{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:53:07Z","timestamp":1792029187191,"version":"4.4.0"},"reference-count":56,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":3,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Arrhythmia"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pulsed\u2010field ablation (PFA) is a nonthermal alternative to radiofrequency ablation (RFA) for patients with atrial fibrillation (AF). However, the role of PFA compared to RFA in patients with paroxysmal AF (PAF) remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the efficacy and safety of PFA and RFA in adult patients with PAF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis were conducted following the Cochrane methodology and reported in accordance with PRISMA guidelines. The PubMed, Embase, and Cochrane databases were searched through February 2025 for studies comparing PFA and RFA in adults with PAF. The outcomes of interest included procedure time, 1\u2010year success rate, and major complications. All the statistical analyses were performed via R version 4.5 with a random effects model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      One randomized controlled trial (RCT) and five observational studies comprising 3163 patients with PAF were included, of whom 972 (30.7%) underwent PFA. The follow\u2010up time ranged from 12 to 30\u2009months. PFA was associated with a significantly shorter procedure time (MD \u201339.15\u2009min; 95% CI \u201358.19 to \u221220.11,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), but a significantly longer fluoroscopy time (MD 10.75\u2009min; 95% CI 5.58\u201315.92,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01) as compared with RFA. There were no statistically significant differences in terms of the 1\u2010year success rate (RR 1.04; 95% CI 0.77\u20131.41,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.79) and major complications (RR 0.95; 95% CI 0.60\u20131.52,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.83) between PFA and RFA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this meta\u2010analysis, PFA was associated with a reduced operative time and an increased fluoroscopy time, with comparable 1\u2010year efficacy and overall safety profiles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>PROSPERO number: CRD420251000165<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/joa3.70158","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T12:31:06Z","timestamp":1754310666000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Pulsed\u2010Field Ablation Versus Radiofrequency Ablation for Paroxysmal Atrial Fibrillation: A Systematic Review and Meta\u2010Analysis"],"prefix":"10.1002","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8867-7424","authenticated-orcid":false,"given":"In\u00eas","family":"Martins Esteves","sequence":"first","affiliation":[{"name":"School of Medicine and Biomedical Sciences University of Porto  Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6372-935X","authenticated-orcid":false,"given":"Vinicius Bittar","family":"de Pontes","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio das Faculdades Associadas de Ensino  S\u00e3o Jo\u00e3o da Boa Vista Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-4519-3095","authenticated-orcid":false,"given":"Thierry","family":"Trevisan","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio das Faculdades Associadas de Ensino  S\u00e3o Jo\u00e3o da Boa Vista Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4601-3416","authenticated-orcid":false,"given":"Sebastian","family":"Jaramillo","sequence":"additional","affiliation":[{"name":"Universidad Austral  Pilar Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1273-6544","authenticated-orcid":false,"given":"Wilton F.","family":"Gomes","sequence":"additional","affiliation":[{"name":"Hospital INC  Curitiba Brazil"},{"name":"Faculdade Pequeno Pr\u00edncipe  Curitiba Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.2174\/1573403X13666170117125124"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jce.15759"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaa612"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001193"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10840-025-01981-5"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.957563"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.19102\/icrm.2024.15083"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17434440.2025.2475239"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae134"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hroo.2024.04.012"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2307291"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euae293"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/postmj\/qgaf049"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(24)02227-7"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0000000000000808"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.15420\/aer.2024.05"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehae176"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"e_1_2_9_21_1","unstructured":"I. 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