Alster Man and Machine: Comparison of Manual and Mechanical Remote Robotic Catheter Ablation for Drug-Refractory Atrial Fibrillation

Ablation at St. George Hospital - Prospective Randomized Comparison of Manual and Mechanical Remote Robotic Catheter Ablation for Drug-Refractory Atrial Fibrillation

Long term results after pulmonary vein isolation (PVI) with robotic navigation in patients with drug refractory atrial fibrillation are not inferior to manual radiofrequency current ablation.

Inclusion Criteria:

• paroxysmal atrial fibrillation
• persistent atrial fibrillation < 2 month
• indication for catheter ablation
• LEF > 50%
• diameter LA < 50 mm

Exclusion Criteria:

• intracardial thrombus
• atrial fibrillation with underlying curable disease
• renal failure > stage I
• contraindication for anticoagulation
• life expectancy < 12 month
• previous PVI
• pregnancy