Arrhythmias & electrophysiology
The Art Behind the Algorithm: Hybrid Ablation and the Need for a Lifetime Strategy in Non-Paroxysmal Atrial Fibrillation
Authors' conclusion
We propose an AF Heart Team framework for non-paroxysmal AF in which catheter-based, hybrid, and surgical strategies are selected according to disease phenotype and lifetime trajectory, with the goal of intervening before advanced remodeling reduces the likelihood of durable rhythm control.
Study context
- Population
- Patients with persistent and long-standing persistent atrial fibrillation
- Outcome
- Freedom from recurrence at one year with pulsed-field ablation
- Follow-up
- One year
Main finding
As reported in the abstract
- Freedom from recurrence at one year in persistent AF remains substantially lower than in paroxysmal AF across all current energy platforms
Original publication
The Art Behind the Algorithm: Hybrid Ablation and the Need for a Lifetime Strategy in Non-Paroxysmal Atrial Fibrillation. Europace. Published 6 November 2026. doi:10.
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