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Catheter ablation induced phrenic nerve palsy by pulsed field ablation-completely impossible? A case series.

Francesco PanseraStefano BordignonFabrizio BolognaShota TohokuShaojie ChenLukas UrbanekBoris SchmidtKyoung-Ryul Julian Chun
Published in: European heart journal. Case reports (2022)
Transient PN dysfunction can be observed following PFA in AF ablation. According to our initial experience, a full recovery of the PN function can be expected within seconds. We hypothesize a hyperpolarization of neuronal cells or a depletion of acetylcholine in the motoric endplate to explain this event. Further studies are required to understand the exact pathophysiological mechanism.
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