Atrial Fibrillation (AF)
Conditions
Brief summary
The aim of the study is to assess sex-related differences in patients who underwent a first ablation procedure for paroxysmal or persistent AF, guided by the personalized ablation strategy of the BY-LAWT protocol. Specifically, to compare anatomical characteristics, procedural parameters, and clinical outcomes between sexes.
Interventions
PROCEDUREAtrial fibrillation ablation
Atrial fibrillation ablation with RF, guided by navigation system
Sponsors
Centro Medico Teknon
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients who underwent a first ablation procedure for atrial fibrillation (paroxysmal or persistent). * Availability of an adequate pre-procedural cardiac CT scan for LAWT, LAV and inFAT analysis. * Availability of complete procedural data, including ablation index (AI) values recorded using the SmartTouch catheter (Biosense Webster). * Availability of 12-month follow-up data for efficacy and safety endpoint evaluation. * Ablation performed according to the by-LAWT protocol
Exclusion criteria
* Age \< 18 years. * Previous cardiac ablation (including AF ablation or other arrhythmias). * Incomplete data regarding procedural parameters, or follow-up. * Poor quality pre-procedural cardiac MDCT * Ablation not performed according to the BY-LAWT protocol. * Structural heart disease (e.g., dilated cardiomyopathy, valvular heart disease with surgical indication) that could substantially influence atrial dimensions or ablation response.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy in AF freedom | from the procedure to 12 months later | The primary efficacy endpoint will be freedom from any atrial arrhythmia (AF, atrial tachycardia \[AT\], or atrial flutter \[AFL\]) at the 12-month follow-up. The following definitions apply |
Countries
Spain
Outcome results
None listed