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156 min, P = 0.002) were significantly lower in the 50 W group. No complication or steam pop was seen in either group. Twelve-month freedom from arrhythmia was similar (80.2% vs. 82.8%, P = 0.918). A higher proportion of lesions in the 50 W group were associated with impedance drop 7 Ω (54.6% vs. 45.5%, P 0.001). Excessive ablation (AI 600 anteriorly, 500 posteriorly) was more frequent in the 50 W group (9.7% vs. 4.3%, P 0.001). Ablation Index-guided 50 W AF ablation is as safe and effective as lower powers and re
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