Original Investigation

Pulmonary Vein Isolation Using Pulsed Field Ablation With vs Without Posterior Wall Isolation in Patients With Symptomatic Persistent Atrial Fibrillation

JAMA 10.1001/jama.2026.17598

August 29, 2026 at 8:00 AM EDT

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In patients with persistent AF, adding PFA-based PWI to PVI did not significantly reduce atrial tachyarrhythmia recurrence lasting 30 seconds or longer compared with PVI alone. The findings for secondary end points are hypothesis generating and warrant further evaluation in a larger trial.

Meeting Information: ESC 2026

This paper will be presented during European Society of Cardiology Congress in Munich, Germany.

Local Embargo Time: 14:00 (2 P.M.) CEST.

ESC Presentation: Laurent Roten will simultaneously present the findings during the late-breaking science session “The evolution of atrial fibrillation ablation: energy, mapping and precision patient selection” in Rome at the ICM. 

Related Content: A related trial and editorial will publish 11 A.M. ET (US Eastern Time) Sunday, August 30.

Corresponding Author: Laurent Roten, MD, Inselspital, Kardiologie, Freiburgstrasse, 3010 Bern, Switzerland (laurent.roten@insel.ch).

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