Stepwise Approach Versus Linear Ablation in Patients With Recurrence of Persistent Atrial Fibrillation
NCT01229475 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 130
Last updated 2013-03-01
Summary
Catheter ablation of persistent atrial fibrillation (AF) remains a challenging procedure. Even in experienced centres, repeat interventions are necessary in up to 70 of patients to achieve sinus rhythm at a long-term follow-up.
While there is a consensus to perform pulmonary vein isolation (PVI) as a cornerstone for the ablation of paroxysmal and persistent AF ablation, different additional ablation strategies are used to achieve a modification of the substrate that perpetuates the arrhythmia: linear lesions (anterior and roof lines) or ablation of complex fractionated atrial electrograms (CFAE). In the stepwise approach PVI, CFAE ablation and/or LL are combined according to the presenting arrhythmia during procedure.
The aim of the study is to determine whether there is a difference in terms of freedom from arrhythmia between a stepwise approach and a linear ablation for repeat procedure in patient with recurrence of persistent atrial fibrillation.
Conditions
- Atrial Fibrillation
- Recurrence
Interventions
- PROCEDURE
-
Ablation with stepwise approach
Stepwise approach for repeat AF ablation
- PROCEDURE
-
Linear ablation
Linear ablation for AF ablation
Sponsors & Collaborators
-
Deutsches Herzzentrum Muenchen
lead OTHER
Principal Investigators
-
Isabel Deisenhofer, MD · Deutsches Herzzentrum München
-
Sonia Ammar, MD · Deutsches Herzzentrum München
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-10-31
- Primary Completion
- 2013-10-31
- Completion
- 2013-12-31
Countries
- Germany
Study Locations
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