{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T15:18:07Z","timestamp":1780759087371,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004374","name":"Medtronic","doi-asserted-by":"publisher","award":["ERP\u20102024\u201013798"],"award-info":[{"award-number":["ERP\u20102024\u201013798"]}],"id":[{"id":"10.13039\/100004374","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cardiovasc electrophysiol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The circular array (CA) pulsed field ablation (PFA) system is the first FDA\u2010approved PFA technology for atrial fibrillation (AF), but real\u2010world long\u2010term outcome data remain limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare 1\u2010year procedural outcomes and arrhythmia recurrence following CA PFA versus clinically matched radiofrequency (RF) ablation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective single\u2010center study, 36 consecutive patients underwent de novo AF ablation with the CA catheter and were matched 1:1 to RF controls by age, sex, left atrial size, body mass index, ejection fraction, and AF type. A previously described lesion optimization strategy with pole 5 anchoring was applied in all PFA cases. The primary endpoint was a composite of AF recurrence, antiarrhythmic use, cardioversion beyond the blanking period, or repeat ablation at 1 year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Baseline characteristics were similar between groups. Procedure and left atrial dwell times were significantly shorter with CA PFA (124 vs. 179\u2009min; 72 vs. 115\u2009min; both\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). No complications occurred in the PFA group, compared with two access\u2010site hematomas in RF. The composite endpoint occurred less often with PFA (22% vs. 36%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.195). In multivariable analysis, PFA was associated with a lower risk of recurrence (aOR: 0.50,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.081).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>CA PFA, performed with lesion optimization techniques, was safe, efficient, and at least as effective as RF ablation at 1 year. This study represents the first controlled, real\u2010world comparison of long\u2010term outcomes between CA PFA and RF ablation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jce.70253","type":"journal-article","created":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T05:35:28Z","timestamp":1768455328000},"page":"519-526","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Comparative Analysis of Long\u2010Term Procedural Outcomes Following Circular Array Pulsed Field and Radiofrequency Ablation"],"prefix":"10.1111","volume":"37","author":[{"given":"Nicholas","family":"Beccarino","sequence":"first","affiliation":[{"name":"Northwell Cardiovascular Institute Center for Arrhythmias New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Sharma","sequence":"additional","affiliation":[{"name":"Northwell Cardiovascular Institute Center for Arrhythmias 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York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristie M.","family":"Coleman","sequence":"additional","affiliation":[{"name":"Northwell Cardiovascular Institute Center for Arrhythmias New Hyde Park New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stavros E.","family":"Mountantonakis","sequence":"additional","affiliation":[{"name":"Northwell Cardiovascular Institute Center for Arrhythmias New Hyde Park New York 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