pulse field abalation

[Prawnsalad]

Hi

I have just heard of pulse-field abalation and that it is not so invasive as other abalation procedures.

Has anyone had experience of this in UK?

[Ppiman]

I think (?) it's similarly invasive but less likely to cause side effects and more likely to stop the rogue signals that set off the AF and tachycardia.

Steve

[BobD Volunteer]

It is no less invasive since normal RF or cryo ablation is minimally so anyway. Recovery may be slightly easier from what we have heard. Long term results are not really available yet but seem in line with existing procedures.

[mav7]

Go to bartsaf.com recently posted. There is an article on the PAF.

[OzRob]

It is as invasive as RF and cryoablation, as it reaches the same destination.

What is different is that it removes 4 possible complications during the ablation. Instead of heat, which can damage the esophagus, blood vessels, pericardium, and nerves, it uses rapid DC current electrical pulses.

[FindingCaradoc]

I had a pulsed field ablation at Royal Liverpool Heart and Chest Hospital in September 2022, after I had been in early persistent AF for over 4 months. Have a search for my previous posts/comments for more details, but in summary it went well, I recovered quickly and remain in SR

[OzRob]

That is heat or cold which can cause damage.

[Buzby62]

Hi, see page 23 onwards on the following Treatments information booklet.

api.heartrhythmalliance.org...

Best wishes

[OzJames]

Abbott has designed a new style Pulse field method called Volt hopefully it gets the green light as it looks interesting as it maybe more accurate as mapping is used as well

[Iamfuzzyduck in reply to OzJames]

I was invited to be part of their trials two weeks ago but was caught off guard so declined. This means they are not quite there with the approval but it looks interesting….

[MikeThePike]

PAF potentially causes less collateral damage to surrounding heart structures but is no more effective at curing AF than standard cryo or RF ablation. There are still many unknowns regarding PAF and special safety procedures need to be followed to prevent artery damage. Its an interesting development none the less. I'm keen to see if it will be adopted more widely to treat ventricular arrhythmias. I understand that Dr Begley at Papworth is actively involved in this area of research.

[Gfern]

I have just had an ablation using a new method developed by Affea-Medtronic which was CE approved last year. It is a dual purpose catheter that can deliver both pulse field and RF and is linked to a new mapping system. My EP is delighted with the system it shortens the procedure time and with the new mapping software is providing him with good results. Compared to my last ablation which was a hard recovery and not something I was in any hurry to repeat, this one was a walk-in the park. Actually no side effects at all and sinus rhythm for the last eight weeks, so far so good, still crossing my fingers though you all know AF has its own rules. Whether this was a result of using his new tools or coincidental we will never really know, but it’s good to see that work is ongoing to develop new methods that hopefully help us all in future.

[Iamfuzzyduck]

I had a pulsed field ablation 12 days ago in the US. The procedure took less than 60 minutes. The safety profile is much better concerning possible collateral damage as stated in above posts. I am not fully recovered (still some chest pressure and mild discomfort when I breathe, possibly from breathing equipment during anesthesia? ) but went to CrossFit on day 8, and have run 1 mile a couple of times but my heart isn’t happy with high cardio yet. My arrhythmias have quietened down to being almost non existent so I am pleased I had it done.