Pentaspline Pulsed Field Ablation Versus High-Power Short-Duration/Very High-Power Short-Duration Radiofrequency Ablation in Atrial Fibrillation: A Meta-Analysis.

ABSTRACT:

Background

Pulsed field energy has been proposed as alternative to radiofrequency energy in atrial fibrillation (AF) ablation.

Objective

To compare data from studies assessing AF ablation with pulsed field ablation (PFA) versus high-power short-duration (HPSD) or very HPSD (vHPSD) radiofrequency ablation (RFA) in terms of AF recurrence, procedure-related complications, fluoroscopy and procedure times.

Methods

A search of online scientific libraries (from inception to October 1, 2024) was performed. Six studies were considered eligible for the meta-analysis totaling 1190 patients of whom 568 receiving PFA and 622 receiving HPHD/vHPSD RFA.

Results

In patients with paroxysmal AF (PAF), a nonsignificant reduction of AF recurrence was related to PFA as compared to H

SUBMITTER: Mariani MV 

PROVIDER: S-EPMC12420869 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature