New Pulsed-Field Ablation Device Found Effective at 1 Year The intervention techniques evolve [www.medscape.com] https://www.afibbers.org/forum/read.php?9,199797,199797#msg-199797 Sat, 27 Jun 2026 12:12:36 +0000 Phorum 5.2.23 https://www.afibbers.org/forum/read.php?9,199797,200247#msg-200247 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,200247#msg-200247
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Carey

the skill and experience of the practitioner, is what counts most if you're looking for successful ablations.

I think that statement is 100% correct and it remains correct if you change "ablations" to any other medical procedure. All the top EPs are using PFA now but they're mostly all still using RF too because PFA can't address every area of the heart and top EPs do more than just a PVI.

Right. Dr Reddy from NY said they don’t use PFA for ventricular ablations (PVCs) only because nobody has the volume experience yet.]]> susan.d AFIBBERS FORUM Fri, 17 Oct 2025 12:21:20 +0000 https://www.afibbers.org/forum/read.php?9,199797,200056#msg-200056 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,200056#msg-200056
[academic.oup.com]

[pmc.ncbi.nlm.nih.gov]

Also, Dr Gupta from the UK has a utube discussion about this drug for the off-label use.]]> sldabrowski AFIBBERS FORUM Mon, 01 Sep 2025 14:19:04 +0000 https://www.afibbers.org/forum/read.php?9,199797,200055#msg-200055 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,200055#msg-200055
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Carey
PFA's main claim to fame is improved safety, not improved efficacy.

I recently had a zoom appointment with a well known experienced NY EP. He was the head of one of the trials. I asked him since PFA seems to be safer, would he ablate my LV using PFA? His reply was no because they simply are not as experienced with PFA ventricular ablations.

My PVCs are now around 50% burden (according to George’s estimate) and I’m not well enough to fly back to the states to have him perform the ablation. My three cancer surgeries have not healed and I’m instructed to remain in bed. I’m more symptomatic than ever. I took a taxi to see a doctor today and I’m wasted from an one hour drive . An 11 hour flight to NY is brutal when in PVCs and hypoxia..even with a bed onboard.

I’m hoping for a miracle. I started a new drug today in hopes to stop my PVCs and am hoping to bite the bullet from having an ablation or at least buy me some time until PFA is used more frequently with ventricular ablations without increasing my heart failure.]]> susan.d AFIBBERS FORUM Mon, 01 Sep 2025 11:40:32 +0000 https://www.afibbers.org/forum/read.php?9,199797,200001#msg-200001 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,200001#msg-200001 this, you need to.

Also, FIRM is nonsense, borderline scam at this point. Sorry to say I let someone do that crap to me too but it was 2015 and it seemed like a new and promising theory. For someone to still be practicing that after 2017 is appalling. There's zero credible evidence the underlying theory has any merit and zero credible evidence that it works in practice.]]> Carey AFIBBERS FORUM Mon, 18 Aug 2025 02:46:43 +0000 https://www.afibbers.org/forum/read.php?9,199797,199995#msg-199995 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199995#msg-199995
It was great to get home the same day instead of staying overnight, but overall, I'm not impressed. It hasn't stopped the AFib.

In some ways, maybe there has been improvement, in that episodes aren't as intense, but I think that's largely because of all the hard work I've done to release old stress/trauma from my nervous system and understand nervous system regulation and how to get there.

But I cannot recall my heart ever being so easily triggered. That is the greatest frustration.

Also, I found the blanking period to be rough. I have a sensitive nervous system and wouldn't be surprised if the electrical aspect just hit me harder somehow. Don't know. All I know is that I can go maybe 2 weeks with no AFib and then if there is some stressor, I can get stuck in a cycle, like now, of having an episode every day over a few weeks. Maybe 2-3 hours long.

I was diagnosed in 2013. RF ablation #1 - worked! 3 years free of AF.

Then AF recurred in 2017. RF #2 - didn't work.

FIRM ablation #3 - by the guy who invented it. Didn't work. I could write a book on that.

Hybrid ablation #4 - worked for like 1.5 yrs - till my insurance kicked me out, no warning, no possibility to consult with my EP. Traumatizing, all in all, no surprise that it totally screwed up my heart.

