The Effect of Pulse Field Ablation on Atrial Mechanics in Catheter Ablation of Paroxysmal Atrial Fibrillation

Exclusion Criteria

• •Non-paroxysmal atrial fibrillation
• •Contraindication to oral anticoagulation
• •Intracardiac thrombus
• •Previous ablation in the left atrium
• •Previous heart surgery
• •Significant valvular heart disease defined as any moderate (grade 3) or severe (grade 4) mitral regurgitation, mitral stenosis, aortic regurgitation, aortic stenosis, tricuspid regurgitation, or tricuspid stenosis
• •Contraindication to perform MRI or using the DOTAREM™ contrast product (pacemaker, defibrillator, foreign body or prosthesis, old generation heart valves, old generation ferromagnetic vascular surgical clips, percutaneous devices for endocranial aneurysms, neurosimulator, cochlear implants, automated injection device such as insulin pump, and more generally any non-removable electronic device, severe kidney disease with GFR \< 30 mL/min, documented hypersensitivity to gadoteric acid or to excipients, severe claustrophobia)
• •Patient on AME (state medical aid)
• •Pregnant or breast-feeding female
• •Patient protected by law (guardianship, tutelage measure, deprived of liberty)
• •Participation in another interventional study or being in the exclusion period at the end of a previous study.