clinical feasibility and safety of a novel RF setting of 70 W for 4 seconds for SVCI. Methods: A total of 148 patients undergoing initial SVCI were retrospectively analyzed: 77 received 70 W/4 seconds ablation (70 W group), and 71 received conventional middle-power middle-duration ablation (30-40 W group). Between-group comparisons were performed for procedural outcomes, lesion characteristics, and complications. Results: Procedural success was achieved in all patients in the 70 W group and 96% of the 30-40 W group ( Conclusion: SVCI using 70 W/4 seconds ablation achieved comparable procedural success with significantly reduced ablation time and energy without increasing the risk of PNI even in the lateral superior vena cava segment.
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