Paroxysmal Atrial Fibrillation Clinical Trial
Official title:
Pulmonary Vein Isolation: Interest of Real-Time Contact Force Sensing During Radiofrequency Catheter Ablation for Paroxysmal Atrial Fibrillation
Introduction - Pulmonary vein isolation (PVI) is the cornerstone of paroxysmal atrial
fibrillation (AF) ablation. Recurrences remain, however, not infrequent and are mainly due
to PVs reconnection. In this setting, all procedural means able to improve the quality of
tissue lesions are welcome.
Study Hypothesis - A continuous sensing of contact force (CF) during ablation, offered by a
new catheter available on the market, was a valuable additional tool increasing the efficacy
of the ablation procedure for PVI.
Methods - Prospective observational non-randomized monocentric study. Patients with
paroxysmal AF receive PVI following standard ablation procedures (linear antral catheter
ablation guided by CARTO 3 System, Biosense Webster, Inc.) using either a new irrigated RF
ablation catheter that provides tip-to-tissue CF information (THERMOCOOL SMARTTOUCH
Catheter, Biosense Webster, Inc.) (CF group), or a non-CF irrigated catheter (THERMOCOOL SF
or EZ STEER THERMOCOOL Catheter, Biosense Webster, Inc.) (control group). Overall, 60
consecutive patients are enrolled in the study, with 30 patients in each group. All
procedures is performed by the same experienced operator, not blinded to the catheter used.
Except for CF information (with an objective of at least 10 g, associated to the most
perpendicular vector obtainable), ablation procedures are carried out using identical
approaches in both groups. Patients are discharged from hospital free of antiarrhythmic
therapy. Patients are enrolled in a specific follow-up plan.
Primary Endpoints -(1) Proportion of PVI after exclusive anatomic approach, (2) Proportion
of patients free of AF after 12-month follow-up.
n/a
Observational Model: Case Control, Time Perspective: Prospective
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