Systematic review compares efficacy and safety of pulsed-field ablation with radiofrequency ablation in patients with paroxysmal atrial fibrillation, suggesting similar outcomes.
Key Points
Pulsed-field ablation showed a significantly shorter procedure time compared to radiofrequency ablation by almost 40 minutes.
Fluoroscopy time was significantly longer for pulsed-field ablation, averaging around 10.75 minutes more than radiofrequency ablation.
Results included data from one randomized trial and five observational studies, involving 3163 patients with paroxysmal atrial fibrillation.
Efficacy and safety profiles over one year were comparable between pulsed-field and radiofrequency ablation procedures.