About this trial
This study will assess how two different ablation strategies, using two different ablation catheters during catheter ablation for paroxysmal atrial fibrillation, affect the temperature of the esophagus during ablation, and the risk of injury to the esophagus.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Provision of signed and dated informed consent form
Stated willingness to comply with all study procedures and availability for the duration of the study
Male or female, aged greater than or equal to 18 years
Diagnosed with paroxysmal atrial fibrillation
Disqualifiers
Patients who have undergone prior left atrial ablation procedures.
Patients where the use of the Q-DOT Micro ablation catheter in QMODE+ (i.e. temperature-controlled very-high-power short-duration ablation) is felt to be unsafe.
Patients who have contraindications to capsule endoscopy, or GI conditions that may increase the risks of capsule endoscopy (e.g. esophageal strictures, inflammatory bowel disease, etc)
Any records flagged "break the glass" or "research opt out."
Trial design
Parallel
Treatments tested in this trial
QDOT Micro ablation catheter
DeviceQDOT Micro ablation catheter
ST SF ablation catheter
DeviceST SF ablation catheter
Treatment groups
Trial outcomes
Primary outcomes
Maximal change in esophageal temperature during posterior wall isolation.
Secondary outcomes
Presence of esophageal thermal injury seen on post-procedure capsule endoscopy.
Presence of procedural complications.
Other outcomes
Number of RF ablation lesions to performed pulmonary vein isolation.
RF time during pulmonary vein isolation.
Left atrial dwell time to achieve pulmonary vein isolation.
Achievement of first pass pulmonary vein isolation.
Sponsors and contacts
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Cedars-Sinai Medical Center
Lead sponsor
Biosense Webster, Inc.
Collaborator