Pulsed field ablation for atrioventricular junctional reentry: Simple is complicated
Pulsed field ablation (PFA)-induced electroporation is an application of high-energy, direct-current shocks on myocardium, albeit at a considerably lower current density that decreases the risks of arcing and barotrauma.1 PFA is now the new fashion in the ablation technology and following its establishment in atrial fibrillation (AF), PFA is now aimed at replacing radiofrequency in both supraventricular and ventricular tachycardias ablation.2–4 For atrioventricular junctional reentrant tachycardia (AVJRT), more commonly—but erroneously—called AVNRT as explained elsewhere,5 this approach is particularly attractive.
