Catheter Ablation of Longstanding Persistent Atrial Fibrillation
NCT02929836 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 450
Last updated 2016-10-20
Summary
This randomized prospective study compared three ablation strategies in patients with longstanding persistent atrial fibrillation (LPeAF). It also explored the best procedural endpoint from among the following: circumferential pulmonary vein isolation (PVI)+left atrial (LA) linear lesions (roof line, mitral isthmus)+complex fractionated atrial electrogram (CFAE) ablation, PVI+LA linear lesions +cavotricuspid isthmus (CTI) ablation +CFAE ablation, and PVI+CFAE ablation.
Conditions
Interventions
- PROCEDURE
-
PVI
PVI was the complete isolation of all PVs, which was confirmed by entrance and/or exit block into or from the PV antra.
- PROCEDURE
-
LA linear ablation
LA linear ablation include mitral isthmus ablation and roof line ablation. Mitral isthmus ablation (from the mitral annulus to the left inferior PV) was performed first, followed by roof line ablation (between the right and left superior PVs).
- PROCEDURE
-
CFAE ablation
Ablation catheter was maintained in a stable position when the electrograms were being recorded for at least 5 s to avoid artifacts.The procedural endpoint of CFAEs was the complete elimination of fragmented atrial activity in local electrograms.
- PROCEDURE
-
linear ablation
Right atrial CTI ablation was performed during SR.
- DEVICE
-
CARTO
3 dimensional mapping system
Sponsors & Collaborators
-
Shanghai Chest Hospital
lead OTHER
Principal Investigators
-
Xu Mr Liu, MD · Shanghai Chest Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-05-31
- Primary Completion
- 2017-05-31
- Completion
- 2018-10-31
Countries
- China
Study Locations
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