{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T12:00:10Z","timestamp":1765454410890,"version":"3.46.0"},"reference-count":11,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T00:00:00Z","timestamp":1764806400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82000375"],"award-info":[{"award-number":["82000375"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Clinical Research Plan of SHDC","award":["SHDC2023CRD008","SHDC2024CRI015"],"award-info":[{"award-number":["SHDC2023CRD008","SHDC2024CRI015"]}]},{"DOI":"10.13039\/501100013103","name":"Clinical Research Plan of Shanghai General Hospital","doi-asserted-by":"publisher","award":["CCTR2022B09"],"award-info":[{"award-number":["CCTR2022B09"]}],"id":[{"id":"10.13039\/501100013103","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>Background: Catheter ablation of atrial fibrillation (AF) is now a Class I recommendation therapy. However, the standard inferior vena cava (IVC) approach of catheter ablation is not feasible in all patients. Case presentation: We report a case of a 64-year-old woman in whom guidewire passage was hindered by prior left iliac vein stent placement and with symptomatic recurrent paroxysmal AF who underwent successful pulmonary vein isolation with a pulsed-field ablation system by superior vena cava (SVC) access from the right internal jugular vein. Conclusions: PFA administered via the SVC provides an effective and efficient treatment strategy for patients with paroxysmal AF ineligible for standard IVC catheter ablation.<\/jats:p>","DOI":"10.3390\/jcdd12120477","type":"journal-article","created":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T16:07:38Z","timestamp":1764864458000},"page":"477","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Superior Vena Cava Approach for Farapulse Pulsed-Field Ablation in Patient with Paroxysmal Atrial Fibrillation: A Case Report"],"prefix":"10.3390","volume":"12","author":[{"given":"Qitong","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linhua","family":"Kuang","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China"},{"name":"Department of Cardiology, Ji\u2019an Central People\u2019s Hospital, Ji\u2019an 343000, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoyu","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zikan","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaowen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genqing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, No. 100, Haining Road, Shanghai 200080, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,12,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1161\/CIR.0000000000001193","article-title":"2023 ACC\/AHA\/ACCP\/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"149","author":"Joglar","year":"2024","journal-title":"Circulation"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1056\/NEJM199809033391003","article-title":"Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins","volume":"339","author":"Shah","year":"1998","journal-title":"N. Engl. J. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1111\/jce.14980","article-title":"Safety and chronic lesion characterization of pulsed field ablation in a Porcine model","volume":"32","author":"Stewart","year":"2021","journal-title":"J. Cardiovasc. Electrophysiol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1161\/CIRCULATIONAHA.123.063988","article-title":"Pulsed Field Ablation for the Treatment of Atrial Fibrillation: PULSED AF Pivotal Trial","volume":"147","author":"Verma","year":"2023","journal-title":"Circulation"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.hrthm.2024.04.045","article-title":"Pulsed-field vs. cryoballoon vs. radiofrequency ablation: Outcomes after pulmonary vein isolation in patients with persistent atrial fibrillation","volume":"21","author":"Kueffer","year":"2024","journal-title":"Heart Rhythm"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"835","DOI":"10.1007\/s10840-023-01508-w","article-title":"A superior right jugular approach to perform pulmonary vein isolation using Farapulse pulsed-field ablation","volume":"66","author":"Mol","year":"2023","journal-title":"J. Interv. Card. Electrophysiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s10840-024-01949-x","article-title":"Pulsed-field ablation of atrial fibrillation using the Farapulse system through the jugular vein: A case series of two patients","volume":"68","author":"Scripcariu","year":"2025","journal-title":"J. Interv. Card. Electrophysiol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1038\/s41591-024-03114-3","article-title":"Safety of pulsed field ablation in more than 17,000 patients with atrial fibrillation in the MANIFEST-17K study","volume":"30","author":"Ekanem","year":"2024","journal-title":"Nat. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1256","DOI":"10.1093\/europace\/euac050","article-title":"Multi-national survey on the methods, efficacy, and safety on the post-approval clinical use of pulsed field ablation (MANIFEST-PF)","volume":"24","author":"Ekanem","year":"2022","journal-title":"Europace"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/j.jacep.2024.11.009","article-title":"Results of ICE-Guided Isolation of the Superior Vena Cava with Pulsed Field Ablation","volume":"11","author":"Pierucci","year":"2025","journal-title":"JACC Clin. Electrophysiol."},{"key":"ref_11","first-page":"e014026","article-title":"Feasibility and Safety of Pulsed Field Ablation for Coronary Sinus and Left Atrial Appendage Isolation and Mitral Isthmus Ablation: Acute and Chronic Findings","volume":"18","author":"Mohanty","year":"2025","journal-title":"Circ. Arrhythm. Electrophysiol."}],"container-title":["Journal of Cardiovascular Development and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3425\/12\/12\/477\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T11:53:33Z","timestamp":1765454013000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3425\/12\/12\/477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,4]]},"references-count":11,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["jcdd12120477"],"URL":"https:\/\/doi.org\/10.3390\/jcdd12120477","relation":{},"ISSN":["2308-3425"],"issn-type":[{"type":"electronic","value":"2308-3425"}],"subject":[],"published":{"date-parts":[[2025,12,4]]}}}