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Review
. 2023 Apr 14:12:e11.
doi: 10.15420/aer.2022.45. eCollection 2023.

Pulsed Field Ablation for Atrial Fibrillation

David Schaack  1 , Boris Schmidt  1   2 , Shota Tohoku  1 , Stefano Bordignon  1 , Lukas Urbanek  1 , Ramin Ebrahimi  1 , Jun Hirokami  1 , Tolga Han Efe  1 , Shaojie Chen  1   3 , Kr Julian Chun  1   3
Affiliations
Review

Pulsed Field Ablation for Atrial Fibrillation

David Schaack et al. Arrhythm Electrophysiol Rev. .

Abstract

Catheter ablation is a widely used, effective and safe treatment for AF. Pulsed field ablation (PFA), as a novel energy source for cardiac ablation, has been shown to be tissue selective and is expected to decrease damage to non-cardiac tissue while providing high efficacy in pulmonary vein isolation. The FARAPULSE ablation system (Boston Scientific) follows the idea of single-shot ablation and is the first device approved for clinical use in Europe. Since its approval, multiple high-volume centres have performed increasing numbers of PFA procedures in patients with AF and have published their experiences. This review summarises the current clinical experience regarding the use of PFA for AF using the FARAPULSE system. It provides an overview of its efficacy and safety.

Keywords: AF; catheter ablation; pulmonary vein isolation; pulsed field ablation; review.

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Conflict of interest statement

Disclosure: KRJC is on the Arrhythmia & Electrophysiology Review editorial board; this did not influence peer review. All other authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Fluoroscopic Images of Different FARAWAVE Catheter Configurations During Left Superior Pulmonary Vein Ablation
Figure 2:
Figure 2:. Electrograms During Single-shot Pulmonary Vein Isolation with the FARAPULSE System
See this image and copyright information in PMC

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