Pulsed Field or Conventional Thermal Ablation for Paroxysmal Atrial Fibrillation

2023730 citationsJournal Article

Authors

Vivek Y. Reddy · Icahn School of Medicine at Mount Sinai

Edward P. Gerstenfeld · University of California, San Francisco

Andrea Natale · Texas Cardiac Arrhythmia

William Whang · Icahn School of Medicine at Mount Sinai

Frank Cuoco · Mount Sinai Hospital

Chinmay Patel · Mount Sinai Hospital

Stavros Mountantonakis

Abstract

Among patients with paroxysmal atrial fibrillation receiving a catheter-based therapy, pulsed field ablation was noninferior to conventional thermal ablation with respect to freedom from a composite of initial procedural failure, documented atrial tachyarrhythmia after a 3-month blanking period, antiarrhythmic drug use, cardioversion, or repeat ablation and with respect to device- and procedure-related serious adverse events at 1 year. (Funded by Farapulse-Boston Scientific; ADVENT ClinicalTrials.gov number, NCT04612244.).

Topics & Keywords

Atrial Fibrillation Management and Outcomes Cardiac Arrhythmias and Treatments Cardiac electrophysiology and arrhythmias

UN Sustainable Development Goals

Good health and well-being

Publication Details

Published in: New England Journal of Medicine

Volume 389, Issue 18, pp. 1660-1671

DOI: 10.1056/nejmoa2307291

Field-Weighted Citation Impact: 159.24