{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T14:28:44Z","timestamp":1778077724471,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T00:00:00Z","timestamp":1753401600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Pulmonary vein isolation (PVI) in atrial fibrillation (AF) is the current cornerstone for AF ablation. Besides thermal ablation techniques, nonthermal pulsed\u2010field ablation (PFA) is rapidly transforming the way PVI is achieved. As every new technology has its own learning curve, we would like to report the lessons we learned by treating a 63\u2010year\u2010old woman admitted for paroxysmal AF ablation, with symptomatic palpitations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods and Results<\/jats:title><jats:p>We initially performed PVI with a pulsed\u2010electrical field variable\u2010loop circular catheter with the CARTO 3 mapping system. When the patient experienced recurrence of AF even after 3 months, the scheduled reablation procedure showed a reconnection of both posterior carinae. When revisiting the initial map, both recurrences occurred at the points where tissue proximity indication (TPI) during ablation was likely not sufficient, leading to reversible electroporation and subsequent reconnection of the veins. Those remaining areas were again ablated using PFA energy with a linear ablation catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TPI\u2010based contact filtering for transmural lesion success and durability seems to be a relevant tool to ensure irreversible electroporation and is likely of prognostic relevance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jce.70026","type":"journal-article","created":{"date-parts":[[2025,7,25]],"date-time":"2025-07-25T10:03:57Z","timestamp":1753437837000},"page":"2445-2448","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Pulsed\u2010Electrical Field Ablation Completes Pulsed\u2010Field Ablation\u2014Lessons Learned on Tissue Proximity Indication in Pulmonary Vein Isolation"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-4284-3067","authenticated-orcid":false,"given":"Malte","family":"Kranert","sequence":"first","affiliation":[{"name":"Department of Cardiology and Angiology University Hospital of Tuebingen Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Scheckenbach","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Pulmonology and Intensive Care Medicine University Children's Hospital Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tobias","family":"Harm","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology University Hospital of Tuebingen Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meinrad","family":"Gawaz","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology University Hospital of Tuebingen Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1419-6801","authenticated-orcid":false,"given":"David","family":"Heinzmann","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology University Hospital of Tuebingen Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae053"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae134"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae194"},{"key":"e_1_2_8_5_1","doi-asserted-by":"crossref","unstructured":"M.Duytschaever T.De Potter M.Grimaldi \u201cParoxysmal Atrial Fibrillation Ablation Using a Novel Variable\u2010Loop Biphasic Pulsed Field Ablation Catheter Integrated With a 3\u2010Dimensional Mapping System: 1\u2010Year Outcomes of the Multicenter inspIRE Study \u201dCirculation: Arrhythmia and Electrophysiology16 no. 3 (2023): e011780.","DOI":"10.1161\/CIRCEP.122.011780"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.124.070333"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.123.012667"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2024.09.061"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2025.01.022"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1253\/circrep.CR-24-0107"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.16366"}],"container-title":["Journal of Cardiovascular Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jce.70026","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T13:40:08Z","timestamp":1758202808000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jce.70026"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,25]]},"references-count":10,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1111\/jce.70026"],"URL":"https:\/\/doi.org\/10.1111\/jce.70026","archive":["Portico"],"relation":{},"ISSN":["1045-3873","1540-8167"],"issn-type":[{"value":"1045-3873","type":"print"},{"value":"1540-8167","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,25]]},"assertion":[{"value":"2025-05-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}