FARAPULSE™ Pulsed Field Ablation (PFA) System PFA clinical data.

PFA clinical data

NEW ADVANTAGE AF Phase II clinical data results

The most proven PFA Platform

FARAPULSE has built the largest and most comprehensive clinical evidence base in pulsed field ablation, with unmatched volume in peer-reviewed studies, registry participation, and patient outcomes across pivotal trials and real-world registries.*1

Cover page of the FARAPULSE™ Pulsed Field Ablation (PFA) System PFA clinical compendium.

Clinical compendium

Discover over 150 summarized publications, case studies, and pre-clinical studies for insights into safety, real-world data, clinical outcomes, biomarkers and more.

Cover page of the FARAPULSE™ Pulsed Field Ablation (PFA) System PFA clinical data brochure.

Clinical data brochure

With large-scale registries, clinical data from independent studies, and more trials underway, FARAPULSE holds more published clinical evidence than any other PFA system.


Explore FARAPULSE clinical data





Independent research

Lead physician: Chierchia G.

FARAPULSE (n=134) outperformed conventional cryoballoon ablation (CBA, n=135) in a 6-center randomized clinical trial. Compared to CBA, FARAPULSE had lower rates of complications, faster and more predictable procedures leading to reduced costs per patient at 30 days.


Lead physician: Bisignani A.

In a national multicenter registry of over 650 AF ablation procedures, FARAPULSE (n=348) consistently outperformed historical RFA/CBA (n=325) in predictability. Over 90% of FARAPULSE procedures were completed in under 90 minutes, compared to only 60% with RFA/CBA.


Lead physician: Della Roca D.G.

Read more about the first study showing a significantly lower PV reconnection in redo patients for FARAPULSE (19.1%) than thermal, CBA (27.5%) or RFA (34.8%).


Lead physician: Chaumont C.

See the data: one-year freedom from atrial arrhythmia was significantly higher in the PFA group compared with the cryoballoon group (87.9% versus 77.7%).


*Studied in over 20,000 patients

References

1. Ekanem, E., Neuzil, P., Reichlin, T. et al., Safety of pulsed field ablation in more than 17,000 patients with atrial fibrillation in the MANIFEST-17K study. Nat Med (2024). https://doi.org/10.1038/s41591-024-03114-3

2. ADVANTAGE Phase II citation: Reddy, V., et al., "Pulsed Field Ablation of Persistent Atrial Fibrillation With Continuous ECG Monitoring Follow-Up: ADVANTAGE AF-Phase 2." Circulation 151.0 (2025).

3. Reichlin, et al. Pulsed field ablation or cryoballoon ablation for paroxysmal atrial fibrillation - the SINGLE SHOT CHAMPION randomized clinical trial. EHRA, 2025.

4. Reddy VY, Gerstenfeld EP, Natale A, et al., Pulsed field or conventional thermal ablation for paroxysmal atrial fibrillation. New England Journal of Medicine.2023;Nov2;389(18):1660-1671. https://www.nejm.org/doi/full/10.1056/NEJMoa2307291

5. Reddy V, Mansour M, Calkins H, et al., Pulsed Field vs Conventional Thermal Ablation for Paroxysmal Atrial Fibrillation: Recurrent Atrial Arrhythmia Burden. J Am Coll Cardiol. 2024;84(1):61-74. doi:10.1016/j.jacc.2024.05.001

6. Chierchia G., et al., Pulsed Electric Field versus Cryoballoon to Treat Paroxysmal Atrial Fibrillation (PERFECT-PAF) Randomized Trial: A Periprocedural Clinical and Cost Analysis. ESC, Sept 2, 2024.

7. Bisignani, Antonio, et al., "National workflow experience with pulsed field ablation for atrial fibrillation: learning curve, efficiency, and safety." Journal of Interventional Cardiac Electrophysiology (2024): 1-10.

8. Della Rocca DG, Marcon L, Magnocavallo M, et al., Pulsed electric field, cryoballoon, and radiofrequency for paroxysmal atrial fibrillation ablation: a propensity score-matched comparison, EP Europace, 2024;Jan26(1)euae016. https://doi.org/10.1093/europace/euae016

9. Chaumont C, Hayoun C, Savoure A, et al., Pentaspline pulsed field ablation catheter versus cryoballoon for atrial fibrillation ablation: results from a prospective comparative study. Journal of the American Heart Association. 2024;Mar12;0:e03314612 2024doi.org/10.1161/JAHA.123.033146