{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T09:35:01Z","timestamp":1787564101338,"version":"build-2736575974"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,10,22]],"date-time":"2024-10-22T00:00:00Z","timestamp":1729555200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National High Level Hospital Clinical Research 350 Funding","award":["2023-GSP-GG-22"],"award-info":[{"award-number":["2023-GSP-GG-22"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Atrial flutter (AFL) is a common arrhythmia following radiofrequency ablation (RFA) for atrial fibrillation (AF), with varying incidence depending on the ablation strategy. Patients with prior atrial septal defect (ASD) occlusion pose challenges for ablation, particularly when the lesions are located near the occluder. Pulsed field ablation (PFA) has emerged as a promising alternative to RFA for the treatment of AF or AFL; however, its use in patients with ASD occlusion remains unexplored.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>We present the case of a 46-year-old female with a history of ASD occlusion and subsequent RFA for AF. Despite the initial success, she developed symptomatic AFL 3 months post-procedure. Intracardiac echocardiography (ICE)\u2013guided transseptal puncture guided by ICE revealed an AFL originating from the slow conduction area around the ASD occluder. Pulsed field ablation was successfully performed, and AFL was terminated without complications. Post-procedural follow-up demonstrated maintenance of sinus rhythm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Patients with ASD occlusion present unique challenges for ablation, including difficulties in transseptal puncture and risk of injury to the occluder. Pulsed field ablation offers a potential solution, with studies showing fewer reconnected pulmonary veins and larger lesion creation compared with traditional methods. In our case, PFA effectively terminated the refractory AFL, highlighting its utility in this patient population. Moreover, the use of the Jinjiang PFA catheter with pulse circuit self-checking technology ensured procedural safety, particularly near the occluder.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae558","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T15:14:05Z","timestamp":1729437245000},"source":"Crossref","is-referenced-by-count":3,"title":["Successful treatment of atrial flutter post-radiofrequency ablation for atrial fibrillation following atrial septal defect occlusion: a case report of pulsed field ablation"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-0699-1983","authenticated-orcid":false,"given":"Jing","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College , Nanchang, Jiangxi ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ligang","family":"Ding","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan","family":"Gunawan","sequence":"additional","affiliation":[{"name":"Binawaluya Hospital Cardiac Centre , Jakarta ,","place":["Indonesia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hengli","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College , Nanchang, Jiangxi ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4003-4323","authenticated-orcid":false,"given":"Yan","family":"Yao","sequence":"additional","affiliation":[{"name":"Cardiac Arrhythmia Center, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College , Beijing ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,10,22]]},"reference":[{"key":"2024112719271963100_ytae558-B1","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euae043","article-title":"2024 European Heart Rhythm Association\/Heart Rhythm Society\/Asia Pacific Heart Rhythm Society\/Latin American Heart Rhythm Society expert consensus statement on catheter and surgical ablation of atrial fibrillation","volume":"26","author":"Tzeis","year":"2024","journal-title":"Europace"},{"key":"2024112719271963100_ytae558-B2","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euad147","article-title":"Pulsed field ablation using focal contact force-sensing catheters for treatment of atrial fibrillation: acute and 90-day invasive remapping results","volume":"25","author":"Ani\u0107","year":"2023","journal-title":"Europace"},{"key":"2024112719271963100_ytae558-B3","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.1056\/NEJMoa2307291","article-title":"Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation","volume":"389","author":"Reddy","year":"2023","journal-title":"N Engl J Med"},{"key":"2024112719271963100_ytae558-B4","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1161\/CIRCULATIONAHA.123.064959","article-title":"Safety and effectiveness of pulsed field ablation to treat atrial fibrillation: one-year outcomes from the MANIFEST-PF registry","volume":"148","author":"Turagam","year":"2023","journal-title":"Circulation"},{"key":"2024112719271963100_ytae558-B5","doi-asserted-by":"crossref","first-page":"euae016","DOI":"10.1093\/europace\/euae016","article-title":"Pulsed electric field, cryoballoon, and radiofrequency for paroxysmal atrial fibrillation ablation: a propensity score-matched comparison","volume":"26","author":"Della Rocca","year":"2024","journal-title":"Europace"},{"key":"2024112719271963100_ytae558-B6","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euae068","article-title":"Application of a circular-shaped pulsed field ablation catheter with magnetic sensors for pulmonary vein isolation: a multi-centre clinical study report","volume":"26","author":"Wang","year":"2024","journal-title":"Europace"},{"key":"2024112719271963100_ytae558-B7","doi-asserted-by":"crossref","first-page":"2328","DOI":"10.1111\/jce.14616","article-title":"Safety and efficacy of catheter ablation for atrial fibrillation in patients with percutaneous atrial septal closure device: electrophysiology collaborative consortium for meta-analysis-ELECTRAM investigators","volume":"31","author":"Garg","year":"2020","journal-title":"J Cardiovasc Electrophysiol"},{"key":"2024112719271963100_ytae558-B8","doi-asserted-by":"crossref","first-page":"906","DOI":"10.1016\/j.hrcr.2023.09.016","article-title":"Pulsed-field ablation using pentaspline catheter as a bail-out strategy for perimitral flutter related to the left atrium anterior wall scar","volume":"9","author":"Gardziejczyk","year":"2023","journal-title":"HeartRhythm Case Rep"},{"key":"2024112719271963100_ytae558-B9","doi-asserted-by":"crossref","first-page":"1240","DOI":"10.1016\/j.hrthm.2024.03.1808","article-title":"Interference from lobe-and-disk left atrial appendage occluder affecting left superior pulmonary vein pulsed field ablation","volume":"21","author":"Audiat","year":"2024","journal-title":"Heart Rhythm"}],"container-title":["European Heart Journal - 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