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Pulsed field ablation for the interventional treatment of atrial fibrillation: a scientific statement of the European Heart Rhythm Association of the European Society of Cardiology, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society

Cardiologia
Imagem de arquivo, ilustrativa — não é do estudo. Músculo cardíaco em corte longitudinal, com os discos intercalares, ao microscópio óptico. Berkshire Community College Bioscience Image Library · CC0 · Wikimedia Commons

Diretriz clínicaNível 1 · Evidência consolidadaEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2 jun 202614 citações

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Resumo original em inglês

O que aconteceu

Pulsed field ablation has emerged as a novel non-thermal treatment modality with a distinct safety profile for the interventional treatment of atrial fibrillation. By inducing irreversible electroporation, pulsed field ablation achieves myocardial ablation while preserving surrounding structures such as nerves, vasculature, and the oesophagus. This European Heart Rhythm Association of the European Society of Cardiology scientific statement, endorsed by major international societies, reviews the biophysics, technology, clinical evidence, workflow, safety, and training aspects of pulsed field ablation. Randomized trials demonstrate comparable efficacy to radiofrequency and cryoballoon ablation, with advantages in safety and efficiency. The statement provides practical advice for clinical implementation and operator training and identifies key gaps in evidence and priorities for future research and innovation.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

Pulsed field ablation for the interventional treatment of atrial fibrillation: a scientific statement of the European Heart Rhythm Association of the European Society of Cardiology, the Heart Rhythm Society, the Asia Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society

Michael Kühne, Patrick Badertscher, Jason G Andrade, Ante Anic, Julian K R Chun, Antonio Dello Russo, Pierre Jaïs, Josef Kautzner, Heiko Lehrmann, Claire A Martin et al.

Descritores MeSH

  • Atrial Fibrillation
  • Europe
  • Irreversible Electroporation Therapy
  • Societies, Medical
  • Treatment Outcome
  • Catheter Ablation
  • Humans

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