PFA versus traditional ablation techniques

Posted by nancmock @nancmock, Nov 7 9:49am

I was diagnosed with afib about 1.5 years ago. Initially I had it about 4% of the time. More recently I have also been diagnosed with flutter, so afib plus flutter.

I was told because I had both I was not a good candidate for PFA; however, I hear PFA has lots of advantages and I wonder if anyone has both flutter and afib and has had the PFA technique? I want to make sure I am getting the best care for my condition as opposed to the technique that the physician is most comfortable with....any input would be helpful..

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gloaming | @gloaming | Nov 7 1:18pm

Hello. PFA is only approved and configured for PVI. Pulmonary Vein Isolation. Flutter is almost certainly originating in the coronary sinus or somewhere else where PFA is not approved for ablation.

This is not to say that you don't need a PVI, in which case a PFA can be employed there....only. If the electrophysiologist thinks it's okay to remove the PFA apparatus and to reinsert another device to work on the right atrium, then that is what he/she'll do.

woodside | @woodside | Nov 8 11:05am

My EP plans to use Affera - it's "all-in-one" - for HD-mapping, PFA, RFA - and FDA just approved - but it has been in use in Europe
https://news.medtronic.com/2024-10-24-A-new-paradigm-in-electrophysiology-Medtronic-receives-FDA-approval-of-Affera-TM-Mapping-and-Ablation-System-and-Sphere-9-TM-Catheter#:~:text=A%20new%20paradigm%20in%20electrophysiology,%E2%84%A2%20Catheter%20%2D%20Oct%2024%2C%202024
My

woodside | @woodside | Nov 8 11:12am

RFA can "stiffen" the PV - which are all in the left atrium - and that is one of the reasons that why PFA is preferred - over RFA - for PVI procedures

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