AV Node Isolation in Atrial Fibrillation vs. Modulation by "Pace and Ablate" Strategy
Overview
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Heart and Diabetes Center North-Rhine Westfalia
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- AV-node escape rhythm
Overview
Brief Summary
AV-node ablation (AVNA) is a common therapy option for rate control strategy of permanent atrial fibrillation with numerous side effects. The investigators hypothesised that an isolation of the AV node is concomitant with less occurrence of new bundle brunch blocks, more frequent preservation and higher rate of escape rhythm compared to AVNA. This retrospective study includes 20 patients being treated with AV-node isolation (AVNI) and 40 historical AVNA-controls. Among others these two methods were compared regarding escape rhythm, delta QRS, procedure time, ablation points, fluoroscopy time and total dose area product (DAP).
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •paroxysmal, persistend or permanent atrial fibrillation; indication for AVNA
Exclusion Criteria
- •other indications for AVNA than atrial fibrillation as AVNRT, atrial flutter, atrial tachycardia
Outcomes
Primary Outcomes
AV-node escape rhythm
Time Frame: intraoperative, follow-up after 1 to 3 month
bundle branch blocks
Time Frame: intraoperative, follow-up after 1 to 3 month
Secondary Outcomes
No secondary outcomes reported