Atrial Fibrillation Clinical Trial
Official title:
HPvSP-AF Trail: Is High RF Energy Ablation of Atrial Fibrillation Fast, Safe, Less Painful and Effective - a Propensity Score Matched Analysis of 30/25W, 40W and 50W RF Energy Settings
High RF energy ablation of atrial fibrillation is fast, safe, less painful and effective procedure.
Atrial fibrillation (AF) ablation is the most commonly performed radiofrequency (RF) ablation
and is usually associated with a long procedural time and sensation of pain in conscious
patients. Prolonged radiation exposure during the procedure puts the patient and the operator
at risk of malignancy and genetic abnormalities. Complications such as asymptomatic cerebral
lesions, tamponade, perforation, and also arrhythmia recurrence were associated with longer
ablation time.
High-power, shorter-duration radiofrequency ablation (HPSDRFA) appears to be a novel concept
for atrial fibrillation (AF) but there are scarce data in conscious patients. The lesion side
index (LSI) value has been associated with durability of pulmonary vein isolation (PVI)
lesions.
We hypothesised that HPSDRFA applications based on the lesion side index (LSI; its has been
associated with durability of pulmonary vein isolation (PVI) lesions) which were not inferior
to standard approach regarding safety and effectiveness with shorten procedure time and being
less painful for a patient.
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