Catheter ablation is the cornerstone of the rhythm control treatment of atrial fibrillation (AF). During this procedure, creating a contiguous and durable lesion set is essential to achieve good long-term results. Radiofrequency lesions are created in two phases: resistive and conductive heating. The ablation catheters and the generators have undergone impressive technical developments to enable homogenous and good-quality lesion creation. Despite recent years’ achievements, the durable isolation of the pulmonary veins remains a challenge. These days, intensive research aims to evaluate the role of high-power radiofrequency applications in the treatment of patients with cardiac arrhythmias. The use of high-power, short-duration applications might result in a uniform, transmural lesion set. It is associated with shorter procedure time, shorter left atrial, and fluoroscopy time than low-power ablation. This technique was also associated with a better clinical outcome, possibly due to the better durability of lesions. Multiple clinical studies have proven the safety and efficacy of high-power, short-duration PVI.
A Randomized Trial of High vs Standard Power Radiofrequency
Cardiac Rhythm Management - Pacing, Ablation, Devices
High-power short-duration pulmonary vein isolation with the novel
Journal of Cardiovascular Electrophysiology - TechRxiv
Texas Cardiac Arrhythmia Trusted Patient Education Platform
PDF) Left Atrial Posterior Wall Isolation with Pulsed Field
High-power Short-duration Radiofrequency Ablation for Atrial
PDF) The role of local impedance drop in the acute lesion efficacy
Pulsed‐field ablation combined with ultrahigh‐density mapping in
Very-High Power Short Duration Vs Conventional Ablation for PVI in