Overview
This observational study aims to evaluate the effectiveness and safety of a circular-shaped pulsed field ablation (PFA) catheter for CTI ablation under the guidance of intracardiac echocardiography (ICE). The main question it aims to answer is:
Is the circular-shaped PFA catheter an effective and safe tool for achieving acute success for CTI ablation? Patients undergoing CTI ablation with a circular-shaped PFA catheter will be prospectively enrolled.
Eligibility
Inclusion Criteria:
- Paroxysmal or persistent atrial fibrillation
- Aged 18 years or older
- Scheduled for CTI ablation
- Able and willing to provide written informed consent
Exclusion Criteria:
- Previous CTI ablation
- Significant congenital heart disease or structural anomaly affecting the CTI
- Active intracardiac thrombus
- Pregnancy or lactation
- Severe renal/hepatic insufficiency
- Active systemic infection or sepsis
- Life expectancy of less than 12 months
- Unable to provide written informed consent.