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Pulsed Field Ablation (PFA) is the newest AFib ablation technology — safer, faster, and heavily marketed. But does “safer and faster” actually mean better, especially if your AFib is more advanced? Today I break down exactly what PFA can and cannot do so you can protect yourself and make an informed decision. PFA is exciting technology: it uses electrical pulses to “stun” or denature AFib cells without burning or freezing surrounding tissue. But despite the hype, the current catheter design (2024) is still limited to one wall — the easiest wall — and success rates in early trials have been closer to 60–70%, not 80–90%. If you’re in Persistent or Long-Standing Persistent AFib and need multi-wall lesion sets, PFA may not be enough yet. It may help reduce procedure time, but it does not replace a full advanced ablation when your “forest fire” covers multiple walls. In this video, you’ll learn: • What PFA actually does • Why it’s safer — and why that doesn’t automatically mean more effective • Why early-stage patients may benefit, but advanced-stage patients may not • How to evaluate whether your EP is doing “just one wall” or a true multi-wall ablation • Why energy source matters less than what is actually being done 📌 Continue Your Learning Path: Watch the full playlist here:👉 • AFib Ablation Success Path: RF vs Cryo vs ... ✨ Want to Know Your AFib Stage? Take the free AFib Stage of Progression Quiz:👉 https://heart.drscottlee.com/quiz 💬 Need Clarity About Your AFib? Request a Second Opinion Clarity Consult (telemedicine available): 👉 https://heart.drscottlee.com/review 👨⚕️ About Dr. Scott Lee Dr. Scott Lee is a board-certified cardiac electrophysiologist with over 20 years of experience specializing in the treatment of complex and advanced atrial fibrillation. Stanford-trained and nationally recognized for his high single-procedure success rates in late-stage AFib, Dr. Lee is known for bringing honesty, transparency, and elite technical skill to a field where many patients feel rushed, dismissed, or confused. Through his AFibEducation YouTube channel and his direct-pay consultation practice, Dr. Lee focuses on what most doctors don’t have time to explain: how AFib truly progresses, why treatments succeed or fail, and how patients can make informed, confident decisions about their care. He is committed to ethics, patient advocacy, and clear education—empowering people to take back control of their health instead of getting lost in a broken system. 🌐 More resources at www.drscottlee.com 👍 Like this video if it helped you. 💬 Got questions? Drop them in the comments—Dr. Lee reads them all. 🔔 Subscribe for more expert-level AFib breakdowns every week. Check out more videos on our Channel: / @afibeducation 🕒 Chapters 00:00 — What Is Pulsed Field Ablation (PFA)? 00:40 — How Traditional Ablation Works (RF & Cryo) 01:08 — Why Your AFib “Forest Fire Size” Matters 02:02 — Limitations of RF & Cryoballoon Ablation 02:55 — Why PFA Is Considered Safer 03:26 — What PFA Actually Does to AFib Cells 03:57 — Current Limitations of PFA Technology (2024) 04:28 — Early Trial Success Rates: What They Really Mean 05:00 — Why PFA Alone Isn’t Enough for Advanced AFib 05:28 — Two Ways New Technologies Change the Field 05:56 — Freezing Balloon vs PFA vs RF 06:25 — Why “Faster” Doesn’t Mean “More Effective” 06:51 — Will PFA Replace RF for Advanced Ablations? 07:18 — Final Thoughts: What Patients Should Look For #afib #pulsedfieldablation #drscottlee