Does pulsed field ablation improve procedural efficiency, safety, and cost compared to thermal ablation in patients with atrial fibrillation?
While pulsed field ablation offers shorter procedural times with comparable safety to thermal ablation modalities, it is associated with significantly higher equipment costs.
In this contemporary real-world study of the 3 major AF ablation modalities used concurrently, PFA had shorter skin-to-skin and catheter laboratory times than did CB and RF, with similarly low rates of complications. However, PFA procedures were considerably more expensive, largely because of higher equipment cost.
Calvert et al. (Fri,) studied this question.