Atrial Fibrillation
Conditions
Keywords
atrial fibrillation, esophageal probe, thermolesion
Brief summary
The Trial will evaluate the influence of oesophageal probes in Radio frequency (RF)-ablation of atrial fibrillation regarding oesophageal ulcers after ablation.
Detailed description
The Trial will evaluate the influence of oesophageal probes in RF-ablation of atrial fibrillation regarding oesophageal complications after ablation. 200 patients will be prospectively randomised into 2 groups. The conventional group will undergo RF-Ablation of atrial fibrillation using an oesophageal probe to measure the temperature during ablation. In the other group will receive ablation using fixed energy levels (25 Watt) at the posterior left atrial (LA) Wall without an oesophageal probe , All patients will get a gastroscopy for evaluation of oesophageal complications the day after the procedure. All patients will have a 6 months follow up (FU) in our clinic to be reevaluated for complications (primary endpoint) and rhythm stability. (secondary endpoint)
Interventions
The oesophagus probe is used to measure the intraluminal temperature inside the oesophagus
no probe utilized; Limit the RF Generator Output to 25W
Sponsors
Study design
Eligibility
Inclusion criteria
* 12 lead ECG with documented atrial fibrillation * Indication for RF ablation of atrial fibrillation according to the recent guidelines * Signed informed consent * Age 18-85 years
Exclusion criteria
* Pregnancy or possible pregnancy without negative test within 48h prior to ablation * Intracardiac thrombus * Contraindication for oral anticoagulation * Conditions, that may complicate the positioning of the oesophageal probe
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Oesophageal complications after RF Ablation depending on using an oesophageal probe | Up to 6 months | Incidence of oesophageal mucosa alterations in gastroscopy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rhythm stability after RF ablation of atrial fibrillation (AF) | 6 Months | Percentage of AF/AT recurrences in 7 day holter at 6 months |
Countries
Germany