Research Article

Electrical Stimulation-Guided Approach to Pulmonary Artery Catheter Ablation in Patients with Idiopathic Pulmonary Arterial Hypertension: A Pilot Feasibility Study with a 12-Month Follow-Up

Table 2

Hemodynamic measurements before and after PA ablation and description of PA stimulation reactions.

Patient 1Patient 2Patient 3

BaselineAfter ablation12 monthsBaselineAfter ablation12 monthsBaselineAfter ablation12 months
HemodynamicsmPAP, mmHg303618483948283940
PCWP, mmHg792838138
PVR, dynes  s  cm−5328344194110311121103424291597
SVR, dynes  s  cm−51387192496413286591711163916072040
CI, L/min  m22.993.23.051.961.721.462.664.192.28

PA stimulation reactionsBradycardia423
Tachycardia0123
Cough402
Phrenic nerve capture340

RF ablationAblation points, #137323
Total ablation time, s374.75928.35663.02

mPAP: mean pulmonary artery pressure; PCWP: pulmonary capillary wedge pressure; PVR: pulmonary vascular resistance; SVR: systemic vascular resistance; CI: cardiac index.