CFAE/Spatiotemporal Dispersion Guided Ablation Versus PVI Guided Ablation in Persistent AF
NCT02696265 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 180
Last updated 2022-07-13
Summary
Objective: The purpose of this study is to compare the efficacy and safety of ablation of Atrial Fibrillation (AF) drivers marked by spatiotemporal dispersions and Complex Fractionated Atrial Electrocardiograms (CFAEs) to Pulmonary Vein Isolation (PVI) based ablation in patients with persistent AF.
Hypothesis: CFAE/spatiotemporal dispersion guided ablation will increase AF free survival compared to a PVI guided ablation.
Patient population: Patients with persistent AF will be randomized based on a 2:1 ratio into one of two study arms:
* CFAE/spatiotemporal dispersion guided ablation: CFAE mapping and ablation during AF aimed at restoring sinus rhythm during ablation.
* PVI guided ablation: wide antral pulmonary vein isolation during mapping catheter control of pulmonary vein signals
Conditions
- Chronic Atrial Fibrillation
Interventions
- PROCEDURE
-
CFAE guided ablation
CFAE/spatiotemporal dispersions mapping and ablation during AF aimed at restoring sinus rhythm during ablation. Pulmonal vein isolation will be checked before and after ablation using a mapping catheter.
- PROCEDURE
-
PVI guided ablation
Wide antral pulmonary vein isolation during mapping catheter control of pulmonary vein signals
Sponsors & Collaborators
-
Biosense Webster, Inc.
collaborator INDUSTRY - collaborator INDUSTRY
-
Diagram B.V.
lead OTHER
Principal Investigators
-
Jaap-Jan J. Smit, MD, PhD · Isala
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-10-12
- Primary Completion
- 2025-07-31
- Completion
- 2025-07-31
Countries
- France
- Japan
- Netherlands
Study Locations
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