Connect
← Return to Pulse field ablation
Discussion
Comment receiving replies
@cstrutt52 This study suggests otherwise, now three months old:
https://www.escardio.org/The-ESC/Press-Office/Press-releases/Pulsed-field-ablation-was-not-superior-to-radiofrequency-ablation-in-paroxysmal-atrial-fibrillation
I'm always happy to see success cases, no matter who the patient is, the EP performing their ablation, and the technique used. The variances in success (one full year free of the treated arrhythmia) are due almost solely to the skill and experience of the operator of the devices. So, choosing one's EP is a critical part of one's eventual success story when it comes to catheter ablations.
Replies to "@cstrutt52 This study suggests otherwise, now three months old: https://www.escardio.org/The-ESC/Press-Office/Press-releases/Pulsed-field-ablation-was-not-superior-to-radiofrequency-ablation-in-paroxysmal-atrial-fibrillation I'm always happy to see success..."
@gloaming I totally agree with you! I didn't read the suggested study but I have read pros and cons of PFA; in the big scheme of things, it is still fairly new and long term studies will have to be reviewed BUT I asked for PFA because of its safety issues (in my opinion.) And the most important part is the skill and experience of the electrophysiologist and his team. I feel like I truly got a winner! My doc was one of the top 10 in my area, highly praised by patients and my cardiologist and I went to a A+ rated surgical facility. I could not have asked for better care. I am beyond pleased!
@gloaming. I did take another look at the studies. There are many of them ranging from 59% to over 90% for PFA. Generally, the sooner after diagnosis it is done, the better. Not a good sign for me who waited years. Apparently, the success rate jumps up for a second ablation. My clinic's studies (Mayo) reports a success rate of 75-80% at 12-month reviews. Again, I suspect that the skill of the doctor is key; more than the procedure itself.
Connect
@gloaming I think my cardiologist feels like he has a chance to get to the tissue he needs to ablate with PFA. So I am hoping that will lead to success where the RA or CA couldn’t be used so near to my esophagus. I am a small woman and perhaps that also made a difference. But it worked for my husband so far so I hope it works for me. Thanks for sharing the study.