[Guideline to safe and effective atrial fibrillation ablation with pulsed-field ablation using the pentaspline PFA system as an example].

Q4 Medicine

Herzschrittmachertherapie und Elektrophysiologie Pub Date : 2025-06-01 Epub Date: 2025-02-28 DOI:10.1007/s00399-025-01071-z

Nico Reinsch, Victoria Johnson, Sascha Rolf, Sonia Busch, Micaela Ebert, Tilmann Maurer, Roland Tilz, Till Althoff, Julian Chun, David Duncker, Christian Heeger, Henning Jansen, Leon Iden, Andreas Rillig, Philipp Sommer, Tillman Dahme, Melanie Gunawardene, Heidi L Estner, Daniel Steven

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引用次数: 0

Abstract

Atrial fibrillation ablation is an established procedure for the treatment of atrial fibrillation, in which Pulsed Field Ablation (PFA) is a novel method alongside radiofrequency and cryoablation. The article explains the technical basics of PFA, describes different types of catheters and gives detailed instructions on how to perform the procedure, from patient selection to sedation strategies and imaging. Important safety aspects and possible complications are also covered. Finally, the further development of PFA technology for the treatment of other arrhythmias and integration into 3D mapping systems is discussed. This work is part of a series of articles on further training in special rhythmology.

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[以 Pentaspline PFA 系统为例，使用脉冲场消融术进行安全有效的心房颤动消融指南]。

心房颤动消融是治疗心房颤动的一种成熟的方法，其中脉冲场消融（PFA）是一种与射频和冷冻消融相结合的新方法。本文解释了PFA的技术基础，描述了不同类型的导管，并给出了如何执行该程序的详细说明，从患者选择到镇静策略和成像。重要的安全方面和可能的并发症也包括在内。最后，讨论了PFA技术在其他心律失常治疗中的进一步发展以及与3D制图系统的集成。这项工作是一系列关于特殊节奏学进一步训练的文章的一部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie