{"id":409887,"date":"2025-11-13T00:30:00","date_gmt":"2025-11-12T23:30:00","guid":{"rendered":"https:\/\/medizinonline.com\/?p=409887"},"modified":"2025-10-16T18:31:45","modified_gmt":"2025-10-16T16:31:45","slug":"champ-pulse-versus-radiofrequence-ou-en-sommes-nous","status":"publish","type":"post","link":"https:\/\/medizinonline.com\/fr\/champ-pulse-versus-radiofrequence-ou-en-sommes-nous\/","title":{"rendered":"Champ puls\u00e9 versus radiofr\u00e9quence – o\u00f9 en sommes-nous ?"},"content":{"rendered":"\n

En l’espace d’une d\u00e9cennie, l’ablation par cath\u00e9ter dans le traitement de la fibrillation auriculaire (FAV) est pass\u00e9e d’une option sp\u00e9cialis\u00e9e \u00e0 un pilier d’une strat\u00e9gie moderne de gestion du rythme. En 2025, deux \u00e9volutions marquent le d\u00e9bat : d’une part, les lignes directrices actualis\u00e9es ancrent de plus en plus l’ablation – en cas d’indication appropri\u00e9e – comme traitement de premi\u00e8re ligne ; d’autre part, l’ablation par champ puls\u00e9 (PFA) remet en question, d’un point de vue technique et conceptuel, les m\u00e9thodes thermiques jusqu’alors dominantes – notamment l’ablation par radiofr\u00e9quence (RF) en technique de courte dur\u00e9e \u00e0 haute puissance (HPSD). Les \u00e9tudes randomis\u00e9es, les registres et les analyses de s\u00e9curit\u00e9 fournissent une image diff\u00e9renci\u00e9e : la PFA n’est pas inf\u00e9rieure \u00e0 l’ablation thermique conventionnelle dans la FA paroxystique, pr\u00e9sente des avantages proc\u00e9duraux et un profil de s\u00e9curit\u00e9 particulier, mais entra\u00eene de nouveaux effets secondaires caract\u00e9ristiques. De son c\u00f4t\u00e9, l’ablation par radiofr\u00e9quence a permis de r\u00e9aliser des gains significatifs en termes d’efficacit\u00e9 et de s\u00e9curit\u00e9 gr\u00e2ce \u00e0 l’HPSD et \u00e0 des normes de flux de travail optimis\u00e9es. <\/strong><\/p>\n\n

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En l’espace d’une d\u00e9cennie, l’ablation par cath\u00e9ter dans le traitement de la fibrillation auriculaire (FAV) est pass\u00e9e d’une option sp\u00e9cialis\u00e9e \u00e0 un pilier d’une strat\u00e9gie moderne de gestion du rythme….…... <\/p>\n

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