This session, chaired by Roderik Tung (Phoenix, US), features a live case performed by Arian Sultan (Hamburg, DE) and the St George Heart Centre team at Asklepios Klinik in Hamburg, Germany. Guided by real-time panel commentary from Bradley Knight (Chicago, US), Roland Tills (Lübeck, DE), Sri Sundaram (Littleton, US), and Diogo Cavaca (Lisbon, PT), the session delivers practical, evidence-driven insights for operators adopting PFA in complex atrial substrates.
The case, performed in a 76-year-old patient with persistent AF and atrial enlargement, highlights streamlined mapping, fluoroscopy-guided navigation, and catheter versatility for both pulmonary vein isolation and adjunctive lesion creation. Arian Sultan demonstrates four-application PVI strategy, selective spline activation for safety, and efficient right-sided access, culminating in AF termination during RSPV ablation.
