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CompletedNCT03151278ZFA-RAAUpdated Nov 24, 2023

Zero Fluoroscopic Ablation Versus Conventional Fluoroscopic Ablation for Right Atrial Arrhythmias

An interventional study of Zero-fluoroscopy ablation and Conventional fluoroscopy ablation in Atrial Arrhythmia, Atrial Premature Complexes and Atrial Tachycardia, sponsored by Tongji Hospital. Completed at 1 site in China. Open to participants aged 18 Years to 90 Years. Per ClinicalTrials.gov, last updated 2023-11-24.

Sponsored by Tongji Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 6 years 4 months after the study started (first participant enrolled Jan 2011, registered May 2017).
Phase
Not applicable
Study type
Interventional
Enrollment
212
Allocation
Randomized
Ages
18 Years to 90 Years
Sex
All
01

Study summary

This study is intended to compare the feasibility, safety and efficacy of a zero-fluoroscopic approach with conventional fluoroscopic approach as performing catheter ablation of right atrial arrhythmias.

Read the detailed description

Catheter ablation is a well-established treatment to treat patients with a wide range of heart rhythm disturbances.

Fluoroscopy is the imaging modality routinely used for cardiac device implantation and electrophysiological procedures. Due to the rising concern regarding the harmful effects of radiation exposure to both the patients and operation staffs, novel three-dimensional mapping systems such as Ensite NavX have been developed and implemented in electrophysiological procedure for the navigation of catheters inside the heart chambers.

Ensite NavX is a promising system to guide catheters inside the cardiac chambers and vessels without the use of fluoroscopy.

This study is intended to compare the feasibility, safety and efficacy of a zero-fluoroscopic approach with conventional fluoroscopic approach as performing catheter ablation of right atrial arrhythmias.

02

Conditions studied

  • Atrial Arrhythmia
  • Atrial Premature Complexes
  • Atrial Tachycardia

Keywords

  • Fluoroscopy
  • Ablation
  • Three dimensional
  • Atrial arrhythmia
  • Radiation
03

In context

Atrial Premature Complexes

27 studies on the registry are indexed under Atrial Premature Complexes; 6 are open to participants now.

This study's enrollment of 212 is above the median of 112 across 14 interventional studies indexed under Atrial Premature Complexes.

Browse Atrial Premature Complexes studies →

Lead sponsor

Tongji Hospital is the lead sponsor of 384 studies on the registry; 208 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 90 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Atrial Tachycardia
  • Atrial Premature Complexes

Exclusion criteria

Exclusion Criteria:

  • Left Atrial Premature Complexes
  • Left Atrial Tachycardia
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
212 participants (actual)

Study arms

  • Experimental
    Zero-fluoroscopy ablation

    Atrial arrhythmias will be mapped and ablated under the guidance of three-dimensional mapping system without fluoroscopy.

    Procedure: Zero-fluoroscopy ablation

  • Active comparator
    Conventional fluoroscopy ablation

    Atrial arrhythmias will be mapped and ablated under fluoroscopic guidance plus three-dimensional mapping system.

    Procedure: Conventional fluoroscopy ablation

Interventions

  • ProcedureZero-fluoroscopy ablation

    Catheter ablation will be performed under the guidance of one kind of three-dimensional navigation system and without fluoroscopic guidance.

  • ProcedureConventional fluoroscopy ablation

    Catheter ablation will be performed using fluoroscopy plus one kind of three-dimensional navigation system.

06

What researchers measure

Primary outcomes

  1. Total success rates

    The patients have no related arrhythias or recurrence during follow up.

    Time frame: 3 months

Secondary outcomes

  1. Total procedure time

    The patients have no related arrhythias or recurrence during follow up.

    Time frame: during procedure

  2. Fluoroscopy time

    From skin puncture to withdrawal of all the catheters.

    Time frame: during procedure

  3. Complications

    The patients have no related complications during follow up.

    Time frame: 6 months

  4. Immediate success rate

    Electrophysiologic study shows success of ablation

    Time frame: 24 hours

  5. Recurrence rate

    The patients have no related arrhythias or recurrence during follow up.

    Time frame: 6 months

07

Study locations

1 site
  • Tongji Hospital
    Wuhan, Hubei 430030, China
08

References and documents

Publications

  • Gelsomino S, La Meir M, Luca F, Lorusso R, Crudeli E, Vasquez L, Gensini GF, Maessen J. Treatment of lone atrial fibrillation: a look at the past, a view of the present and a glance at the future. Eur J Cardiothorac Surg. 2012 Jun;41(6):1284-94. doi: 10.1093/ejcts/ezr222. Epub 2012 Jan 10. PubMed 22233800 ↗
  • Birnie D, Healey JS, Krahn AD, Ahmad K, Crystal E, Khaykin Y, Chauhan V, Philippon F, Exner D, Thibault B, Hruczkowski T, Nery P, Keren A, Redfearn D. Prevalence and risk factors for cervical and lumbar spondylosis in interventional electrophysiologists. J Cardiovasc Electrophysiol. 2011 Sep;22(9):957-60. doi: 10.1111/j.1540-8167.2011.02041.x. Epub 2011 Mar 8. PubMed 21385267 ↗
  • Sra J, Krum D, Hare J, Okerlund D, Thompson H, Vass M, Schweitzer J, Olson E, Foley WD, Akhtar M. Feasibility and validation of registration of three-dimensional left atrial models derived from computed tomography with a noncontact cardiac mapping system. Heart Rhythm. 2005 Jan;2(1):55-63. doi: 10.1016/j.hrthm.2004.10.035. PubMed 15851266 ↗
  • Oral H, Crawford T, Frederick M, Gadeela N, Wimmer A, Dey S, Sarrazin JF, Kuhne M, Chalfoun N, Wells D, Good E, Jongnarangsin K, Chugh A, Bogun F, Pelosi F Jr, Morady F. Inducibility of paroxysmal atrial fibrillation by isoproterenol and its relation to the mode of onset of atrial fibrillation. J Cardiovasc Electrophysiol. 2008 May;19(5):466-70. doi: 10.1111/j.1540-8167.2007.01089.x. Epub 2008 Feb 4. PubMed 18266669 ↗
  • Razminia M, Manankil MF, Eryazici PL, Arrieta-Garcia C, Wang T, D'Silva OJ, Lopez CS, Crystal GJ, Khan S, Stancu MM, Turner M, Anthony J, Zheutlin TA, Kehoe RF. Nonfluoroscopic catheter ablation of cardiac arrhythmias in adults: feasibility, safety, and efficacy. J Cardiovasc Electrophysiol. 2012 Oct;23(10):1078-86. doi: 10.1111/j.1540-8167.2012.02344.x. Epub 2012 May 9. PubMed 22571735 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 24, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03151278
Lead sponsor
Tongji Hospital
Collaborators
Fu Wai Hospital, Beijing, China, Xinyang Central Hospital, Ningbo No. 1 Hospital, Shanghai Tongji Hospital, Tongji University School of Medicine, First Affiliated Hospital of Guangxi Medical University, Shenzhen Sun Yat-sen Cardiovascular Hospital, Guangdong Provincial People's Hospital, Zhongshan Hospital Xiamen University
Responsible party
Yan Wang (Professor, Tongji Hospital) — Principal investigator
First posted
May 12, 2017
Start date
Jan 2011
Primary completion
Dec 2017
Completion
Dec 2018
Last update
Nov 24, 2023

Study contacts

Yan Wang, PhD
principal investigator · Tongji Hospital

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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