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The promise of pulsed field ablation and the challenges ahead
For many years, guidelines have suggested thermal ablation for the treatment of atrial fibrillation. Thermal ablation involves the destruction of tissue, leading to multiple complications. This ablation technique has been tried and tested, however, newer techniques are being investigated in order to...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627215/ https://www.ncbi.nlm.nih.gov/pubmed/37937293 http://dx.doi.org/10.3389/fcvm.2023.1235317 |
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author | Iyengar, Shruti Krishna Iyengar, Sumedh Srivathsan, Komandoor |
author_facet | Iyengar, Shruti Krishna Iyengar, Sumedh Srivathsan, Komandoor |
author_sort | Iyengar, Shruti Krishna |
collection | PubMed |
description | For many years, guidelines have suggested thermal ablation for the treatment of atrial fibrillation. Thermal ablation involves the destruction of tissue, leading to multiple complications. This ablation technique has been tried and tested, however, newer techniques are being investigated in order to avoid these complications. Pulsed field ablation, a nonthermal method of tissue ablation, is being explored as a more safe and efficient way to treat atrial fibrillation. This mini review aims to highlight the mechanisms of pulsed field ablation, its history and evolution, previous studies showing its efficacy, its major challenges and pitfalls, and future advancements to overcome these challenges. This method of ablation could potentially revolutionize the treatment of atrial fibrillation and prevent recurrences, thereby making it easier for the physicians and patients involved. |
format | Online Article Text |
id | pubmed-10627215 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-106272152023-11-07 The promise of pulsed field ablation and the challenges ahead Iyengar, Shruti Krishna Iyengar, Sumedh Srivathsan, Komandoor Front Cardiovasc Med Cardiovascular Medicine For many years, guidelines have suggested thermal ablation for the treatment of atrial fibrillation. Thermal ablation involves the destruction of tissue, leading to multiple complications. This ablation technique has been tried and tested, however, newer techniques are being investigated in order to avoid these complications. Pulsed field ablation, a nonthermal method of tissue ablation, is being explored as a more safe and efficient way to treat atrial fibrillation. This mini review aims to highlight the mechanisms of pulsed field ablation, its history and evolution, previous studies showing its efficacy, its major challenges and pitfalls, and future advancements to overcome these challenges. This method of ablation could potentially revolutionize the treatment of atrial fibrillation and prevent recurrences, thereby making it easier for the physicians and patients involved. Frontiers Media S.A. 2023-10-23 /pmc/articles/PMC10627215/ /pubmed/37937293 http://dx.doi.org/10.3389/fcvm.2023.1235317 Text en © 2023 Iyengar, Iyengar and Srivathsan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Cardiovascular Medicine Iyengar, Shruti Krishna Iyengar, Sumedh Srivathsan, Komandoor The promise of pulsed field ablation and the challenges ahead |
title | The promise of pulsed field ablation and the challenges ahead |
title_full | The promise of pulsed field ablation and the challenges ahead |
title_fullStr | The promise of pulsed field ablation and the challenges ahead |
title_full_unstemmed | The promise of pulsed field ablation and the challenges ahead |
title_short | The promise of pulsed field ablation and the challenges ahead |
title_sort | promise of pulsed field ablation and the challenges ahead |
topic | Cardiovascular Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10627215/ https://www.ncbi.nlm.nih.gov/pubmed/37937293 http://dx.doi.org/10.3389/fcvm.2023.1235317 |
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