Trial Outcomes & Findings for FIRE AND ICE Re-Ablations (Retrospective Data Collection) (NCT NCT03314753)

NCT ID: NCT03314753

Last Updated: 2025-02-13

Results Overview

Number of documented atrial arrhythmias as assessed by ECG prior to the re-ablation

Recruitment status

COMPLETED

Target enrollment

89 participants

Primary outcome timeframe

At time of re-ablation

Results posted on

2025-02-13

Participant Flow

110 patients reported a re-ablation in the original FIRE AND ICE Trial. Of those 110, 89 consented for the FIRE AND ICE Re-Ablation study. All data available in retrospective chart review from the 89 subjects were included in analyses. No patient data was excluded. The first re-ablation for each patient was included in the analysis.

Participant milestones

Participant milestones
Measure
Radiofrequency Arm From FIRE AND ICE Trial
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Overall Study
STARTED
53
36
Overall Study
COMPLETED
53
36
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Total
n=89 Participants
Total of all reporting groups
Age, Continuous
60 years
STANDARD_DEVIATION 10 • n=53 Participants
62 years
STANDARD_DEVIATION 11 • n=36 Participants
61 years
STANDARD_DEVIATION 10 • n=89 Participants
Sex: Female, Male
Female
20 Participants
n=53 Participants
21 Participants
n=36 Participants
41 Participants
n=89 Participants
Sex: Female, Male
Male
33 Participants
n=53 Participants
15 Participants
n=36 Participants
48 Participants
n=89 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Netherlands
5 participants
n=53 Participants
1 participants
n=36 Participants
6 participants
n=89 Participants
Region of Enrollment
Czechia
3 participants
n=53 Participants
0 participants
n=36 Participants
3 participants
n=89 Participants
Region of Enrollment
France
1 participants
n=53 Participants
1 participants
n=36 Participants
2 participants
n=89 Participants
Region of Enrollment
Switzerland
2 participants
n=53 Participants
5 participants
n=36 Participants
7 participants
n=89 Participants
Region of Enrollment
Germany
34 participants
n=53 Participants
25 participants
n=36 Participants
59 participants
n=89 Participants
Region of Enrollment
Spain
8 participants
n=53 Participants
4 participants
n=36 Participants
12 participants
n=89 Participants
Diagnosed with paroxysmal atrial fibrillation (PAF) [year]
6.1 years
STANDARD_DEVIATION 6.5 • n=53 Participants
5.5 years
STANDARD_DEVIATION 4.5 • n=36 Participants
5.9 years
STANDARD_DEVIATION 5.7 • n=89 Participants
BodyMassIndex (BMI) [kg/m^2]
27 kg/m^2
STANDARD_DEVIATION 4 • n=53 Participants
28 kg/m^2
STANDARD_DEVIATION 5 • n=36 Participants
28 kg/m^2
STANDARD_DEVIATION 4 • n=89 Participants
Height [cm]
176 cm
STANDARD_DEVIATION 10 • n=53 Participants
170 cm
STANDARD_DEVIATION 9 • n=36 Participants
173 cm
STANDARD_DEVIATION 10 • n=89 Participants
Weight [kg]
85 kg
STANDARD_DEVIATION 16 • n=53 Participants
81 kg
STANDARD_DEVIATION 15 • n=36 Participants
83 kg
STANDARD_DEVIATION 15 • n=89 Participants
New York Heart Association (NYHA) Class
Patient does not have heart failure
39 Participants
n=53 Participants
22 Participants
n=36 Participants
61 Participants
n=89 Participants
New York Heart Association (NYHA) Class
NYHA Class I
3 Participants
n=53 Participants
4 Participants
n=36 Participants
7 Participants
n=89 Participants
New York Heart Association (NYHA) Class
NYHA Class II
11 Participants
n=53 Participants
10 Participants
n=36 Participants
21 Participants
n=89 Participants
