Ablation of consecutive atrial tachycardia (AT) after ablation of atrial fibrillation (AF) or cardiac surgery can be challenging due to complex substrate and AT mechanisms. A substantial portion of patients is known to show various tachycardias and recurrences occur in a noticeable number of cases. With the availability of novel ultra-high-density mapping techniques characterization and understanding of AT mechanisms and underlying substrate can be improved. Aim of this prospective, multi-center, randomized study is to compare a standard AT ablation approach versus minimalized ablation of the clinical AT in regards to arrhythmia free survival.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
100
Catheter-based ablation of arrhythmias using radiofrequency.
Asklepios St. Georg
Hamburg, Free and Hanseatic City of Hamburg, Germany
RECRUITINGEvangelic Hospital Düsseldorf
Düsseldorf, North Rhine-Westfalia, Germany
RECRUITINGVivantes Klinikum Am Urban Berlin
Berlin, Germany
RECRUITINGEvangelic Hospital Hagen-Haspe
Hagen, Germany
RECRUITINGStädtisches Klinikum Karlsruhe
Karlsruhe, Germany
RECRUITINGUniversitätsklinikum Schleswig Holstein
Kiel, Germany
RECRUITINGRecurrence of any sustained arrhythmia (>30 sec.)
Time frame: 1 year
Inducibility of atrial tachycardia (AT) after ablation of clinical/primary AT (partial success)
Categorical variable (yes/no)
Time frame: Intraprocedural
Predictability of secondary AT by analysis of clinical AT map and voltage map
Time frame: Intraprocedural
Procedure duration time
Time frame: Intraprocedural
Fluoroscopy time
Time frame: intraprocedural
Total radiofrequency application time
Time frame: intraprocedural
Ablated area (cm2)
Time frame: intraprocedural
Number of blocked lines
Time frame: intraprocedural
Area of low voltage in sinus map (cm2)
Time frame: Intraprocedural
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