Atrial Fibrillation (AF)
Conditions
Keywords
Persistent AF
Brief summary
This study is designed to directly compare the safety and efficacy of PFA-based PVI+PWI vs PFA-based PVI+ VoM alcohol ablation in patients with Persistent AF.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Symptomatic persistent AF; 1st or redo ablation with PVI-only in the earlier procedure * Willing to provide informed consent * Age: 18-85 years
Exclusion criteria
* • Previous PWI or VoM ablation procedure * Left ventricular ejection fraction \<40% * Left atrial thrombus * Myocardial infarction within last 60 days * Cardiac surgery in the last 6 months * Advanced renal failure * Life expectancy \<1 year * Pregnant women * Unable or unwilling to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Recurrence of atrial arrhythmia: any episode of AF/AT longer than 30 sec off-AAD, after the 2-month blanking period | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| • Arrhythmia-free on previously ineffective AAD without any dose-escalation | 1 year |