ArticleHeart rhythm O22026
Versatility of the novel balloon-in-basket pulsed field ablation catheter: Pulmonary vein isolation and beyond.
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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13 authors.
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Abstract
Background: Pulsed field ablation is an established energy source for catheter ablation (CA) of arrhythmias. Recently, a novel balloon-in-basket pulsed field ablation (BiBPFA) catheter has been introduced; however, its use beyond pulmonary vein isolation (PVI) has not yet been studied. Objective: This study aimed to demonstrate the feasibility of versatile CA of atrial fibrillation, atrial flutter (AFL), and atrial tachycardia (AT) using the novel BiBPFA catheter. Methods: Consecutive patients undergoing CA, including index and repeat procedures, using the novel BiBPFA catheter in a single center from June 2025 to March 2026 were analyzed. CA involved PVI/re-PVI, cavotricuspid isthmus ablation, and left atrial substrate modification, including anterior lines, roof lines, posterior wall isolation, and focal ablation. Endpoints included acute procedural success and procedural safety. Results: A total of 42 patients were included (age 68.4 ± 9.7 years; CHA Conclusion: Initial experience with the novel BiBPFA catheter suggests broad procedural versatility beyond PVI, enabling effective mapping and ablation of ATs and right AFL and atrial substrate modification using a single-device approach.
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