New York Heart Association (NYHA) Class
NYHA Class not available
0 Participants
n=53 Participants
0 Participants
n=36 Participants
0 Participants
n=89 Participants
Left Atrial Diameter (LAD) [mm]
41.6 mm
STANDARD_DEVIATION 5.7 • n=53 Participants
39.4 mm
STANDARD_DEVIATION 7.9 • n=36 Participants
40.6 mm
STANDARD_DEVIATION 6.8 • n=89 Participants
Left Ventricular Ejection Fraction (LVEF) [%]
62 %
STANDARD_DEVIATION 7 • n=53 Participants
62 %
STANDARD_DEVIATION 7 • n=36 Participants
62 %
STANDARD_DEVIATION 7 • n=89 Participants
Left Ventricular End Diastolic Diameter (LVEDD) [mm]
51 mm
STANDARD_DEVIATION 4 • n=53 Participants
51 mm
STANDARD_DEVIATION 5 • n=36 Participants
51 mm
STANDARD_DEVIATION 5 • n=89 Participants
Left Atrium (LA) Volume [mL]
73 mL
STANDARD_DEVIATION 35 • n=53 Participants
62 mL
STANDARD_DEVIATION 41 • n=36 Participants
69 mL
STANDARD_DEVIATION 36 • n=89 Participants
Prior Direct Current Cardioversion (DCCV)
15 participants
n=53 Participants
8 participants
n=36 Participants
23 participants
n=89 Participants
History of Atrial Flutter
11 participants
n=53 Participants
6 participants
n=36 Participants
17 participants
n=89 Participants
Prior Stroke
2 participants
n=53 Participants
2 participants
n=36 Participants
4 participants
n=89 Participants
Coronary Artery Disease (CAD)
3 participants
n=53 Participants
1 participants
n=36 Participants
4 participants
n=89 Participants
Prior Myocardial Infarction (MI)
1 participants
n=53 Participants
0 participants
n=36 Participants
1 participants
n=89 Participants
Aortic Valve Stenosis
0 participants
n=53 Participants
0 participants
n=36 Participants
0 participants
n=89 Participants
Peripheral Artery Disease
0 participants
n=53 Participants
0 participants
n=36 Participants
0 participants
n=89 Participants
Hyperlipidemia
13 participants
n=53 Participants
12 participants
n=36 Participants
25 participants
n=89 Participants
Diabetes Type I or II
5 participants
n=53 Participants
4 participants
n=36 Participants
9 participants
n=89 Participants
Hypertension
32 participants
n=53 Participants
22 participants
n=36 Participants
54 participants
n=89 Participants
Prior Coronary Artery Bypass Graft (CABG)
2 participants
n=53 Participants
0 participants
n=36 Participants
2 participants
n=89 Participants
Prior Percutaneous Coronary Intervention (PCI)
2 participants
n=53 Participants
0 participants
n=36 Participants
2 participants
n=89 Participants
Antiarrhythmic Druc (AAD) at discharge
18 participants
n=53 Participants
14 participants
n=36 Participants
32 participants
n=89 Participants
HATCH Score
1.2 units on a scale
STANDARD_DEVIATION 1.1 • n=53 Participants
1.5 units on a scale
STANDARD_DEVIATION 1.2 • n=36 Participants
1.3 units on a scale
STANDARD_DEVIATION 1.1 • n=89 Participants
Systolic Blood Pressure
134 mmHG
STANDARD_DEVIATION 24 • n=53 Participants
133 mmHG
STANDARD_DEVIATION 22 • n=36 Participants
134 mmHG
STANDARD_DEVIATION 23 • n=89 Participants
Diastolic Blood Pressure
79 mmHG
STANDARD_DEVIATION 13 • n=53 Participants
76 mmHG
STANDARD_DEVIATION 11 • n=36 Participants
78 mmHG
STANDARD_DEVIATION 12 • n=89 Participants
Glomerular Filtration Rate (GFR)
75 mL/min/m2
STANDARD_DEVIATION 16 • n=53 Participants
77 mL/min/m2
STANDARD_DEVIATION 19 • n=36 Participants
76 mL/min/m2
STANDARD_DEVIATION 17 • n=89 Participants
CHA2DS2-VASc
1.8 units on a scale
STANDARD_DEVIATION 1.3 • n=53 Participants
2.3 units on a scale
STANDARD_DEVIATION 1.3 • n=36 Participants
2.0 units on a scale
STANDARD_DEVIATION 1.3 • n=89 Participants

