# Implementation of pulsed field ablation technology

> Live situation record from CLSTR: https://clstr.news/situations/implementation-of-pulsed-field-ablation-technology
> Updated: 2026-09-08T13:36:47.000Z. Sources: 10. Developments: 3.

Medical facilities are beginning to implement pulsed field ablation (PFA) technology to treat atrial fibrillation. This method utilizes non-thermal pulsed electrical fields to target abnormal heart tissue, which is designed to minimize damage to surrounding structures like the esophagus compared to traditional heat or cold-based thermal ablation.

In the Caribbean, Health City Cayman Islands performed the region’s first FARAPULSE procedure, a minimally invasive treatment intended to allow for rapid patient recovery. Subsequently, in the United States, the Texas Cardiac Arrhythmia Institute became the first facility to participate in a clinical trial for a next-generation mapping and PFA system. This trial evaluates the safety and effectiveness of the technology using integrated 3D cardiac mapping to visualize electrical activity and catheter contact.

Expanding into Europe, the Clinical Center of Montenegro (KCCG) has successfully performed its first PFA procedures. The Department for Heart Rhythm Disorders and Cardiac Electrophysiology at the KCCG Cardiology Clinic treated two patients suffering from long-term atrial fibrillation that had led to heart failure. The procedure was conducted with support from cardiologist-arrhythmologist Nikola Pavlović from the Dubrava Clinical Hospital in Zagreb.

## Claims

- TCAI is the first U.S. facility to participate in the clinical trial for the new mapping and pulsed field ablation system. (corroborated by 3 sources)
- Dr. Andrea Natale performed the first procedure in the clinical trial. (corroborated by 3 sources)
- The new catheter system uses electric fields rather than extreme heat or cold to ablate heart tissue. (corroborated by 3 sources)
- The system includes 3D cardiac mapping technology to visualize catheter position and tissue contact. (corroborated by 3 sources)
- The trial evaluates the safety and effectiveness of the system for treating paroxysmal and persistent atrial fibrillation. (corroborated by 3 sources)
- TCAI is the first facility in the United States to participate in a clinical trial for a next-generation mapping and pulsed field ablation system. (corroborated by 3 sources)
- The trial evaluates the safety and effectiveness of a mapping and pulsed field ablation system for treating paroxysmal and persistent atrial fibrillation. (corroborated by 3 sources)
- The new catheter system uses electric fields to ablate tissue instead of the extreme heat or cold used in traditional ablation. (corroborated by 3 sources)
- The system includes 3D cardiac mapping technology to provide detailed views of the heart's electrical activity. (corroborated by 3 sources)

## Timeline

### 2026-09-08: Clinical Center of Montenegro performs first pulse field ablation

The Clinical Center of Montenegro performed its first pulse field ablation (PFA) to treat atrial fibrillation, using high-voltage electrical impulses to target arrhythmia-causing cells.

7 sources. https://clstr.news/cluster/clinical-center-of-montenegro-performs-first-pulse-field-ablation

### 2026-09-02: Texas Cardiac Arrhythmia Institute joins first U.S. pulsed field ablation trial

The Texas Cardiac Arrhythmia Institute is the first U.S. facility to join a clinical trial for a new pulsed field ablation system designed to treat atrial fibrillation using electric fields.

3 sources. https://clstr.news/cluster/texas-cardiac-arrhythmia-institute-joins-first-us-pulsed-field-ablation-trial

### 2026-08-14: Health City Cayman Islands performs Caribbean’s first FARAPULSE procedure

Health City Cayman Islands has completed the Caribbean’s first FARAPULSE™ Pulsed Field Ablation procedure to treat atrial fibrillation using non-thermal electrical fields.

2 sources. https://clstr.news/cluster/health-city-cayman-islands-performs-caribbeans-first-farapulse-procedure

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Cite as: Implementation of pulsed field ablation technology. CLSTR, https://clstr.news/situations/implementation-of-pulsed-field-ablation-technology