Efficacy and Safety of Novel Pulsed Field Ablation (PFA) Technique: A
Systematic review and Meta-analysis
Abstract
Objective To assess the safety and efficacy of novel pulsed
field ablation (PFA) as a treatment option for atrial fibrillation.
Methods and results PubMed, Ovid, Google Scholar, Web of
Science, and Scopus databases and various major scientific conferences
were searched for studies reporting outcomes about pulsed-field ablation
technique. Sixteen studies were included reporting 485 with atrial
fibrillation who underwent pulsed field operation. Most of the patients
had an average age of 60 years. Their total procedure time was 94 min.
Their mean time of Fluoro procedure is 17 min. The overall proportion of
successful pulmonary vein isolation is 100% with 95% CI (p =1.00). The
overall recurrence rate of arrhythmia in the participants is 0.0284 with
95%-CI (p =0.79). During or after the PFA surgery, the overall
proportion of complications was 0.0223 (p <0.01) with 95%-CI
indicating high safety of the PFA procedure. Conclusion The
novel technique of pulsed-field ablation has shown very safe outcomes
and high efficacy as a novel treatment for patients with atrial
fibrillation