The use of Dexmedetomidine in Pulmonary vein isolation as a Day case procedure : A case report

Abstract

Atrial fibrillation (AF) is the predominant tachyarrhythmia seen in medical practice and is linked to considerable morbidity and mortality. Pulmonary vein isolation (PVI) done using Radiofrequency ablation (RFA) or Cryoablation has emerged as an important rhythm-control strategy and is by far the most common cardiac ablation procedure performed worldwide.Because these procedures are lengthy and necessitate patient immobility at certain critical times, deep sedation or general anesthesia is typically required. It has been common for AF ablation to require staying in the hospital overnight, but we believe that by using standardized procedural methods, we can get patients moving sooner and provide same-day discharge, making AF ablation a "day-case" option. We present a case of Paroxysmal AF coming for PVI using "Pulsed Field Ablation" (PFA) technique using Dexmedetomidine as a Day care procedure.

Keywords: Dexmedetomidine, Sedation, Catheter ablation, Pulmonary vein isolation, Atrial fibrillation, Day case, Pulsed field ablation.