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COMPLETED
NCT07630480
NA

3D Mapping Versus Conventional Ablation in AVNRT

Sponsor: Kafrelsheikh University

View on ClinicalTrials.gov

Summary

This prospective randomized interventional study compared conventional fluoroscopy-guided slow pathway ablation versus three-dimensional electroanatomical mapping-guided ablation in patients with electrophysiologically confirmed typical atrioventricular nodal re-entrant tachycardia (AVNRT). A total of 108 patients were screened for eligibility, of whom 80 eligible patients were randomized in a 1:1 ratio to either conventional fluoroscopic ablation or 3D mapping-guided ablation. Following post-randomization dropouts, the final analysis included 38 patients in the conventional group and 36 patients in the 3D mapping group. The study evaluated fluoroscopy exposure, procedural efficacy, complete slow pathway elimination, procedural success, complications, and arrhythmia recurrence during follow-up.

Official title: Three-Dimensional Electroanatomical Mapping Versus Conventional Fluoroscopy-Guided Slow Pathway Ablation for Typical Atrioventricular Nodal Re-Entrant Tachycardia: A Prospective Randomized Study

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

80

Start Date

2023-12-30

Completion Date

2025-11-23

Last Updated

2026-06-05

Healthy Volunteers

No

Interventions

PROCEDURE

Conventional Slow Pathway Ablation

Conventional fluoroscopy-guided catheter ablation of the slow AV nodal pathway using anatomical landmarks and intracardiac electrogram criteria within the triangle of Koch.

PROCEDURE

3D Electroanatomical Mapping-Guided Ablation

Three-dimensional electroanatomical mapping-guided catheter ablation of the slow AV nodal pathway using CARTO or EnSite X systems with voltage and activation mapping guidance.

Locations (1)

Kafr Elsheikh Univfersity Hospital

Kafr ash Shaykh, Kafr el-Sheikh Governorate, Egypt