Pulsed field ablation is highlighted as a non-thermal energy modality that offers safety advantages by sparing adjacent tissues during atrial fibrillation ablation.
PFA may minimize collateral injury in AF ablation; leaves open need for RCTs on efficacy and durability.
Pulsed field ablation (PFA), an emerging non–thermal energy modality for ablation procedures, is increasingly used to ablate atrial fibrillation (AF). Notably, the myocardial selectivity inherent in the electric pulse field offers a safety advantage by sparing adjacent tissues, such as the esophagus or phrenic nerve, contrasting with the potential risks associated with standard thermal energies employed in pulmonary vein isolation (PVI) procedures.
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Farina et al. (2024) studied this question.
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