Texas Cardiac Arrhythmia Institute First in USA to Use FDA Approved Dual-Energy Ablation

Texas Cardiac Arrhythmia Institute Breaks New Ground in AFib Treatment



On December 5, 2024, the Texas Cardiac Arrhythmia Institute (TCAI), part of St. David’s Medical Center, gained recognition as the first facility in the United States to utilize a high-density mapping and dual-energy ablation catheter approved by the U.S. Food and Drug Administration (FDA). This groundbreaking procedure focused on treating persistent atrial fibrillation (AFib), a condition affecting millions globally.

The first procedure was performed by Dr. Andrea Natale, an esteemed electrophysiologist and medical director at TCAI. Working alongside Dr. Amin Al-Ahmad, a clinical cardiologist, they utilized this innovative technology on November 7, 2024. Dr. Natale, who was directly involved in the research leading to the FDA approval, remarked on the efficiency and safety enhancements introduced by this versatile catheter. He said, “This unique catheter allows for mapping, ablation, and validation through a single instrument, increasing workflow flexibility and efficiency, ultimately enhancing safety and effectiveness.”

The dual-energy catheter distinguishes itself by allowing physicians to choose between pulsed field ablation and radiofrequency energy. Pulsed field ablation is a non-thermal method, delivering short bursts of high-energy electric pulses to target heart tissues, eliminating cells responsible for irregular heart rhythms without excessive heat or cold. In contrast, radiofrequency ablation uses thermal energy—both heat and cold—to achieve similar results.

TCAI has been at the forefront of cardiac care since the beginning of the year, successfully conducting the first national procedures using these commercially approved pulsed-field ablation catheters. The institute boasts a state-of-the-art Electrophysiology Center featuring six laboratories equipped with advanced technology, where leading electrophysiologists perform a significant volume of complex electrophysiological procedures.

This new advancement not only showcases TCAI’s commitment to pioneering cardiac innovations but also reinforces its role in providing beneficial solutions for patients in Central Texas and beyond. As the field of arrhythmia treatment continues to evolve, the achievements at TCAI set a benchmark for other institutions and offer hope to patients seeking effective interventions for AFib.

The implementation of the dual-energy ablation system signifies a pivotal moment in the healthcare landscape, particularly for individuals facing AFib challenges. Health professionals anticipate that these innovations will significantly improve patient outcomes, aligning with TCAI's mission to deliver comprehensive and high-quality care.

In a rapidly changing medical environment, where technology and research continually redefine treatment possibilities, TCAI stands out as a leader, ensuring patients receive cutting-edge therapies tailored to their unique needs. As they advance through this new chapter of heart care, the institute’s contributions may inspire further innovations and procedures, benefiting countless individuals suffering from arrhythmias.

By integrating advanced tools and techniques, TCAI continues to demonstrate how modern medicine can significantly reshape the standards of care. With the promise of enhanced safety and effectiveness in procedures like dual-energy ablation, patients can look toward a healthier future with greater confidence.

Topics Health)

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