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7/20/2026 7:08:30 AM | Browse: 2 | Download: 9
Publication Name World Journal of Cardiology
Manuscript ID 120973
Country United States
Received
2026-03-12 03:24
Peer-Review Started
2026-03-12 03:26
First Decision by Editorial Office Director
2026-05-29 09:02
Return for Revision
2026-05-29 09:02
Revised
2026-06-18 12:14
Publication Fee Transferred
Second Decision by Editor
2026-06-30 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-06-30 03:24
Articles in Press
2026-06-30 03:24
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-07-16 00:18
Publish the Manuscript Online
2026-07-20 07:08
ISSN 1949-8462 (online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright © The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Cardiac & Cardiovascular Systems
Manuscript Type Minireviews
Article Title High-power short-duration radiofrequency ablation for atrial fibrillation: There is still a country for “old men”
Manuscript Source Invited Manuscript
All Author List Andrea Giuseppe Porto, Paolo Zappulla, Giuseppe Sgarito and Sergio Conti
ORCID
Author(s) ORCID Number
Andrea Giuseppe Porto http://orcid.org/0000-0002-6454-6665
Paolo Zappulla http://orcid.org/0000-0001-5014-5353
Giuseppe Sgarito http://orcid.org/0000-0001-6003-6054
Sergio Conti http://orcid.org/0000-0001-6683-6781
Funding Agency and Grant Number
Corresponding Author Sergio Conti, Division of Cardiology, Department of Internal Medicine, Section of Cardiac Electrophysiology, University of Iowa Health Care Center, 200 Hawkins Dr, Iowa City, IA 52242, United States. sergioconti.md@gmail.com
Key Words High-power short-duration; Atrial fibrillation; Catheter ablation; Radiofrequency; Lesion formation; Biophysics; Pulsed field ablation
Core Tip High-power short-duration (HPSD) is the latest development in radiofrequency (RF) catheter ablation. HPSD has redefined the RF ablation landscape, offering proven advantages over low-power long-duration RF ablation in both safety and efficacy. However, there are still safety issues related to RF thermal effects. In addition, even when following standardized protocols, HPSD RF ablation remains operator-dependent. Pulsed field ablation (PFA) is an innovative, non-thermal ablation technique that employs pulsed electric fields to ablate myocardial tissue selectively, sparing adjacent non-cardiac structures. PFA seems more reproducible, reducing procedural time while maintaining non-inferior efficacy. In the era of PFA, HPSD RF ablation should therefore be viewed not as a technology being replaced, but rather as a mature and efficient strategy that will likely coexist with emerging non-thermal ablation modalities.
Publish Date 2026-07-20 07:08
Citation

Porto AG, Zappulla P, Sgarito G, Conti S. High-power short-duration radiofrequency ablation for atrial fibrillation: There is still a country for “old men”. World J Cardiol 2026; 18(7): 120973

URL https://www.wjgnet.com/1949-8462/full/v18/i7/120973.htm
DOI https://doi.org/10.4330/wjc.120973
Full Article (PDF) WJC-18-120973-with-cover.pdf
Manuscript File 120973_Auto_Edited_020448.docx
Answering Reviewers 120973-answering-reviewers.pdf
Audio Core Tip 120973-audio.m4a
Conflict-of-Interest Disclosure Form 120973-conflict-of-interest-statement.pdf
Copyright License Agreement 120973-copyright-assignment.pdf
Non-Native Speakers of English Editing Certificate 120973-non-native-speakers.pdf
Peer-review Report 120973-peer-reviews.pdf
Scientific Misconduct Check 120973-scientific-misconduct-check.png
Scientific Editor Work List 120973-scientific-editor-work-list.pdf
CrossCheck Report 120973-crosscheck-report.pdf