Left Roof Linear, Mitral Isthmus Linear and Left Anterior Septal Linear Ablation for Non-paroxysmal AF: PROMISED Trial.
NCT06249347 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 166
Last updated 2024-02-12
Summary
The purpose of this prospective randomized study is to assess whether a new treatment strategy consisting of circumferential Pulmonary vein isolation (PVI), left ROof linear (RL), Mitral Isthmus linear (MIL), and left anterior SEptal linear (ASL) ablation and left atrial appendage (LAA) Device occlusion (PROMISED procedure) is superior to the PVI combined LAA closure in enhancing the long-term success rate of catheter ablation in non-paroxysmal atrial fibrillation (AF) patients.
Conditions
- Atrial Fibrillation
- Atrial Fibrillation, Persistent
Interventions
- PROCEDURE
-
PROMISED
CPVI: Achievement of a wide disconnection of the right and left pulmonary veins; Roof linear ablation: linear ablation in the left atria roof; Anterior septal linear ablation: linear ablation in the anterior septal linear which coursed from the middle of the right superior and inferior pulmonary veins or the middle of the right superior pulmonary vein to the mitral valve annulus; Mitral isthmus linear ablation: linear ablation in the mitral isthmus; Left atrial appendage closure: Occlusion of the left atrial appendage with a left atrial appendage occlusion device.
- PROCEDURE
-
CPVI and LAAC
CPVI: Achievement of a wide disconnection of the right and left pulmonary veins; Left atrial appendage closure: Occlusion of the left atrial appendage with a left atrial appendage occlusion device.
- DEVICE
-
Radiofrequency ablation catheter
Device: Radiofrequency ablation catheter
- DEVICE
-
left atrial appendage occlusion device
Device: left atrial appendage occlusion device
Sponsors & Collaborators
-
Second Affiliated Hospital of Wenzhou Medical University
lead OTHER
Principal Investigators
-
Yue-chun Li, MD · Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-01-28
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- China
Study Locations
More Related Trials
-
Catheter Ablation of Longstanding Persistent Atrial Fibrillation
NCT02929836 ·Status: UNKNOWN ·Phase: NA
-
Multimodality Evaluation of LAA Leaks Arising After Incomplete LAAC: Insights From the LAA-Leak Registry
NCT05131308 ·Status: COMPLETED
-
PVI Alone vs PVI and Linear Ablation for Persistent Atrial Fibrillation (PROMPT AF II)
NCT07106970 ·Status: RECRUITING ·Phase: NA
-
aMAZE Study: LAA Ligation Adjunctive to PVI for Persistent or Longstanding Persistent Atrial Fibrillation
NCT02513797 ·Status: UNKNOWN ·Phase: NA
-
Substrate Versus Trigger Ablation for Paroxysmal Atrial Fibrillation
NCT02169037 ·Status: UNKNOWN ·Phase: NA
-
Effect of Empirical Left Atrial Appendage Isolation on Long-term Procedure Outcome in Patients With Persistent or Long-standing Persistent Atrial Fibrillation Undergoing Catheter Ablation
NCT01362738 ·Status: COMPLETED ·Phase: PHASE3
-
Left Atrial Appendage Electrical Isolation in Persistent Atrial Fibrillation
NCT04897204 ·Status: UNKNOWN ·Phase: NA
-
Combined Pulsed-field Ablation (PFA) and Left Atrial Appendage Occlusion Using Watchman Flx or Amulet
NCT05560204 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Safety and Efficacy of Pulmonary Vein Isolation Using Pulsed-field Ablation (PFA) Combined with Either PFA-based Left Atrial Posterior Wall Isolation or Vein of Marshall Ethanol Ablation in Patients with Persistent Atrial Fibrillation
NCT06878924 ·Status: NOT_YET_RECRUITING
-
Using a Novel Balloon-shaped Large-Focal Pulsed Field Ablation Catheter in Persistent Atrial Fibrillation
NCT07294742 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Ablation of the Pulmonary Veins for Paroxysmal Afib
NCT00744874 ·Status: COMPLETED ·Phase: PHASE4
-
Addition of Six Short Lines on Pulmonary Vein Isolation
NCT02637453 ·Status: COMPLETED ·Phase: NA
-
STrategies for Catheter Ablation of peRsistent Atrial Fibrlllation
NCT04428944 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Safety Procedure Pulmonary Artery Denervation in Addition to Pulmonary Vein Isolation Combined With Ganglionated Plexi Ablation in Patients With Persistent Atrial Fibrillation and Pulmonary Hypertension
NCT02298244 ·Status: UNKNOWN ·Phase: NA
-
FIRM Ablation Versus Pulmonary Vein Isolation for the Treatment of Paroxysmal Atrial Fibrillation (PAF)
NCT02703454 ·Status: TERMINATED ·Phase: NA
-
Cryoballoon PVI With PWI Versus PVI Alone In Patients With PAF
NCT05296824 ·Status: COMPLETED
-
Pulsed Field Ablation and Pulsed Field CRyoAbLation in PErsistent AtriaL FibrilLation
NCT05408754 ·Status: COMPLETED ·Phase: NA
-
Pulmonary Vein Antrum Isolation (PVAI) Plus Scar Homogenization and Non-PV Triggers Ensure Long-term Recurrence-free Survival in Non-paroxysmal Atrial Fibrillation
NCT01672138 ·Status: UNKNOWN ·Phase: NA
-
Quantitative Ablation of Pulmonary Vein Vestibule in Paroxysmal Atrial Fibrillation.
NCT04549714 ·Status: UNKNOWN ·Phase: NA
-
Evaluation of Conventional Ablation With or Without Focal Impulse and Rotor Modulation to Eliminate Human AF
NCT02456233 ·Status: COMPLETED ·Phase: NA
-
A Study of Strategies for Electrical Isolation of Pulmonic Veins for Curative Treatment of Atrial Fibrillation
NCT00434694 ·Status: COMPLETED ·Phase: NA
-
Cryoballoon Pulmonary Vein Isolation vs. Radiofrequency Pulmonary Vein Isolation With Additional Right Atrial Linear Ablation for Paroxysmal Atrial Fibrillation: Prospective Randomized Trial (CRAPAF Trial)
NCT03920917 ·Status: UNKNOWN ·Phase: NA
-
Endomyocardial Botulinum Toxin Injection in Patients With Persistent Atrial Fibrillation
NCT02008448 ·Status: UNKNOWN ·Phase: PHASE2
-
Left Atrial Arrhythmia Substrate Identification After Confirmed durABLE Pulmonary Vein Isolation
NCT04111731 ·Status: COMPLETED ·Phase: NA
-
Comparison of Two Pulmonary Vein Ablation Techniques for Persistent AF
NCT03295422 ·Status: UNKNOWN ·Phase: NA