UCSF for RF #5 Aug 2023- didn't work

PFA #6 in Oct 2024 - didn't work]]> Nella9264 AFIBBERS FORUM Fri, 15 Aug 2025 23:00:02 +0000 https://www.afibbers.org/forum/read.php?9,199797,199822#msg-199822 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199822#msg-199822 Carey AFIBBERS FORUM Sat, 05 Jul 2025 20:50:50 +0000 https://www.afibbers.org/forum/read.php?9,199797,199819#msg-199819 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199819#msg-199819 Qwackertoo AFIBBERS FORUM Sat, 05 Jul 2025 15:22:52 +0000 https://www.afibbers.org/forum/read.php?9,199797,199816#msg-199816 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199816#msg-199816 Carey AFIBBERS FORUM Sat, 05 Jul 2025 15:08:44 +0000 https://www.afibbers.org/forum/read.php?9,199797,199813#msg-199813 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199813#msg-199813 Qwackertoo AFIBBERS FORUM Sat, 05 Jul 2025 12:48:50 +0000 https://www.afibbers.org/forum/read.php?9,199797,199811#msg-199811 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199811#msg-199811
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gloaming
It would be good for me to see a paper on this, Daisy. Would you happen to recollect when/where this might have been posted?

I found this (arguably dated now):

[www.jacc.org]

This looks like a similar article to the one that I found earlier, but I don't have the reference at hand to my earlier research. The reason I was researching this is because pre-ablation, I had very high vagal tone which was causing a form of Dysautonomia where my BP would drop precipitously on standing. In practice that meant that I would start to faint after about 5 minutes standing--very inconvenient! After my RF ablation with Natale, this condition was much improved.]]> Daisy AFIBBERS FORUM Sat, 05 Jul 2025 00:52:37 +0000 https://www.afibbers.org/forum/read.php?9,199797,199808#msg-199808 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199808#msg-199808
I found this (arguably dated now):

[www.jacc.org]]]> gloaming AFIBBERS FORUM Fri, 04 Jul 2025 21:52:20 +0000 https://www.afibbers.org/forum/read.php?9,199797,199807#msg-199807 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199807#msg-199807
Quote
Carey

the skill and experience of the practitioner, is what counts most if you're looking for successful ablations.

I think that statement is 100% correct and it remains correct if you change "ablations" to any other medical procedure. All the top EPs are using PFA now but they're mostly all still using RF too because PFA can't address every area of the heart and top EPs do more than just a PVI.

And, RF has a more enduring therapeutic effect for at least one aspect of ablation—I researched this because it was applicable to me. If they ablate the autonomic ganglia (and they often do as they can be an Afib trigger area) this tends to enhance sympathetic tone, which is welcome if your parasympathetic tone is too high. In PFA ablations this effect lasts only a year or less, whereas with RF it lasts much longer and perhaps permanently.]]> Daisy AFIBBERS FORUM Fri, 04 Jul 2025 19:52:57 +0000 https://www.afibbers.org/forum/read.php?9,199797,199804#msg-199804 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199804#msg-199804
Quote
gloaming
the skill and experience of the practitioner, is what counts most if you're looking for successful ablations.

I think that statement is 100% correct and it remains correct if you change "ablations" to any other medical procedure. All the top EPs are using PFA now but they're mostly all still using RF too because PFA can't address every area of the heart and top EPs do more than just a PVI.]]> Carey AFIBBERS FORUM Fri, 04 Jul 2025 02:51:04 +0000 https://www.afibbers.org/forum/read.php?9,199797,199803#msg-199803 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199803#msg-199803 gloaming AFIBBERS FORUM Fri, 04 Jul 2025 01:21:51 +0000 https://www.afibbers.org/forum/read.php?9,199797,199802#msg-199802 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199802#msg-199802 Carey AFIBBERS FORUM Thu, 03 Jul 2025 15:55:59 +0000 https://www.afibbers.org/forum/read.php?9,199797,199800#msg-199800 Re: New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199800#msg-199800 gloaming AFIBBERS FORUM Thu, 03 Jul 2025 14:42:53 +0000 https://www.afibbers.org/forum/read.php?9,199797,199797#msg-199797 New Pulsed-Field Ablation Device Found Effective at 1 Year https://www.afibbers.org/forum/read.php?9,199797,199797#msg-199797
[www.medscape.com]]]> sldabrowski AFIBBERS FORUM Thu, 03 Jul 2025 11:49:34 +0000