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临床试验/NCT03564951
NCT03564951已完成不适用

Comparison of Ablation of Anisochronous Zones vs Spatio-temporal Dispersal Zones in Addition to Antral Electrical Isolation During Radiofrequency Treatment of Paroxysmal or Persistent Atrial Fibrillation

Centre Hospitalier Universitaire de Nīmes4 个研究点 分布在 1 个国家目标入组 3 人开始时间: 2019年2月14日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
3
试验地点
4
主要终点
Atrial fibrillation relapse between groups

研究概览

简要总结

Using isochronous maps during radiofrequency ablation procedures may identify the driver zones responsible for atrial fibrillation maintenance with greater accuracy compared to a conventional procedure (simple antral isolation of the associated pulmonary veins or, if necessary, combined with removal of spatio-temporal dispersal zones) that do not use isochronous maps, and thus improve the efficiency and safety of atrial fibrillation treatment by radiofrequency treatment.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • The patient must have given their free and informed consent and signed the consent form
  • The patient must be a member or beneficiary of a health insurance plan
  • The patient is at least 18 years old
  • The patient has paroxysmal or persistent atrial fibrillation
  • The patient is available for 18 month follow-up

排除标准

  • The subject is participating in a category 1 interventional study, or is in a period of exclusion determined by a previous study
  • The subject refuses to sign the consent
  • It is impossible to give the subject informed information
  • The patient is under safeguard of justice or state guardianship
  • The patient is pregnant or breastfeeding
  • Sinus rhythm has not been able to be determined using external electric cardioversion
  • Patient not susceptible to atrial fibrillation following wide antrum circle ablation
  • The subject has already been included in the study (patients cannot be included more than once)

结局指标

主要结局

Atrial fibrillation relapse between groups

时间窗: Month 18

Atrial fibrillation detected by routine or event-associated Holter examination

次要结局

  • Atrial fibrillation relapse between groups(Month 12)
  • Concordance of isochrone and voltage maps(Day 0)
  • Comparison of the decreasing velocities between healthy zones and anisochronic zones in the same anatomic region(Day 0)
  • Size of treated zones between groups(Day 0)
  • Arrhythmia occurrence between groups(Month 18)
  • Maximum variation of conduction speed between variation healthy zones with anisochronic zones in the same anatomic region(Day 0)
  • Comparison of wave front rotation between healthy zones and anisochronic zones in the same anatomic region(Day 0)
  • Number of treated zones between groups(Day 0)
  • Survival without relapse of the subgroups paroxysmal versus persistent atrial fibrillation.(Month 18)
  • Total time of radiofrequency between groups(Day 0)
  • Total procedure time between groups(Day 0)
  • List locations most frequently treated(Day 0)
  • Comparison of lesion volume between groups(Day 0)
  • Survival without relapse of the subgroups treated using the Carto- vs Rhythmia-guided ablation approaches.(Month 18)

研究者

发起方
Centre Hospitalier Universitaire de Nīmes
申办方类型
Other
责任方
Sponsor

研究点 (4)

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