Pulsed-field vs. cryoballoon vs. radiofrequency ablation: a propensity score matched comparison of one-year outcomes after pulmonary vein isolation in patients with paroxysmal atrial fibrillation

Structured PICO

Does pulsed-field ablation improve freedom from atrial tachyarrhythmia at 1 year compared to cryoballoon or radiofrequency ablation in patients with paroxysmal atrial fibrillation?

Population

Patients with paroxysmal atrial fibrillation (paroxysmal AF)

Intervention

Pulmonary vein isolation (PVI) using pulsed-field ablation (PFA)

Comparator

Pulmonary vein isolation (PVI) using cryoballoon ablation (CBA) or radiofrequency ablation (RFA)

Outcome

Freedom from any atrial tachyarrhythmia (ATa) at 1 yearhard clinical

Pulsed-field ablation appears to be as effective as cryoballoon or radiofrequency ablation for achieving 1-year freedom from atrial tachyarrhythmias in patients with paroxysmal atrial fibrillation.

Abstract

In a propensity score matched analysis of patients with paroxysmal AF, freedom from any ATa 1 year after PVI using PFA was favourable and at least as good as for PVI with CBA or RFA.

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Cite This Study

Maurhofer et al. (Sat,) studied this question.

synapsesocial.com/papers/69d56b4575589c71d767c9de https://doi.org/https://doi.org/10.1007/s10840-023-01651-4

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