Evidence map›Paper›PMID 42109636›Full record

ReviewArrhythmia & electrophysiology review2026

A Review of Potential Complications of Pulsed Field Ablation for AF: Beneath the Surface.

Francis J Ha, Tai Ermongkonchai, Hui-Chen Han, Nitesh Nerlekar, Adam J Brown, Emily Kotschet

Abstract readReview
In one paragraph

Review in Arrhythmia & electrophysiology review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Procedural Management of Atrial Fibrillation in Older Patients.Reviews in cardiovascular medicine · 2026
    Review
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

6 authors.

Francis J HaVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-3206-5725
Tai ErmongkonchaiVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-2210-5773
Hui-Chen HanVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0001-5884-5784
Nitesh NerlekarVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-3437-8648
Adam J BrownVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0003-4531-6052
Emily KotschetVictorian Heart Institute and Victorian Heart Hospital, Monash University, Monash Health Clayton, Victoria, Australia.ORCID https://orcid.org/0000-0002-0604-7825

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulsed field ablation (PFA) for AF has changed the landscape of AF treatment globally. While clinical trial data have shown non-inferiority compared with thermal ablation, the safety profile of this technology is still being understood. Large post-approval registry data are now accumulating and have invariably demonstrated that rather than PFA being necessarily safer than conventional thermal ablation, the safety profile is simply different. Pericardial tamponade remains a risk and may even be greater compared with thermal ablation. Coronary artery spasm has been recognised, particularly with off-label use of PFA. Haemolysis and associated acute kidney injury are unique complications related to PFA. Stroke risk persists with likely multiple causes. Other complications, such as femoral venous injury, vagal responses and transient phrenic nerve injury, are increasingly recognised. In this review, we summarise recent data regarding potential complications associated with PFA, including mechanisms, risk factors, management and prevention.

Indexed as

AFcatheter ablationcomplicationspulsed field ablation

Identifiers

PMID42109636
PMCPMC13153928

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.