PRIMARY outcome

Timeframe: At time of re-ablation

Number of documented atrial arrhythmias as assessed by ECG prior to the re-ablation

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Number of Participants With Documented Atrial Arrhythmias Prior to Re-ablation
Paroxysmal Atrial Fibrillation (PAF)
36 Participants
25 Participants
Number of Participants With Documented Atrial Arrhythmias Prior to Re-ablation
Persistent Atrial Fibrillation
7 Participants
5 Participants
Number of Participants With Documented Atrial Arrhythmias Prior to Re-ablation
Atrial Tachycardia (AT)/Atrial Flutter (AFL)
6 Participants
5 Participants
Number of Participants With Documented Atrial Arrhythmias Prior to Re-ablation
Atrial Fibrillation/Supraventricular Tachycardia
3 Participants
0 Participants
Number of Participants With Documented Atrial Arrhythmias Prior to Re-ablation
Other
1 Participants
1 Participants

PRIMARY outcome

Timeframe: At time of re-ablation

Number of reconnected pulmonary veins as documented in cath lab / imaging

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Number of Reconnected Pulmonary Veins as Documented in the Cath Lab / Imaging at the Time of Re-ablation Procedure
2.1 Reconnected Pulmonary Veins
Standard Deviation 1.4
1.4 Reconnected Pulmonary Veins
Standard Deviation 1.1

PRIMARY outcome

Timeframe: At time of re-ablation

Population: Data were not collected; no standard documention and therfore not available in the reviewed medical files in the required detail

Number of gaps and location of gaps present in pulmonary vein ablation lesions as seen in the cath lab / imaging

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: At time of re-ablation

Population: The number of lesion sets for each patient was counted for this objective. If a patient had multiple pulmonary veins ablated during the re-ablation procedure, each pulmonary vein was counted as a lesion set towards the patients total count.

Description of all ablation lesion sets created during re-ablation procedure

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Number of Pulmonary Veins Ablation - Ablation Lesion Sets Created During Re-ablation Procedure
2.4 Pulmonary Veins ablated
Standard Deviation 1.4
1.8 Pulmonary Veins ablated
Standard Deviation 1.4

PRIMARY outcome

Timeframe: At time of re-ablation

Population: A patient was defined as an acute success if all ablation attempts within the re-ablation procedure were reported as successful. Pulmonary Vein Isolation (PVI) was assessed minimally via documented entrance block, and where assessable exit block (electrical signal detection).

Summarize acute procedural success of re-ablation procedure per treatment arm

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Percentage of Participants With Acute Procedural Success of Re-ablation Procedure
90.4 percentage of patients with acute succes
93.9 percentage of patients with acute succes

PRIMARY outcome

Timeframe: At time of re-ablation

Re-ablation procedure times as measured in the cath lab

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Re-ablation Procedure Times as Measured in the Cath Lab
122 minutes
Standard Deviation 53
103 minutes
Standard Deviation 33

PRIMARY outcome

Timeframe: From Date of Hospital admission until the date of hospital discharge up to 36 month FU period

Number of hospital days for re-ablation procedure form admission to discharge

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Number of Hospital Days for Re-ablation Procedure Form Admission to Discharge
2.6 nights
Standard Deviation 2.1
2.5 nights
Standard Deviation 2.7

PRIMARY outcome

Timeframe: Date of hospital discharge, assessed during the 36 month FU period

Anti-arrhythmic drug use at time of discharge from the re-ablation procedure via medical log on AADs

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Number of Participants With Anti-arrhythmic Drug Use at Time of Discharge From the Re-ablation Procedure
30 Participants
19 Participants

PRIMARY outcome

Timeframe: At time of re-ablation

Number of participants with adenosine testing

Outcome measures

Outcome measures
Measure
Radiofrequency Arm From FIRE AND ICE Trial
n=53 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: NaviStar® ThermoCool® Ablation Catheter (Radiofrequency Arm; Manufacturer Biosense Webster, Inc.). The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Cryoballoon Arm From FIRE AND ICE Trial
n=36 Participants
No new/additional patients will be enrolled within this project. Only retrospective data will be collected on performed re-ablation procedures within the FIRE AND ICE Trial. The FIRE AND ICE Trial collected data to compare efficacy and safety of isolation of the pulmonary veins (PV) using a Cryoballoon catheter versus (Cryoballoon Arm) a radiofrequency ablation (RF Arm) with a ThermoCool catheter in patients with drug refractory symptomatic paroxysmal atrial fibrillation (AF). Products Used within the FIRE AND ICE Trial: Arctic Front® \& Arctic Front Advance® Cardiac CryoAblation Catheter System. The purpose of this retrospective data collection on re-ablations performed in both treatment arms (Cryo arm and Radiofrequency arm) of the FIRE AND ICE Trial. No interventions - retrospective data collection: No new patients will be enrolled within this project; only retrospective data will be collected on performed re-ablations within the FIRE AND ICE Trial
Number of Participatns With Adenosine Testing
10 Participants
4 Participants

Adverse Events

Radiofrequency Arm From FIRE AND ICE Trial

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Cryoballoon Arm From FIRE AND ICE Trial

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Study Project Manager (CSM)

Medtronic

Phone: 00491742122

Results disclosure agreements

  • Principal investigator is a sponsor employee Publications from this retrospective data collection are regulated separately in the publication plan, which was reviewed and approved by the Publication Committee. Medical Centers / Investigators may publish the results of work performed under the applicable site agreement. Any such publication shall be at a time determined by Medtronic and shall be provided to Medtronic for review at least 60 days prior to submission or presentation.
  • Publication restrictions are in place

Restriction type: OTHER