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remain uncertain. Herein we describe a case of isolation of the right superior pulmonary vein (RSPV) before reaching the target temperature (TT) and an unexpected isolation of the superior vena cava (SVC), emphasizing the need for real-time monitoring of PVI during RHB energy application. T he radiofrequency hot balloon (RHB) catheter enables the creation of contiguous lesions and achieves pulmonary vein isolation (PVI), but realtime monitoring of PVI is not technically available, and the timing of PVI and impact of the ablation protocol on PVI

Unexpected Electrical Isolation of the Superior Vena Cava During Radiofrequency Hot Balloon Ablation in the Right Superior Pulmonary Vein