Arrhythmias & electrophysiologyResearch article

Pulsed field ablation: from technological breakthrough to structured clinical implementation—the role of the European Heart Rhythm Association

EuropacePublished

  • Narrative review

Study context

Population
Pulsed field ablation (PFA) in cardiac electrophysiology, European context

Main finding

As reported in the abstract

Position of EHRA on the clinical implementation of PFA
  • PFA has rapidly evolved from an experimental electroporation-based concept to a widely adopted modality in cardiac electrophysiology
  • Its non-thermal mechanism (irreversible electroporation) distinguishes it from radiofrequency and cryoablation, providing relative myocardial selectivity
  • Rapid expansion into routine practice introduces new clinical and organizational challenges
  • Emphasis must shift towards standardized procedural strategies, avoidance of excessive ablation and structured education
  • Responsible integration requires continued vigilance, registry-based surveillance and collaborative scientific leadership

Original publication

Pulsed field ablation: from technological breakthrough to structured clinical implementation—the role of the European Heart Rhythm Association. Europace. Published 12 April 2026. doi:10.1093/europace/euag074

Summarised from the published abstract; every number is checked against it