The MAGMA-AVNRT study compares two different methods of handling the ablation catheters for av-node-reentry-tachycardia with regard to x-ray dose, safety and success: manually guided vs magnetically navigated RF-catheter.
AV-node reentry tachycardia can be treated by radiofrequency ablation or modulation of the slow pathway of the av node. The success rate is 90 to 95%. There are different options to navigate the ablation catheter: manually guided vs magnetically guided. For magnetic guidance two magnets are positioned beneath the patient. A mangetic field is induced and a catheter with a ferromagnetic tip can be navigated from outside with a joystick by modifying the vectors of the magnetic field. We hypothesized that a magnetic guidance of the RF-ablation catheter results in lower x-ray time and dose for the patient and the physician with comparable safety und success rates.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
300
4mm-tip catheter manually guided vs magneticallly navigated
University Hospital Bergen
Bergen, Norway
Total x-ray time and dose for patient
Time frame: electrophysiological examination
X-ray time and dose for physician
Time frame: electrophysiological study
Safety of ablation (AV-Block, perforation)
Time frame: end of electrophysiological study
short-term and long-term-success
Time frame: end of procedure and 6 months after procedure
number of RF-application
Time frame: procedure
Duration of electrophysiological study (ablation included)
Time frame: procedure
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