Does pulsed field ablation compared to cryoballoon ablation improve efficacy, safety, or 12-month clinical success in patients with atrial fibrillation?
Pulsed field ablation offers similar 12-month clinical efficacy to cryoballoon ablation for atrial fibrillation but improves safety by eliminating phrenic nerve palsies and reducing procedure time.
PFA compared with CB PVI shows a similar procedural efficacy but is associated with shorter procedure time and no phrenic nerve palsies. Importantly, 12-month clinical success rates are favorable but not different between both groups.
Urbanek et al. (Wed,) studied this question.