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First report of cerebral embolic protection system use during combined atrial fibrillation Pulse Field Ablation and left atrial appendage closure.
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  • Yari Valeri,
  • Antonio Dello Russo,
  • Umberto Falanga,
  • Giovanni Volpato,
  • Paolo Compagnucci,
  • Alessandro Barbarossa,
  • Laura Cipolletta,
  • Quintino Parisi,
  • Michela Casella,
  • Tommaso Piva
Yari Valeri
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Antonio Dello Russo
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Umberto Falanga
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Giovanni Volpato
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Paolo Compagnucci
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Alessandro Barbarossa
Universita Politecnica delle Marche Dipartimento di Scienze Biomediche e Sanita Pubblica
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Laura Cipolletta
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Quintino Parisi
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Michela Casella
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Tommaso Piva
Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona Umberto I G M Lancisi G Salesi
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Abstract

Introduction: Recently, a novel non-thermal ablation modality, Pulse Field Ablation (PFA), has been introduced in clinical practice. Case report: Because there were multiple recurrences of ischemic stroke despite adequate anticoagulant therapy , a 64-year-old male was admitted to AF PFA and concomitant left atrial appendage (LAA) closure. An intense smoke effect was detected in the LAA and a cerebral protection device (CPD) was positioned. Catheter AF PFA and LAA closure were performed. One little thrombus had been collected into the CPD at the end of procedure. Conclusion: Combined procedure seems to be safe and feasible.