Any have experience with new "pulse field ablation" procedure

Posted by foothillswater @foothillswater, Sep 5 2:53pm

As I understand it this procedure is very new but safer and more
effective than traditional ablation. Stanford, UCLA, and possibly Scripps in San Diego are the hospitals thus far using the new procedures here in the West.

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etawon2024 | @etawon2024 | Sep 5 6:47pm

there are some good articles about it on the web. seems each manufacturer has their own version of it.
there is concern about it creating micro bubbles that travel to the brain and shredded RBC’s that can affect the kidneys.
it is a faster procedure, so EP’s like it and it does avoid potential for thermal damage to structures near the heart.
But safety is always a relative thing, never an absolute.
Are you taking any magnesium supplements?

tjm53 | @tjm53 | Sep 6 6:33am

I had one a few weeks ago. So far so good.

bk2023 | @bk2023 | Sep 6 9:45am

I had the PFA procedure on 5-2-2024 at Mayo Rochester. It was quite amazing! I was surprised I did not have any pain but felt kind of groggy for 7 days so rested in morning and afternoon, after another 3 days of resting only in afternoon, I pretty much did everything that I normally would do. Did lots of gardening this summer and try to walk most days. Had my 3 month check-up on July 31st with excellent results. My last incident of paroxysmal A-fib was on 5-1-2024. I monitor my heart health with a Fitbit Charge 5 watch when I sleep and KardiaMobile 2L. I can take EKGs on both of these devices and both can relay to me if I have A-fib.

rbm | @rbm | Sep 6 9:47am

had one June 3. Cardiologist/EP trained at Cleveland Clinic. no issues so far. i see him in a few weeks.

harveywj | @harveywj | Sep 6 1:07pm

Interesting commentary published recently
Pulsed Field Ablation for AF: Are US Electrophysiologists Too Easily Impressed?
If the below url does not work type in your search engine the name of the paper to access. https://www.medscape.com/viewarticle/pulsed-field-ablation-af-are-us-electrophysiologists-too-2024a1000d2v?form=fpf

JT1959 | @jefftalley | Sep 6 5:38pm

I had a pulsed field ablation in late July at Mayo Jacksonville. It was very easy on me, and a one-week Holter Monitor period showed zero afib. I took a week off from exercise and then started walking, leaving the jogging for another week. So it's a "thumbs up" from me. One thing to keep in mind: in addition to afib I have a lot of premature atrial contractions - a load in the 11-12% range. Although the electrophysiologist was able to map out where the PACs were originating he was unable to safely maneuver the catheter so he could ablate them as it was too close to the superior vena cava. I can't totally explain why, but someone at Mayo told me that the catheter used with PFA has some limitation on how it can be manipulated in the heart.