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Safety and Efficacy of Very High-Power Short-Duration Radiofrequency Ablation With Half-Normal Saline Irrigation for Pulmonary Vein Isolation
Sponsor: First Affiliated Hospital of Ningbo University
Summary
Primary Objective: To evaluate the efficacy of the Very High Power Short Duration (vHPSD) ablation mode with half-normal saline irrigation in achieving pulmonary vein isolation (PVI) for atrial fibrillation, by comparing the single-procedure acute pulmonary vein isolation success rate. Secondary Objective: To assess the safety of the vHPSD ablation mode with half-normal saline irrigation in PVI for atrial fibrillation, by comparing the incidence of steam pops (POPs). Study Significance This study aims to address the current limitation of insufficient lesion formation in the anterior left atrial wall when using a uniform 90W/4s ablation strategy with normal saline irrigation. By segmenting the left atrium, different irrigation protocols will be applied: 90W/4s ablation with normal saline irrigation will be performed in the posterior area of left atrium, while 90W/4s ablation with half-normal saline irrigation will be performed in the anterior area of left atrium. This approach is anticipated to enhance the procedural immediate success rate (measured by the rate of acute, first-pass PVI), improve overall procedural efficiency, and ensure procedural safety.
Official title: Safety and Efficacy of Very High-Power Short-Duration Radiofrequency Ablation With Half-Normal Saline Irrigation for Pulmonary Vein Isolation: A Prospective,Single-center Study
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
86
Start Date
2025-10-06
Completion Date
2027-02-25
Last Updated
2026-10-02
Healthy Volunteers
No
Conditions
Interventions
vHPSD Ablation with Half-Normal Saline
Left atrial anterior wall ablated with 90W/4s using half-normal saline irrigation; posterior wall with normal saline irrigation.
vHPSD Ablation with Normal Saline
Left atrial anterior and posterior walls ablated with 90W/4s using normal saline irrigation throughout the procedure.
Locations (1)
The First Affiliated Hospital of Ningbo University
Ningbo, Zhejiang, China