Atrial Fibrillation, Atrial Flutter
Conditions
Keywords
marshall vein, mitral valve isthmus line
Brief summary
The goal of this study is to compare OTW balloon with microcatheter in the Marshall vein alcohol ablation study. The main questions it aims to answer are: • Is there a difference in the effectiveness and safety of OTW balloon and microcatheter in Marshall vein alcohol ablation? Participants will be asked to: Undergo treatment with OTW balloon Undergo treatment with microcatheter If there is a comparison group: Researchers will compare the OTW balloon group and the microcatheter group to see different effects.
Interventions
The microcatheter group undergoes alcohol ablation using a microcatheter.
The OTW group undergoes alcohol ablation using an OTW balloon.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age range: 18-80 years. 2. Persistent atrial fibrillation or atrial flutter dependent on the mitral isthmus. 3. Inadequate response to antiarrhythmic drug therapy, or intolerance to antiarrhythmic drugs. 4. New York Heart Association functional class ≤ IV,with left ventricular ejection fraction (LVEF) ≥ 35%
Exclusion criteria
1. Patients with known allergies to alcohol. 2. Participants with a history of serious cardiovascular events such as myocardial infarction or stroke within the past three months will be excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Acute rate of mitral isthmus block | During catheter ablation procedures | Efficacy endpoints |
| Procedural complications | During catheter ablation procedures | Safety endpoints |
| Recovery rate of the mitral isthmus line | beyond 3 months after the ablation procedure. | Long-term primary efficacy endpoints |
Secondary
| Measure | Time frame |
|---|---|
| Procedural characteristics | Periprocedural period |
| Hospitalization costs | Periprocedural period |
Countries
China