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September 10, 2025Heart RhythmOpen Access

Beyond the Learning Curve: How Operator Experience Affects Pulsed-Field Ablation Outcomes

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Authors

TKThomas KuefferRKRobert W. KingJMJens Maurhofer

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Overview

Observational analysis reveals operator experience influences learning curve and arrhythmia outcomes in patients, suggesting improvement strategies.

Key Points

  • Operator experience with pulsed-field ablation impacts procedural times and arrhythmia outcomes.
  • Learning curve estimates indicate 20 procedures improve efficiency without affecting long-term arrhythmia recurrence rates.
  • Post 60 procedures, durability of pulmonary vein isolation shows significant improvement from 61% to 73%.
  • Use of 3D electro-anatomical mapping during procedures does not significantly change outcomes compared to standard techniques.

Cite This Study

Kueffer et al. (2025) studied this question.

synapsesocial.com/papers/68c23bd7b210217d647872d0https://doi.org/10.1016/j.hrthm.2025.08.045
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Novel mapping-integrated pulsed-field ablation technology for pulmonary vein isolation in patients with atrial fibrillation: learning curve, efficiency, and safety2026
  2. 2Pulmonary vein and posterior wall isolation via single-shot pulse field ablation catheters: peri-procedural details, safety, and operator experience2026
  3. 3Pulmonary Vein Isolation Durability in a Randomized Trial comparing Fluoroscopy-only vs. Electroanatomic Mapping Strategies for Pulmonary Vein Isolation With Balloon-in-basket Pulsed-field Ablation2026
  4. 4Safety, efficacy and reproducibility of a simplified strategy to achieve pulmonary vein isolation using radiofrequency ablation2026
  5. 5Single-center experience of an image-guided single-access, single-catheter pulsed field ablation approach for pulmonary vein isolation2026