First report of cerebral embolic protection system use during combined
atrial fibrillation Pulse Field Ablation and left atrial appendage
Introduction: Recently, a novel non-thermal ablation modality,
Pulse Field Ablation (PFA), has been introduced in clinical practice.
Case report: Because there were multiple recurrences of
ischemic stroke despite adequate anticoagulant therapy , a
64-year-old male was admitted to AF PFA and concomitant left atrial
appendage (LAA) closure. An intense smoke effect was detected in the LAA
and a cerebral protection device (CPD) was positioned. Catheter AF PFA
and LAA closure were performed. One little thrombus had been collected
into the CPD at the end of procedure. Conclusion: Combined
procedure seems to be safe and feasible.