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@susanrr

Thank you for your extensive post, but you state that Pulse Field can't be used to isolate the left atrial appendage electrically. However, I just had that done 10 days ago with Pulse Field in preparation for getting a Watchman device, so that part of your post must be incorrect.

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Replies to "Thank you for your extensive post, but you state that Pulse Field can't be used to..."

That is good to know, and thanks for pointing that out. As I hope I said, and always take pains to say in my posts, I only go by what I understand and have read, but I'm not in the field and don't get the latest literature unless I go digging for it. The last I saw, just a few weeks ago, is that PFA is not approved for anything but the typical PVI. If that has changed, or if the EP performing your procedure actually used another technique in the LAA, then I hope we get some clarification. The issue was the shape of the implement, but with advances almost monthly, maybe a new implement has been approved for an LAA ablation. That would be great news.

I hope you are doing well and enjoying freedom from AF. And may it last a good long time...like a decade...at least!

Thanks, again.

Edit (added later) I went to look and found that the use of PFA in the LAA is only done with patients '...with suitable anatomy.' It must be the case that your LAA allowed the use of the implement. So, I'm learning as I go. Some hearts have an LAA into which placement of the PF applicator would likely cause problems or be incomplete...in which case it is not approved.

PFA can’t be used atrial flutter . Fyi
I have atrial fib and AFlutter. I was interested in PFA because I won’t be under anesthesia as long. Bummer