Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT

Pulsed-field ablation (PFA) is a promising, nonthermal energy allowing efficient and safe pulmonary vein isolation during atrial fibrillation catheter ablation. We present here a case of successful PFA-based ventricular tachycardia (VT) ablation as a bail-out strategy for refractory incessant VT. Cl...

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Main Authors: Pierre Ollitrault, MD, MSc, Jonaz Font, MD, MSc, Alina Denisenko, MD, Mayane Al Khoury, MD, Jean-Baptiste Decros, MD, Virginie Ferchaud, MD, MSc, Arnaud Pellissier, MD, Paul-Ursmar Milliez, MD, PhD, Laure Champ-Rigot, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:JACC: Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666084925006382
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author Pierre Ollitrault, MD, MSc
Jonaz Font, MD, MSc
Alina Denisenko, MD
Mayane Al Khoury, MD
Jean-Baptiste Decros, MD
Virginie Ferchaud, MD, MSc
Arnaud Pellissier, MD
Paul-Ursmar Milliez, MD, PhD
Laure Champ-Rigot, MD, PhD
author_facet Pierre Ollitrault, MD, MSc
Jonaz Font, MD, MSc
Alina Denisenko, MD
Mayane Al Khoury, MD
Jean-Baptiste Decros, MD
Virginie Ferchaud, MD, MSc
Arnaud Pellissier, MD
Paul-Ursmar Milliez, MD, PhD
Laure Champ-Rigot, MD, PhD
author_sort Pierre Ollitrault, MD, MSc
collection DOAJ
description Pulsed-field ablation (PFA) is a promising, nonthermal energy allowing efficient and safe pulmonary vein isolation during atrial fibrillation catheter ablation. We present here a case of successful PFA-based ventricular tachycardia (VT) ablation as a bail-out strategy for refractory incessant VT. Clinical evidence regarding the efficacy and safety of PFA-based VT ablation is limited to rare case reports. The present case report shows the potential benefits of PFA in terms of efficiency and safety in selected patients but still with limitations that must be addressed by future technological developments.
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series JACC: Case Reports
spelling doaj-art-fa3cb5ed05c24b64a7fa2f161f4aed1d2025-07-04T04:46:55ZengElsevierJACC: Case Reports2666-08492025-07-013017103860Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VTPierre Ollitrault, MD, MSc0Jonaz Font, MD, MSc1Alina Denisenko, MD2Mayane Al Khoury, MD3Jean-Baptiste Decros, MD4Virginie Ferchaud, MD, MSc5Arnaud Pellissier, MD6Paul-Ursmar Milliez, MD, PhD7Laure Champ-Rigot, MD, PhD8Department of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, France; Address for correspondence: Dr Pierre Ollitrault, Department of Cardiology, Regional University Hospital, Av. De la Cote de Nacre CS, 30001, 14000 Caen, Normandy, France.Department of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Anesthesiology and Critical Care, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Anesthesiology and Critical Care, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, FranceDepartment of Cardiology, Caen University Hospital, Normandie University, UniCaen, Caen, FrancePulsed-field ablation (PFA) is a promising, nonthermal energy allowing efficient and safe pulmonary vein isolation during atrial fibrillation catheter ablation. We present here a case of successful PFA-based ventricular tachycardia (VT) ablation as a bail-out strategy for refractory incessant VT. Clinical evidence regarding the efficacy and safety of PFA-based VT ablation is limited to rare case reports. The present case report shows the potential benefits of PFA in terms of efficiency and safety in selected patients but still with limitations that must be addressed by future technological developments.http://www.sciencedirect.com/science/article/pii/S2666084925006382case reportcatheter ablationpulsed-field ablationventricular tachycardiaventricular tachycardia storm
spellingShingle Pierre Ollitrault, MD, MSc
Jonaz Font, MD, MSc
Alina Denisenko, MD
Mayane Al Khoury, MD
Jean-Baptiste Decros, MD
Virginie Ferchaud, MD, MSc
Arnaud Pellissier, MD
Paul-Ursmar Milliez, MD, PhD
Laure Champ-Rigot, MD, PhD
Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT
JACC: Case Reports
case report
catheter ablation
pulsed-field ablation
ventricular tachycardia
ventricular tachycardia storm
title Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT
title_full Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT
title_fullStr Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT
title_full_unstemmed Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT
title_short Emergency Pulsed-Field Ablation as a Bail-Out Strategy for Refractory Incessant VT
title_sort emergency pulsed field ablation as a bail out strategy for refractory incessant vt
topic case report
catheter ablation
pulsed-field ablation
ventricular tachycardia
ventricular tachycardia storm
url http://www.sciencedirect.com/science/article/pii/S2666084925006382
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