Atrial Fibrillation Clinical Trial
Official title:
Atrial Fibrillation Ablation Facilitated by Fluoroscopy Image Integrated 3-dimentional Electroanatomical Mapping System
To evaluate reduction of fluoroscopy time/dosis and safety of atrial fibrillation ablation in patients with paroxysmal atrial fibrillation using fluoroscopy image integrated 3-dimentional electroanatomical mapping system, comparing to using 3-dimentional electroanatomical mapping system without fluoroscopy image integration
The novel fluoroscopic image integrated 3-dimentional electroanatomical mapping system is
designed for minimizing the exposure to X-ray for physician, staff and patients. This
randomized single-center study is to evaluate the reduction on fluoroscopy levels (time and
dosis) in catheter interventional treatment of symptomatic, antiarrhythmic refractory
paroxysmal atrial fibrillation using fluoroscopic image integrated 3-dimentional
electroanatomical mapping system, comparing with using 3-dimentional electroanatomical
mapping system without fluoroscopic image integration. Patients with documented paroxysmal
atrial fibrillation, who are going to receive a catheter interventional treatment to atrial
fibrillation, will be randomized (1:1) into two groups after signing an informed consent.
Group 1 (CARTOUNIVU): using fluoroscopic image integrated 3-dimentional electroanatomical
mapping system. Group 2 (CARTO3): using 3-dimentional electroanatomical mapping system
without fluoroscopic image integration.
The ablation strategies in both study groups are the same, including circumferential
isolation of ipsilateral pulmonary veins (PV) and voltage map guided substrate modification.
According to the randomization, the ablation procedure will be performed with or without
fluoroscopic image integration.
The primary endpoint of this study is the evaluation of reduction on fluoroscopy levels
(fluoroscopy time and dosis) during atrial fibrillation ablation procedure. Secondary
endpoints include complete isolation of the pulmonary veins, completely bidirectional block
of linear ablation lines, total procedure time, ablation-related complications.
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