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Is there a time constraint for PFA procedure after diagnosis of Afib?
Heart Rhythm Conditions | Last Active: 5 days ago | Replies (17)Comment receiving replies
Hi - please see link below for 2023 guidelines - hope that's useful - and fyi, another advantage [PFA v. RFA} is PV stenosis - all the best!
https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
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Yes, quite so, and yet another advantage, thanks to woodside.
I note that, unfortunately, PFA doesn't seem to enjoy, so far, an improvement in the durability of keeping the patient free of AF for more than one full year, which is the criterion for a 'successful' ablation. The figure cited below shows that both RFA and PFA have the same efficacy in that regard, meaning about 75% of all ablated patients, either method, are free from AF. The rest need a re-do or another intervention:
https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.070333
This, to the analytical mind, would tell you that it must be another factor that determines whether or not an ablation, either method, is going to succeed. That factor must be one only, and that is the skill of the electrophysiologist performing the procedure. So, shop carefully!