Coronary Spasm Due to Pulsed Field Ablation: A State‐of‐the‐Art Review

With the ever‐growing population of patients undergoing cardiac ablation with pulsed electric fields, there is a need to understand secondary effects from the therapy. Coronary artery spasm is one such effect that has recently emerged as the subject of further investigation in electrophysiology lite...

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Bibliographic Details
Published inPacing and clinical electrophysiology
Main Authors Ramirez, David A., Garrott, Kara, Garlitski, Ann, Koop, Brendan
Format Journal Article
LanguageEnglish
Published United States 04.11.2024
Subjects
coronary spasm
vascular smooth muscle
pulsed field ablation
irreversible electroporation
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Summary:With the ever‐growing population of patients undergoing cardiac ablation with pulsed electric fields, there is a need to understand secondary effects from the therapy. Coronary artery spasm is one such effect that has recently emerged as the subject of further investigation in electrophysiology literature. This review aims to elucidate the basic anatomy underlying vascular spasm due to pulsed electric fields and the effects of irreversible electroporation on coronary arteries. This review also aims to gather the current preclinical and clinical data regarding the physiology and function of coronary arteries following electroporation.
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ISSN:0147-8389
1540-8159
1540-8159
DOI:10.1111/pace.15101