{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T20:17:55Z","timestamp":1777407475189,"version":"3.51.4"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Pulsed field ablation (PFA) is an established technology for pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF). However, data on long-term outcome remain scarce. With this work, we aim to contribute valuable long-term data on catheter ablation with PFA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>We conducted a retrospective analysis of our single-centre data of 339 patients (63% paroxysmal AF, 37% persistent AF), as well as of 55 redo procedures in patients, who underwent first PVI with a pentaspline PFA catheter. During the median follow-up (FUP) of 752 (391\u20131486) days, 34% patients (n = 116) experienced arrhythmia recurrence after a blanking period of 90 days, with a median time to recurrence of 218 (90\u20131161) days. Multivariate analysis showed electrical cardioversion at the end [HR 1.97 (95% CI 1.17\u20133.33), P = 0.011] and AF at the beginning of the procedure [HR 1.73 (95% CI 1.04\u20132.88), P = 0.034] being independently associated with a higher risk of arrhythmia recurrence. Additional anterior flower applications were protective in the univariate (P = 0.025) analysis. Atrial tachycardia (AT) was present in 16, 37, 0, and 0% after the first, second, third, and fourth procedure, respectively. In 55 analysed redo procedures, 104\/221 veins (47%) were reconnected (0\/1\/2\/3\/4 reconnected veins: 9%\/31%\/27.3%\/27.3%\/5.4%). Analysis of multiple procedure outcome estimates improved long-term arrhythmia-free survival, with an overall success rate of 86% after \u22652 procedures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>PV reconnections are frequent in patients presenting for repeat ablations, especially at the anterior PV aspect. A multiple procedure approach estimates arrhythmia-free survival in 86% of patients. Procedures with additional anterior lesions at the right pulmonary veins (RPVs) could be protective for recurrences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/europace\/euag057","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T12:45:34Z","timestamp":1774010734000},"source":"Crossref","is-referenced-by-count":0,"title":["Incidence and predictors of AF recurrence during long-term follow-up of patients after PF ablation for atrial fibrillation"],"prefix":"10.1093","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1991-9899","authenticated-orcid":false,"given":"Anna-Sophie","family":"Eberl","sequence":"first","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Medical University of Graz 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,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3435-714X","authenticated-orcid":false,"given":"Stefan","family":"Kurath-Koller","sequence":"additional","affiliation":[{"name":"Division of Paediatric Cardiology, Department of Paediatrics & Adolescence Medicine, Medical University of Graz ,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6157-0717","authenticated-orcid":false,"given":"Katharina","family":"G\u00f6lly","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Medical University of Graz ,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0480-2521","authenticated-orcid":false,"given":"Martin","family":"Benedikt","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Medicine, Medical University of Graz 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