Efficacy, safety, and strategy-modifying factors of pulsed field ablation for persistent and long-standing persistent atrial fibrillation: a systematic review and meta-analysis

Yuanlin Zhou, Jianhua Xie, Mingliang Fang, Shipeng Wang, Xiaohong Bin, Qingyao Liao · 2026

Read Efficacy, safety, and strategy-modifying factors of pulsed field ablation for persistent and long-standing persistent atrial fibrillation: a systematic review and meta-analysis by Yuanlin Zhou, Jianhua Xie, Mingliang Fang, Shipeng Wang, Xiaohong Bin, Qingyao Liao (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13677292.txt.

Description

Yuanlin Zhou and five co-authors pool the evidence on pulsed field ablation for stubborn atrial fibrillation, in a paper dated 2026. The technique zaps heart tissue with electric pulses rather than heat, promising speed and safety near the esophagus. The hardest cases, persistent and long-standing fibrillation, had never had a dedicated synthesis.

The team searched five databases into 2026 and handled the literature's messiness carefully: only truly comparable head-to-head studies were pooled, while single studies were summarized and strategy questions explored with single-arm pooling. Extra lesion sets beyond the standard, such as the heart's back wall, were a key question. Outcomes off rhythm drugs counted most. The review gives electrophysiologists a graded map of what the new tool achieves in advanced disease.

Catalog record

CREATORYuanlin Zhou, Jianhua Xie, Mingliang Fang, Shipeng Wang, Xiaohong Bin, Qingyao Liao
YEAR2026
COLLECTIONPAPERS
FORMATTXT
FILE SIZE67 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC13677292

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