Pulsed Field Atrial Fibrillation Ablation (PFA - Farapulse): Advanced Technology, Greater Safety and Precision in the Treatment of Arrhythmias.

If you or someone close to you lives with atrial fibrillation, you know how much this arrhythmia can impact quality of life, causing palpitations, fatigue, shortness of breath, and increasing the risk of stroke. Fortunately, technological advances have brought a modern, effective, and even safer alternative for the treatment of atrial fibrillation: pulsed field ablation (PFA - Farapulse).

Atrial fibrillation (AF) ablation is a minimally invasive procedure that uses catheters inserted intravenously into the heart to treat the foci responsible for atrial fibrillation. Unlike traditional techniques that use heat (radiofrequency) or cold (cryoablation), AF employs high-intensity pulsed electric fields capable of selectively eliminating the cells responsible for the arrhythmia, while preserving important surrounding structures.

This characteristic makes PFA a highly innovative technology, as it acts in a tissue-selective manner, significantly reducing the risk of injury to organs adjacent to the left atrium, such as the esophagus, phrenic nerve, and pulmonary veins. As a result, the procedure tends to be safer, with a lower risk of complications and greater predictability of results.

Combined with modern three-dimensional (3D) electroanatomical mapping systems, PFA ablation allows the electrophysiologist to visualize the anatomy of the heart and its electrical activity in real time with extreme precision. These systems create detailed, color-coded maps of the left atrium, aiding in the exact identification of areas requiring treatment and ensuring greater control throughout the procedure.

Another significant benefit of PFA is the reduction in procedure time and, in many cases, a faster recovery for the patient. The application of energy is more uniform and consistent, decreasing the dependence on prolonged mechanical contact of the catheter with the heart wall, which contributes to greater safety and effectiveness.

Atrial fibrillation ablation using PFA represents an excellent option for patients who have not achieved adequate symptom control with medication or who desire a more definitive approach to treating the arrhythmia. It is a cutting-edge technology, already widely validated in major international centers, and is becoming established as a new standard in the treatment of atrial fibrillation.

In Maringá, Dr. Marcio Gianotto is a cardiologist, arrhythmologist, and electrophysiologist specializing in invasive clinical electrophysiology. He treats atrial fibrillation and performs ablation procedures using the most modern techniques available, including pulsed-field ablation (PFA). With extensive experience and over a thousand ablation procedures performed, he is a regional reference in the treatment of complex cardiac arrhythmias.

If you are experiencing symptoms of atrial fibrillation or wish to assess whether APF (Atrial Phosphatase Perfusion) is indicated for your case, a specialist consultation is essential. Individualized treatment based on cutting-edge technology can safely and effectively transform your quality of life.

The excellence of our service goes far beyond the technology used. It is directly linked to the training, qualifications, and professional recognition of our team. Dr. Marcio GianottoHe has expertise in invasive clinical electrophysiology recognized by the Federal Council of Medicine and is certified by the Brazilian Society of Cardiac Arrhythmias (SOBRAC) as an electrophysiologist, which guarantees the necessary technical skills to perform complex procedures such as atrial fibrillation ablation by PFA.

Cardiac ablation requires a high degree of precision, detailed anatomical knowledge, and practical experience. Procedures performed by professionals without specific training in invasive electrophysiology can significantly increase the risk of complications. Therefore, we always advise patients to verify that the attending physician is officially registered in this subspecialty.link for consultation).

Another fundamental aspect of our practice is our absolute commitment to patient safety. We exclusively use new and disposable materials in all procedures. The reuse of catheters and electrophysiology equipment, a practice adopted in some services to reduce costs, can compromise sterility, increase the risk of infection, and impair treatment outcomes. Our approach prioritizes quality, safety, and consistent results.

The accumulated experience from over a thousand ablation procedures, combined with the frequent performance of these interventions, contributes to high success rates and a lower incidence of complications. This continuous experience allows for handling different clinical scenarios safely and efficiently, reducing risks and the need for additional interventions.

In summary, our work is guided by specialization, cutting-edge technology, safety, and experience. Choosing Dr. Marcio Gianotto and his team for the treatment of atrial fibrillation using PFA represents a decision based on trust, medical excellence, and a commitment to the best possible clinical outcomes.