The Best Workflow for Paroxysmal Supraventricular Tachycardia Ablation With Zero-fluoroscopy

N/AEnrolling By InvitationNCT07361055

National Taiwan University Hospital70 enrolled

Overview

Primary Objective: To observe, record, and analyze the workflow and guidance system efficiency of these two surgical procedures, including placement time, location, and the number of successful placements. Secondary Objective: To compare the differences between the two procedures and observe and record the process of transitioning to intracardiac ultrasound guidance by experienced physicians performing both workflows. The primary focus is on the time spent on target steps and related complications, with the aim of reducing radiation exposure during the procedure with the new technology.

The aim of this study is to compare the safety and efficiency of two workflows (with or without FAM Dx) using CARTO® 3 System for PSVT ablation. The results will later be compared with another 3-dimentional mapping system (Ensite™) historically

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Cardio Vascular Disease Cryoablation

Interventions

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients with documented PSVT on ECG. Twelve-lead is preferred. Single-lead is acceptable if recording quality is good enough for interpretation. 2. Patients who are willing to sign the informed consent. Exclusion Criteria: 1. The patients had received PSVT ablation procedure before. 2. Informed consent could not be obtained

Outcomes

Primary Outcomes

The success of ablation

defined by elimination of accessory pathway and slow nodal pathway or modification of the slow nodal pathway with which a PSVT upto 3 reentrants would not be induced

Time frame: 1Year

Secondary Outcomes

The complication rates

including the occurrence of AV block needing pacemaker, or pericardial effusion needing drainage, or use of fluoroscopy