Does pulsed field ablation improve procedural efficiency, safety, and efficacy compared to thermal energy ablation in patients with atrial fibrillation?
Pulsed field ablation for atrial fibrillation offers shorter procedural times but longer fluoroscopy times compared to thermal ablation, with comparable safety and efficacy.
Based on the results of this meta-analysis, PFA was associated with shorter procedural times and longer fluoroscopy times, but no difference in periprocedural complications or rates of recurrent AF when compared to ablation with thermal energy sources. However, larger randomized control trials are needed.
Aldaas et al. (Thu,) studied this question.
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