Radiofrequency catheter ablation is effective in the treatment of patients with paroxysmal atrial fibrillation. In order to reduce the recurrence rate after catheter ablation, the investigators propose to apply 'virtual' ablation on patient-specific atria by simulating 3D atrial computer model. The investigators will conduct virtual rotor mapping in the patient specific atrial model. Then, the investigators will compare the clinical outcome of conventional circumferential pulmonary vein isolation and additional rotor ablation guided by virtual rotor mapping.
AF patient age 19~80
Diagnosis of AF patients who performed catheter ablation of atrial fibrillation due to uncontrolled pulse rate by anti-arrhythmic drug therapy.
AF patients who have severe heart deformations or vascular disease.
The patient who have renal disease of eGFR<30mL/min
The patients who had been performed catheter ablation of atrial ablation and MAZE.
The patients who missed out to recording of 3D CT, echo and electrocardiography.
Parallel
physician's personal experience
Procedure/Surgeryphysician's personal experience
Virtual rotor mapping
Procedure/SurgeryVirtual rotor mapping
Recurrence rate of atrial fibrillation of 18 months after procedure within 18 months
Rate of mortality, incidence of cerebral infarction and hospitalization after procedure
Major complication related procedure : Complication of hemorrhagic and embolic
Pericardial effusion required treatment, 4g/dL reduced level of Hb, Hemorrhage required blood transfusion and Cerebral infarction related procedure
Procedure time and Radiofrequency ablation time
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