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<p>Atrial fibrillation ablation is an established procedure for the treatment of atrial fibrillation, in which Pulsed Field Ablation (PFA) is a&#xa0;novel method alongside radiofrequency and cryoablation. The article explains the technical basics of PFA, describes different types of catheters and gives detailed instructions on how to perform the procedure, from patient selection to sedation strategies and imaging. Important safety aspects and possible complications are also covered. Finally, the further development of PFA technology for the treatment of other arrhythmias and integration into 3D mapping systems is discussed. This work is part of a&#xa0;series of articles on further training in special rhythmology.</p>

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Leitfaden zur sicheren und effektiven Vorhofflimmerablation mit Pulsed Field Ablation am Beispiel des pentaspline PFA‑System

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年2月28日

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  • Nico Reinsch,
  • Victoria Johnson,
  • Sascha Rolf,
  • Sonia Busch,
  • Micaela Ebert,
  • Tilmann Maurer,
  • Roland Tilz,
  • Till Althoff,
  • Julian Chun,
  • David Duncker,
  • Christian Heeger,
  • Henning Jansen,
  • Leon Iden,
  • Andreas Rillig,
  • Philipp Sommer,
  • Tillman Dahme,
  • Melanie Gunawardene,
  • Heidi L. Estner,
  • Daniel Steven

摘要

Atrial fibrillation ablation is an established procedure for the treatment of atrial fibrillation, in which Pulsed Field Ablation (PFA) is a novel method alongside radiofrequency and cryoablation. The article explains the technical basics of PFA, describes different types of catheters and gives detailed instructions on how to perform the procedure, from patient selection to sedation strategies and imaging. Important safety aspects and possible complications are also covered. Finally, the further development of PFA technology for the treatment of other arrhythmias and integration into 3D mapping systems is discussed. This work is part of a series of articles on further training in special rhythmology.