@merrychristmas Right der witcha. Honestly, by the time I got my second ablation for AF, people told me I looked distinctly gray. I couldn't hop onto the operating slab fast enough. They knew not to mess with me, too...I wanted the AF GONE! Worked like a charm, but that last 12 months was really hard on me.

PFA has been improved all this time and it has new implements so that it can be used not just in pulmonary vein isolation, which it was all through its trials in 2023. It can now be used on all of the atrial walls last I hear, and even at the coronary sinus. I cannot in good faith tell you that I know it can be used for flutter, but:
https://consultqd.clevelandclinic.org/pulsed-field-ablation-for-atrial-flutter-in-patients-with-af
Just so you know, it is quite common for an index ablation (first time ablation) to cause AFL, and the 'cure' is to simply ablate the new focus....wherever they find it (I think it means it was hidden all along and that the AF won out in the wrestling match for your left atrium). So, even though AFL most often is found in the right atrium, it CAN be in the left. Happened to me as they found out during an attempted cardioversion in the ER. They injected me with adenosine, warned me that I would feel like the room was closing in on me and that I was going to die, but it passes in 10 seconds. The drug slowed my heart to the point where they got a clearer picture on the ECG and the internist pointed at the graphic and said, 'See? Flutter.'