Arrhythmias & electrophysiology

Dual-energy lattice-tip ablation system for persistent atrial fibrillation: a randomized trial

Nat MedPublished Randomised controlled trial

Authors' conclusion

These results demonstrate non-inferior safety and effectiveness of the dual-energy catheter for the treatment of persistent AF.

Study context

Population
Patients with persistent atrial fibrillation (AF) undergoing catheter ablation
Participants
420 patients
Comparison
Large-tip dual pulsed field/radiofrequency catheter vs conventional radiofrequency ablation
Primary endpoint
Composite effectiveness:
  • Freedom from acute procedural failure
  • Repeat ablation
  • Arrhythmia recurrence
  • Drug initiation or escalation or cardioversion after 3-month blanking
Follow-up
1 year
Methodological detailssingle-blind, non-inferiority
  • Single-blind
  • Non-inferiority

Primary result

As reported in the abstract

P < 0.0001 for non-inferiority

Further findings

OutcomeP value
Procedural timesShorter with investigationalP < 0.0001

Procedural times

Procedural times shorter in investigational arm

Safety

Events

OutcomeInvestigationalControlP value
Major procedural or device-related complications (primary safety endpoint)Non-inferiority · non-inferiority met32P < 0.0001

Original publication

Dual-energy lattice-tip ablation system for persistent atrial fibrillation: a randomized trial. Nat Med. Published 17 May 2024. doi:10.1038/s41591-024-03022-6

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