Thoracoscopic Ablation for Lone Atrial Fibrillation
NCT05708027 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 232
Last updated 2023-02-01
Summary
Background: Thoracoscopic ablation is an effective treatment of patients with atrial fibrillation. Nowadays, 2 types of ablative devices are available in clinical practice allowing one to perform the thoracoscopic procedure - Medtronic and AtriCure. However, the contemporary clinical literature does not have enough data that would compare these two approaches.
Aims: to perform a comparative analysis of the short-term results of two minimally invasive strategies in thoracoscopic ablation for atrial fibrillation.
Methods:
The retrospective study was performed in which included 232 patients underwent thoracoscopic ablation for atrial fibrillation in two clinical centers for the period from 2016 to August 2021. The patients were divided into 2 groups. The first group was represented by those patients to whom a Medtronic device was applied (n=140), the second group was treated with an AtriCure device (n=92). The patients were comparable in their age, gender, initial severity of the condition. The follow-up consisted of laboratory tests, chest Х-ray, electrocardiography, 24-hour Holter monitor, echocardiography. The structure and prevalence of intraoperative and postoperative complications, specifics of the postoperative period were compared between the two groups.
Conditions
- Atrial Fibrillation
- Heart Diseases
Interventions
- PROCEDURE
-
Thoracoscopic surgical ablation
Thoracoscopic surgical ablation is a minimally invasive procedure used to treat atrial fibrillation by creation Box Lesion Set using Radio Frequency Energy. Pulmonary veins isolation was performed using ablation clamps, whereas isolation of the posterior left atrium (box) was performed using a clamping Medtronic or a linear nonclamping AtriCure device.
Sponsors & Collaborators
-
Federal State Budget Institution Clinical Hospital, Moscow, Russia
collaborator UNKNOWN -
Federal Research Clinical Center of Federal Medical & Biological Agency, Russia
lead OTHER_GOV
Principal Investigators
-
Alexander V Troitskiy, MD, SD · Federal Research and Clinical Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-01-06
- Primary Completion
- 2022-08-31
- Completion
- 2023-09-30
Countries
- Russia
Study Locations
More Related Trials
-
Two-stage Hybrid Ablation or Thoracoscopic Epicardial Ablation for Long-standing Persistent Atrial Fibrillation
NCT03708471 ·Status: UNKNOWN ·Phase: NA
-
Surgical Ablation of Long-standing Persistent AF During CABG
NCT02246790 ·Status: UNKNOWN ·Phase: PHASE3
-
Ablation vs Amiodarone for Treatment of AFib in Patients With CHF and an ICD
NCT00729911 ·Status: COMPLETED ·Phase: PHASE4
-
Interventional Strategies in Treatment of Atrial Fibrillation: Percutaneous Closure of the Left Atrial Appendage Versus Catheter Ablation
NCT01363895 ·Status: COMPLETED ·Phase: NA
-
Ablation and Left Atrium Reduction During Mitral Valve Surgery for Atrial Fibrillation
NCT02047279 ·Status: COMPLETED ·Phase: NA
-
Cryoballoon Ablation of Pulmonary Veins After Failed RF Ablation in Patients With Paroxysmal AF
NCT01611701 ·Status: COMPLETED ·Phase: PHASE3
-
Atrial Fibrillation After Catheter Versus Thoracoscopic Ablation Using Patient Activated Implantable Loop Recorders: The ACTUAL Study
NCT01503268 ·Status: WITHDRAWN ·Phase: PHASE4
-
Evaluation of the Cardioblate CryoFlex Surgical Ablation System in Longstanding Persistent Atrial Fibrillation
NCT01558635 ·Status: TERMINATED ·Phase: NA
-
Catheter Ablation Versus Thoracoscopic Ablation to Patients With Permanent Atrial Fibrillation
NCT00296166 ·Status: TERMINATED ·Phase: NA
-
Pulsed Field Ablation vs. Cryoballoon Ablation in Patients With Persistent Atrial Fibrillation
NCT07064616 ·Status: RECRUITING ·Phase: NA
-
Medical and Surgical Hybrid Treatment of Atrial Fibrillation.
NCT02630914 ·Status: COMPLETED ·Phase: NA
-
Radiofrequency Ablation Plus Botulinum Toxin Injection Versus Radiofrequency Ablation Only in Patients With Atrial Flutter
NCT02002962 ·Status: UNKNOWN ·Phase: PHASE2
-
Catheter Versus Thoracoscopic Surgical Ablation Strategy in Persistent Atrial Fibrillation
NCT01385358 ·Status: UNKNOWN ·Phase: NA
-
Pulmonary Artery Denervation in Patients With Atrial Fibrillation and Group 2 of Pulmonary Hypertension
NCT05856461 ·Status: UNKNOWN ·Phase: NA
-
Catheter Ablation vs. Standard Conventional Treatment in Patients With LV Dysfunction and AF
NCT00643188 ·Status: COMPLETED ·Phase: PHASE4
-
Substrate Remodelling and Targeted Ablation in AF
NCT07047235 ·Status: RECRUITING ·Phase: NA
-
High-Power, Short-Duration Ablation in Treatment of Patients With Atrial Fibrillation
NCT06415149 ·Status: COMPLETED ·Phase: NA
-
Hybrid Ablation of Atrial Fibrillation in Heart Failure
NCT05411614 ·Status: RECRUITING ·Phase: NA
-
Catheter Ablation for Atrial Fibrillation and Heart Failure
NCT01082601 ·Status: WITHDRAWN
-
Surgical Ablation for Atrial Fibrillation
NCT04398979 ·Status: COMPLETED
-
Application of High Power Radio Frequency Energy in the Ventricular Tachycardia Treatment
NCT04657705 ·Status: COMPLETED ·Phase: NA
-
Thoracoscopic Surgical Versus Catheter Ablation Approaches for Primary Treatment of Persistent Atrial Fibrillation
NCT04715425 ·Status: RECRUITING ·Phase: NA
-
Tracking Results of Ablations to Combat AF Registry Generation 2
NCT05111015 ·Status: RECRUITING
-
Long-term Results of Bilateral Thoracoscopic Ablation for Stand-alone Atrial Fibrillation
NCT05836389 ·Status: COMPLETED
-
ECG-I Targeted Ablation for Persistent AF Not Responding to Pulmonary Vein Isolation Results of a Two Staged Strategy.
NCT04633265 ·Status: COMPLETED ·Phase: NA