Improving Outcome After Pulmonary Vein Isolation
Conditions
Brief summary
The investigators prospectively investigate the differences between contact-force guided pulmonary vein isolation (PVI) and conventional pulmonary vein isolation in patients with paroxysmal atrial fibrillation (PAF) with respect to adenosine guided unmasking of dormant conduction, procedural and clinical outcome.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients (\>=18 und \< 80 years) with symptomatic paroxysmal AF * At least one unsuccessful attempt of antiarrhythmic drug (betablocker or class I oder III). * Oral anticoagulation with phenprocoumone, warfarine or DOAKs for at least 4 weeks prior to ablation with weekly documented INR \> 2.. * Withdrawal of antiarrhythmic drugs at least 3 half times prior to ablation except amiodarone.
Exclusion criteria
* Left atrial thrombus * Contraindications for oral anticoagulation or adenosin
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of reconnected pulmonary vein after ablation and a waíting period of 20min | 20min after procedure |
Secondary
| Measure | Time frame |
|---|---|
| Time to first documented recurrence of atrial fibrillation | 12 month |
| Complications due to ablation | 30 days |
| Number of reconnected pulmonary veins | 12 month |
Countries
Germany