TY - JOUR
T1 - The promise of pulsed field ablation and the challenges ahead
AU - Iyengar, Shruti Krishna
AU - Iyengar, Sumedh
AU - Srivathsan, Komandoor
N1 - Publisher Copyright:
2023 Iyengar, Iyengar and Srivathsan.
PY - 2023
Y1 - 2023
N2 - For many years, guidelines have suggested thermal ablation for the treatment of atrial fibrillation. Thermal ablation involves the destruction of tissue, leading to multiple complications. This ablation technique has been tried and tested, however, newer techniques are being investigated in order to avoid these complications. Pulsed field ablation, a nonthermal method of tissue ablation, is being explored as a more safe and efficient way to treat atrial fibrillation. This mini review aims to highlight the mechanisms of pulsed field ablation, its history and evolution, previous studies showing its efficacy, its major challenges and pitfalls, and future advancements to overcome these challenges. This method of ablation could potentially revolutionize the treatment of atrial fibrillation and prevent recurrences, thereby making it easier for the physicians and patients involved.
AB - For many years, guidelines have suggested thermal ablation for the treatment of atrial fibrillation. Thermal ablation involves the destruction of tissue, leading to multiple complications. This ablation technique has been tried and tested, however, newer techniques are being investigated in order to avoid these complications. Pulsed field ablation, a nonthermal method of tissue ablation, is being explored as a more safe and efficient way to treat atrial fibrillation. This mini review aims to highlight the mechanisms of pulsed field ablation, its history and evolution, previous studies showing its efficacy, its major challenges and pitfalls, and future advancements to overcome these challenges. This method of ablation could potentially revolutionize the treatment of atrial fibrillation and prevent recurrences, thereby making it easier for the physicians and patients involved.
KW - atrial fibrillation
KW - mitral valve repair
KW - pacemaker
KW - pulse field ablation
KW - radiofrequency ablation
UR - http://www.scopus.com/inward/record.url?scp=85175861838&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85175861838&partnerID=8YFLogxK
U2 - 10.3389/fcvm.2023.1235317
DO - 10.3389/fcvm.2023.1235317
M3 - Short survey
AN - SCOPUS:85175861838
SN - 2297-055X
VL - 10
JO - Frontiers in Cardiovascular Medicine
JF - Frontiers in Cardiovascular Medicine
M1 - 1235317
ER -