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August 1, 2025Heart Rhythm O24 citationsOpen Access

Real-world comparison of variable vs fixed-loop circular pulsed field ablation catheters: Acute outcomes including non-pulmonary vein ablation

JYJoerg YogarajahJHJulie HutterPKP Kahle

Structured PICO

Does variable-loop circular PFA compare favorably to fixed-loop circular PFA for acute outcomes in AF ablation?

P
Population
Patients undergoing atrial fibrillation (AF) ablation
I
Intervention
Variable-loop circular pulsed field ablation (PFA) catheter
C
Comparator
Fixed-loop circular pulsed field ablation (PFA) catheter
O
Outcome
Acute efficacy and safety profiles

Variable-loop circular PFA catheters demonstrate high acute efficacy, favorable safety, and versatility for non-pulmonary vein ablation compared to fixed-loop systems.

Limitations

  • Lack of long-term outcomes
  • Lack of lesion durability data

Abstract

This first clinical comparison demonstrated high acute efficacy and favorable safety profiles, with notable procedural differences reflecting their distinct workflows of 2 circular PFA catheter systems for AF ablation. Likewise, this includes the first reported successful CTI, SVC and mitral isthmus ablation using VLCC reflecting its versatility for ablation. Further research is warranted to assess long-term outcomes and lesion durability.

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Cite This Study

Yogarajah et al. (2025) studied this question.

synapsesocial.com/papers/69db1a1e498b35d3e6a3c3afhttps://doi.org/10.1016/j.hroo.2025.08.030
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