MedPath

Comparison between Contact Force Monitoring and Unipolar Signal Modification as a Guide for Catheter Ablation of Atrial Fibrillation: A Prospective Multi-centre Randomized Controlled Study (COMPASS study)

Not Applicable
Conditions
Paroxysmal atrial fibrillation
Registration Number
JPRN-UMIN000021127
Lead Sponsor
Department of Cardiology, Tokyo Women's Medical University
Brief Summary

nipolar signal modification was superior to contact force monitoring as an endpoint for radiofrequency energy deliveries during pulmonary vein isolation in patients with paroxysmal atrial fibrillation in terms of the 12-month recurrence free rate (85% vs. 70%, p=0.031).

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
138
Inclusion Criteria

Not provided

Exclusion Criteria

1) Persistent AF 2) Prior left atrial ablation (surgical or catheter) 3) Left atrial volume >50mm 4) Left ventricular ejection fraction <40% 5) Contraindication to anticoagulation medications 6) Severe pulmonary disease 7) Maintenance dialysis to chronic renal insufficiency

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Ablation success at 1 after after the index procedure. The definition of recurrence; any atrial tachyarrhythmia lasting more than 30 seconds after 3 month after the index procedure. The definition of procedural success; no recurrence without any anti-arrhythmic drugs.
Secondary Outcome Measures
NameTimeMethod
1) acute left atrium-pulmonary vein electrical reconnection (time-dependent/ATP-dependent) 2) ablation time 3) energy 4) procedural time 5) complication associated with the procedure 6) contact force value
© Copyright 2025. All Rights Reserved by MedPath