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Review
. 2025 Jun;17(2):183-190.
doi: 10.1016/j.ccep.2025.02.006. Epub 2025 Mar 26.

Efficiency of Pulsed Field Ablation for Atrial Fibrillation

Alexandra Steyer  1 , Kyoung-Ryul Julian Chun  2 , D Schaack  1 , Boris Schmidt  3
Affiliations
Review

Efficiency of Pulsed Field Ablation for Atrial Fibrillation

Alexandra Steyer et al. Card Electrophysiol Clin. 2025 Jun.

Abstract

The viability of pulsed field ablation (PFA) for the treatment of atrial fibrillation has been demonstrated in several trials. The good safety profile paired with procedural streamlining has contributed to the overall efficiency of this energy source. In terms of lesion durabilitiy and reduced arrhythmia burden, PFA appears largely comparable to etablished thermal ablation. There is however, a need for larger, systematic remapping trials with longer follow-up duration. Furthermore, the release of optimized catheters and wave-forms requires further attention in terms of general performance in future.

Keywords: Durability; Efficiency; PFA; Remapping.

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Conflict of interest statement

Disclosures K-R.J. Chun and B. Schmidt belong to the advisory board and receive nonrelevant speaker fees and research grants from BSCI, Medtronic, and Abbott.

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