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Contraindication to catheter ablation
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Contraindication for general anaesthetic
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Presence of cardiac thrombus
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Previous left atrial ablation
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Valvular disease that is grade moderate or greater
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Any form of cardiomyopathy
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Severe cerebrovascular disease
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Active gastrointestinal bleeding
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Serum Creatinine >200umol/L or on dialysis or at risk of requiring dialysis
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Active infection or fever
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Life expectancy shorter than the duration of the trial
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Allergy to contrast
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Moderate to severe heart failure and/or NYHA Class III-IV
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Bleeding or clotting disorders or inability to receive heparin
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Uncontrolled diabetes (HbA1c ≥73 mmol/mol or HbA1c ≤64 mmol/mol and Fasting Blood Glucose ≥9.2 mmol/L)
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Malignancy needing therapy
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Pregnancy or women of childbearing potential not using a highly effective method of contraception
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Unable to give informed consent or has insufficient comprehension