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Pulsed field ablation in atrial fibrillation ablation: where are we and where are we going?

Year: 2025

Type: article

Abstract: Pulsed field ablation (PFA) offers a novel approach to treating atrial fibrillation, demonstrating promising efficacy and safety. Unlike traditional thermal ablation techniques like radiofrequency or cryoablation, PFA uses non-thermal irreversible electroporation to selectively target myocardial tissue, minimizing damage to surrounding structures such as the oesophagus, phrenic nerve, and coronary arteries. Initial studies indicate that PFA is effective in achieving durable pulmonary vein isolation and posterior wall isolation, with a low incidence of serious complications. However, more long-term clinical data are needed to further confirm its efficacy.

Source: European Heart Journal Supplements

DOI: 10.1093/eurheartjsupp/suae103

Authors: Marco Schiavone, Claudio Tondo

Institutions: University of Rome Tor Vergata, Centro Cardiologico Monzino, University of Milan

Language: English

Topic: Atrial Fibrillation Management and Outcomes

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4407720242

FWCI: 2.594

Cites: 16

Cited by: 4

Related to: 10