Great Report Ralph! And thanks for being the first Afibber that I know of from our forum and website that has volunteered as a pioneer for recent your index ABL using PAF ablation!. The great news so far from a growing list of very robust trials on Microburst Electroporation (Pulse Field Ablation) across the EU, US, Canada, and other countries now, has been super promising indeed! And yeby Shannon - AFIBBERS FORUM
Hi Ralph, Thanks for the inquires and you'll be in the best possible hands with your PFA -based ablation in Austin as apart of the Medtronic trial on Pulse Field Ablation (the technology is also called 'Electroporation') and there are quite a few past posts from me and a good number of other posters as well over the last few years on this very exciting and very promising new tecby Shannon - AFIBBERS FORUM
The question I have Mike, is what if your recurrence is from a focal trigger such as an atypical left flutter ... or even a CTI flutter source within the right atria far away from the PVs?? It would be very hard to tell beforehand just where your recurrence is originating from, but I suppose he could always just switch back to RF in that case since the only PFA catheter, so far, offered by Faby Shannon - AFIBBERS FORUM
Yes Callydex, This preliminary approach to Pulse Field Ablation is limited to only doing a PVI ... so far. No doubt, as the technology matures, the developing companies will expand the catheter designs and overall supportive systems to allow more flexible ablation for more challenging cases of AFIB like so many of us on Afibbers forum have either required, or are waiting to have a more comprehby Shannon - AFIBBERS FORUM
The main benefit of PFA Mike is, indeed, the safety aspect. There is some degree of potential efficacy benefit for PVI. particularly with less experienced ablation EPs ... but not so much of an ‘efficacy’ advantage for highly experienced elite level operators. More this weekend. Shannonby Shannon - AFIBBERS FORUM
Mike and Anti-Fib l, I’ll write more tomorrow, Saturday, regarding PFA and Electroporation ... and yes, Dr Natale is very familiar with it all and has been actively investigating electroporation or some time now, via Medtronics design for PFA, as well as working with BioSense Webster and Abbott on their respective designs for PFA systems. Its a very exciting development long term and yet Iby Shannon - AFIBBERS FORUM