Head-to-head comparison of pulsed-field ablation, high-power short-duration ablation, cryoballoon and conventional radiofrequency ablation by MRI-based ablation lesion assessment
Lesion characteristics differed significantly among the four ablation techniques. HPSD ablation resulted in the most continuous LGE lesions. Of note, HPSD lesions were also wider than conventional RF lesions, thus corroborating the concept of a shallower HPSD lesion geometry from experimental studies. PFA lesions cover relatively large areas but are more inhomogeneous. Wether this indicates ineffective ablation or lower detectability of PFA lesions by LGE-CMR remains unknown.
Authors
- Eric Invers-Rubio (ORCID: https://orcid.org/0000-0001-8796-3827)
- Eduard Guasch (ORCID: https://orcid.org/0000-0003-4238-5319)
- Josép Brugada (ORCID: https://orcid.org/0000-0002-5662-8302)
- Till Althoff (ORCID: https://orcid.org/0000-0002-3289-2985)
- Marta Sitges (ORCID: https://orcid.org/0000-0003-1300-4732)
- Rosario J. Perea (ORCID: https://orcid.org/0000-0003-0916-6931)
- Carlos Igor Morr
- Ivo Roca‐Luque (ORCID: https://orcid.org/0000-0003-0731-3731)
- José Marı́a Tolosana (ORCID: https://orcid.org/0000-0002-1215-3472)
- Lluı́s Mont (ORCID: https://orcid.org/0000-0002-8115-5906)
- S Prat (ORCID: https://orcid.org/0000-0001-7470-6709)
- Jean-Baptiste Guichard (ORCID: https://orcid.org/0000-0002-4696-7722)
- Andreu Porta‐Sánchez (ORCID: https://orcid.org/0000-0003-3510-1488)
- Elena Arbelo (ORCID: https://orcid.org/0000-0003-0424-6393)
- Mariona Regany‐Closa
- Berta Pellicer‐Sendra
- R Borras
- Josep Pomes-Perez
Institutions
- Centro de Investigación Biomédica en Red (ES)
- Centro de Investigación Biomédica en Red de Cáncer (ES)
- Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
- Universitat de Barcelona (ES)
- Charité - Universitätsmedizin Berlin (DE)
Publication Details
- Journal
- Journal of Interventional Cardiac Electrophysiology
- Published
- 2025-06-24
- DOI
- https://doi.org/10.1007/s10840-025-02086-9
- Citations
- 4
- Primary Topic
- Cardiac Arrhythmias and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 5.55
Funders
- Centres de Recerca de Catalunya
- European Commission
- Generalitat de Catalunya
- Centro de Investigación Biomédica en Red Enfermedades Cardiovasculares
- Agència de Gestió d'Ajuts Universitaris i de Recerca
- Instituto de Salud Carlos III
- Departament de Salut, Generalitat de Catalunya
- Biosense Webster