Author(s)

Yirong Zhang ¹, Li Liu ¹, Yongjun Li ¹, Yifeng Tang ¹

Affiliation(s)

¹ Department of Cardiovascular Medicine, Liupanshui People's Hospital, Liupanshui, Guizhou, 553001, China

Corresponding Author

Yirong Zhang

ABSTRACT

As a common type of arrhythmia, atrial fibrillation has had a serious impact on the quality of life and health of patients. Traditional treatment of AF includes medical therapy and radiofrequency ablation surgery, however, these methods have some limitations, especially for patients with refractory AF. Recently, pulse electric field ablation has attracted much attention as an emerging treatment method, which has gradually become a research hotspot in the field of AF treatment with its unique mechanism and remarkable clinical effects. This paper aims to review the progress of pulsed field ablation in the treatment of AF in order to provide reference for clinical practice and future research.

KEYWORDS

Pulse electric field ablation; atrial fibrillation; treatment

CITE THIS PAPER

Yirong Zhang, Li Liu, Yongjun Li, Yifeng Tang, Progress in the application of pulsed electric field ablation in the treatment of atrial fibrillation. MEDS Clinical Medicine (2024) Vol. 5: 9-13. DOI: http://dx.doi.org/10.23977/medsc.2024.050102.

REFERENCES

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[2] Haissaguerre M, Jais P, Shah DC, et al.Spontaneous  initiation of atrial fibrillation by ectopic beats originating in  the pulmonary veins [J]. N Engl J Med, 1998, 339 (10): 659 -666.
[3] Chen SA, Haieh MH, Tai CT, et al. Initiation of atrial fibrillation by ectopic beats originating from the pulmonary  veins: Electrophysiological characteristics, pharmacological responses, and effects of radiofrequency ablation [J]. Cireulation, 1999, 100(18):1879 -1886.
[4] Reddy VY,Dukkipati SR,Neuzil P,et al.Pulsed field ablation of paroxysmal atrial fibrillation: one-year outcomes of impulse, pefcat & pefcat Ⅱ[J]. JACC Clin Electrophysiol, 2021, 7(5): 614-627.
[5] Verma A, Asivatham SJ, Deneke T, et al. Primer on pulsed eleetrical field ablation [J].Cire Arnhythm Eleetrophysiol. 2021, 14 (9) : e10086.
[6] Reddy VY. Neuil P. Koruth JS.et al.Pulsed field ab-lation for pulmonary vein isolation in atrial fibrillation [J].J Am Coll Cardiol. 2019. 74(3):315-326.
[7] Reddy VY, Dukkipati SR. Neuzil P, et al.Pulsed field ablation of paroxysmal atrial fibrillation: I-year out-comes of IMPULSE.PEFCAT,and PEFCAT II[J].JACC Clin Eleetrophysiol. 2021,7(5):614-627.
[8] Bai R. Di Biase L, Mohanty P, et al. Proven isolation of the pulmonary vein antrum with or without left atrial posterior wall isolation in patients with persistent atrial fibrillation [J].Heart Rhythm. 2016. 13(1):132-140.
[9] Muneretto C.Bisleri G.Rosati F.et al. European pro-spective multicentre study of hybrid thoracoscopic andtranscatheter ablation of persistent atrial fibrillation: the HISTORIC-AF trial [J].Eur J Cardiothorac Surg. 2017. 52(4): 740-745.
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