When is a second ablation advisable?

[willec49]

I was dx with Paroxysmal Afib in 2018. After the usual regimen trials of just Metoprolol, Flecainide, Flecainide with Metoprolol for rate control, etc. I received a Cryoablation on March 16 of last year (2022). I had two afib episodes a month or so after the ablation which was explained as being in the "Blanking Period". Arter that, I was Afib free for over a year until just three weeks ago. After my Ablation I have still been on 50 mg. Flecainide x2 daily, having dropped the Metoprolol. After this recent episode, the Cardiologist added the Metoprolol, 12.5 mg x day back in. I thought that would work until yesterday when I had a short episode of only a few minutes in the afternoon and then, a 2-hour episode last night. The main variable this time was I had the high dose Senior Flue Shot on Friday which caused mild flue-like symptoms yesterday.

I saw a Cardiologist just the other day who told me I am very healthy -Appropriate BMI, No Diabetes, No Heart Disease, Blood Pressure good, physically active, etc. and not to worry because any symptoms that might re-occur can be dealt with. He mentioned a new kind of Ablation that uses neither heat or cold, "Pulsed Field Ablation" and advised me to wait a bit until it becomes more developed.

QUESTIONS:

1.) Does anyone know about or have any experience with this procedure?

2.) Being that statistics show a second ablation raises the success rate quite substantially, have others knowledge or experience about this?

Thank you.