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5m 58sPart 2 | Session 6 ADVENT LTO: Long-Term PFA Outcomes and AF Progression
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4m 16sPart 3 | Session 1 4 Trials That Will Change My Practice with Dr Luigi Di Biase
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5m 18sPart 3 | Session 2 AF & EP in 2026: Five Things That Will Change Daily Practice
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10m 44sPart 1 | Session 1 Complication Prevention in Complex AF and VT Procedures
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12m 35sPart 1 | Session 2 Will PFA Redefine AF Ablation Strategies in 2026?
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9m 39sPart 1 | Session 3 Redo AF Ablation: When to Go Beyond PVI?
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4m 10sPart 2 | Session 1 Stroke Management After AF Ablation
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7m 20sPart 2 | Session 2 VOLT AF IDE
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5m 53sPart 2 | Session 3 VERITAS Study: Next-Generation LAA Closure with Amulet 360
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3m 48sPart 2 | Session 4 STYLE AF Update: Venous Vascular Closure in AF Patients
AF Symposium 2026 - Prof Roland Tilz (University Heart Center Lübeck, DE) discusses an innovative awake workflow for atrial fibrillation ablation using pulsed field ablation technology with the Volt balloon-in-basket system, eliminating the need for propofol-based deep sedation.
Patient experience data revealed nuanced outcomes: while intraprocedural pain scores averaged 7/10 during energy delivery, concurrent comfort levels remained high at 2/10. Notably, retrospective pain perception decreased substantially to 2-3/10, with the majority of patients willing to recommend this approach to others. Ongoing enhancements include patient entertainment options during the procedure, with a 200-patient randomized trial now underway comparing this awake protocol against nurse-administered propofol sedation.
Recorded on-site at AF Symposium 2026.
Editors: Jordan Rance
Videographer: Oliver Miles
Support: This is an independent interview produced by Radcliffe Cardiology.
Stay up to date with our video collection covering late-breaking data from AF Symposium 2026 in Boston. Don't miss our short, accessible Expert Interviews, Discussions and Highlights of the most pertinent trials.
More from this programme
Part 1
Clinical Discussions
Part 2
Expert Interviews
Faculty Biographies
Roland R Tilz
Deputy Director
Prof Roland Tilz is the deputy director of the Medical Center II of the University Hospital in Lübeck and professor of the invasive electrophysiology at the University Lübeck. He is committed to training in the field of “Invasive electrophysiology and cardiac rhythm implants”. Prof Roland Tilz trained at the Addenbrooks Hospital in Cambridge (UK), Bedford Hospital (UK), Klinikum Bayreuth and at the Asklepios Klinik St. Georg in Hamburg.
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