This assessment reports renal function outcomes in patients undergoing pulsed field ablation, suggesting the need for extended monitoring.
Routine PFA with periprocedural hydration and an average of 63 PF pulses appears safe in patients without significant preexisting renal disease, with a low risk of clinically relevant renal impairment. However, the incidence of AKI in our cohort was higher than previously reported, suggesting that transient kidney function changes may be more common than recognized. These findings highlight the need for kidney function monitoring beyond 24 h in higher-risk patients undergoing PFA.
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Melenovský et al. (2026) studied this question.
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