Evidence map›Paper›PMID 37161743›Full record

ReviewKorean circulation journal2023

Pearls and Pitfalls of Pulsed Field Ablation.

Stefan Hartl, Nico Reinsch, Anna Füting, Kars Neven

Registry-linked trialOpen access · hybridAbstract readReview
In one paragraph

Review in Korean circulation journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07021313 (Deliver mOre aPplications for More Durable Pulmonary Vein IsOlation), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07021313 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Deliver mOre aPplications for More Durable Pulmonary Vein IsOlation

TypeinterventionalSponsorR&D CardiologieRan2025 to 2028Enrolled378ConditionsAtrial FibrillationArmsPulmonary vein isolation by percutaneous endocardial catheter ablation using the FARAPULSE pulsed high voltage electrical field system in patients with atrial fibrillation, Pulmonary vein isolation by percutaneous endocardial catheter ablation using a pentaspline pulsed high voltage electrical field system in patients with atrial fibrillation
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Investigating workload and usability of remote magnetic navigation for catheter ablation.International journal of computer assisted radiology and surgery · 2026
    Article
  7. Review
  8. Real-world strategies for pulsed field ablation using a variable-loop circular catheter: a compendium of best practices from early adopters.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Biochemical evidence and clinical significance of hemolysis following catheter ablation with a lattice-tip PFA catheter.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Stefan HartlDepartment of Electrophysiology, Alfried Krupp Hospital, Essen, Germany.ORCID https://orcid.org/0000-0001-7784-762X
Nico ReinschDepartment of Electrophysiology, Alfried Krupp Hospital, Essen, Germany.ORCID https://orcid.org/0000-0001-7385-2691
Anna FütingDepartment of Electrophysiology, Alfried Krupp Hospital, Essen, Germany.ORCID https://orcid.org/0000-0003-2116-1690
Kars NevenDepartment of Electrophysiology, Alfried Krupp Hospital, Essen, Germany.ORCID https://orcid.org/0000-0002-2075-8113
Witten/Herdecke University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulsed field ablation (PFA) was recently rediscovered as an emerging treatment modality for the ablation of cardiac arrhythmias. Ultra-short high voltage pulses are leading to irreversible electroporation of cardiac cells subsequently resulting in cell death. Current literature of PFA for pulmonary vein isolation (PVI) consistently reported excellent acute and long-term efficacy along with a very low adverse event rate. The undeniable benefit of the novel ablation technique is that cardiac cells are more susceptible to electrical fields whereas surrounding structures such as the pulmonary veins, the phrenic nerve or the esophagus are not, or if at all, minimally affected, which results in a favorable safety profile that is expected to be superior to the current standard of care without compromising efficacy. Nevertheless, the exact mechanisms of electroporation are not yet entirely understood on a cellular basis and pulsed electrical field protocols of different manufactures are not comparable among one another and require their own validation for each indication. Importantly, randomized controlled trials and comparative data to current standard of care modalities, such as radiofrequency- or cryoballoon ablation, are still missing. This review focuses on the "pearls" and "pitfalls" of PFA, a technology that has the potential to become the future leading energy source for PVI and beyond.

Indexed as

AblationAtrial fibrillationElectroporationPulmonary vein isolationPulsed field ablation

Identifiers

PMID37161743
PMCPMC10172271
OpenAlexW4352978490

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.