After successfully performing its first Pulsed Field Ablation (PFA) heart procedure in March 2025, the Mandaya Arrhythmia Center has now achieved another milestone with the completion of its second PFA procedure. This is promising news for patients suffering from atrial fibrillation (AFib) who are seeking expert care using the latest heart ablation technologies in Indonesia.
Second Successful PFA Ablation Led by Dr. Sebastian, Arrhythmia Specialist
The second PFA heart ablation at Mandaya Arrhythmia Center was performed on an AFib patient under the expert leadership of Dr. Sebastian Andy Manurung, Sp. JP, Subsp. Ar(K), FIHA, a consultant cardiologist specializing in arrhythmias, based at Mandaya Royal Puri Hospital.
Unlike conventional catheter ablation procedures that use a single-point catheter to deliver heat or cold, the PFA method uses a multipoint or multipolar catheter to deliver electrical pulses simultaneously to multiple targeted heart areas. This approach significantly reduces procedure time and increases efficiency.
These multipoint catheters precisely target areas in the heart that cause AFib, helping restore normal heart rhythm.
“When we apply PFA energy, it creates pores in heart cells, leading to irreversible cell death,” explains Dr. Sebastian.
“The key advantage of PFA ablation lies in its tissue selectivity. It affects only the intended tissue without damaging surrounding structures. This means the ablation energy is focused solely on the target area, minimizing collateral damage,” he adds.
During the procedure, Dr. Sebastian inserts a catheter through the groin and guides it to the heart, where it delivers electric pulses to the tissue responsible for AFib.
AFib is a heart rhythm disorder that causes irregular and often rapid heartbeats. It increases the risk of blood clots, stroke, heart failure, and other cardiovascular complications.
Common AFib symptoms include:
- Rapid or irregular heartbeat (palpitations)
- Chest pain
- Dizziness
- Fatigue
- Reduced exercise capacity
- Shortness of breath
- General weakness
To treat AFib, doctors may recommend PFA catheter ablation as an effective solution.
Key Benefits of PFA Heart Ablation for AFib Treatment
1. Shorter Procedure Time
Thanks to the multipoint catheter design, electrical pulses are delivered to multiple heart areas simultaneously. This makes the procedure more efficient, cutting typical ablation times from 3–4 hours to just about 2 hours—providing a more comfortable experience for patients.
2. Faster Patient Recovery
PFA causes less inflammation and discomfort than thermal-based ablations. Many patients recover quickly and can even go home on the same day, with significantly reduced chest pain or discomfort.
3. Greater Safety for Surrounding Tissue
PFA’s precision ensures that only the target tissue is affected, minimizing damage to surrounding heart structures and improving safety outcomes.
4. Lower Risk of Complications
PFA heart ablation carries a serious complication risk of less than 1%, compared to 2.5% for traditional thermal ablation procedures.
5. Long-Lasting Results
In some cases, PFA ablation offers more durable results compared to conventional methods, making it a valuable long-term solution for managing AFib.
Meet Dr. Sebastian – Expert in PFA Heart Ablation
Dr. Sebastian Andy Manurung is a board-certified cardiologist and arrhythmia consultant at Mandaya Royal Puri Hospital. He graduated from the Faculty of Medicine, Universitas Padjadjaran, and completed his specialist training in Cardiology at the University of Indonesia/National Cardiovascular Center Harapan Kita. He is also a certified arrhythmia consultant.
In addition to PFA ablations, Dr. Sebastian also performs pacemaker installations—including the world’s smallest pacemaker, Micra. He can also reprogram and monitor pacemakers for ongoing patient care.
Dr. Sebastian’s Practice Hours at RS Mandaya Royal Puri:
- Tuesday: 4:00 PM – 8:00 PM WIB
- Thursday: 4:00 PM – 8:00 PM WIB
Heart Check-Up Packages at RS Mandaya Royal Puri
RS Mandaya Royal Puri offers a variety of Heart Check-Up Packages to detect heart-related conditions early. Packages include Basic, Standard, Comprehensive, and Ultimate options—all of which include consultation with a cardiologist.
If you’re considering PFA heart ablation with Dr. Sebastian, feel free to visit RS Mandaya Royal Puri.
To make your visit easier, use the WhatsApp Chat, Book Appointment, or the Care Dokter App (available on Google Play and the App Store) to check queue numbers and get detailed information.
