NCT02492256UnknownPhase 2
Atrial Ganglionated Plexi Ablation Guided by the SUMO Technology With and Without Conventional Pulmonary Vein Isolation in Persistent Atrial Fibrillation Patients: Prospective Randomized Study
Meshalkin Research Institute of Pathology of Circulation2 sites in 1 country60 target enrollmentStarted: June 1, 2015Last updated:
Conditions
Trial Snapshot
- Phase
- Phase 2
- Sponsor
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- Number of patients without AF/AFl/AT
Study Overview
Brief Summary
Although circumferential pulmonary vein isolation (PVI) has been considered as the cornerstone for atrial fibrillation ablation, there has been a substantial recurrence rate. The investigators designed a prospectively randomized study to evaluate whether additional atrial ganglionated plexi ablation guided by the SUMO technology improves the clinical outcome in patients with persistent AF.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 80 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Male or female patients, age ≥ 18 and ≤ 80 years.
- •Persistent AF (ECG documentation).
- •Indication for AF ablation.
- •Able to provide written informed consent
- •Able to comply with the requirements of the study
Exclusion Criteria
- •Reversible cause of atrial fibrillation
- •Previous AF ablation therapy
- •Clinical evidence of active coronary ischemia, significant valvular heart disease, or hemodynamically significant congenital cardiac abnormality
- •Recent (3 months) myocardial infarction (MI), stroke or transient ischemic attack (except if the patient had a DES implanted stent post-MI it would be one year)
- •Contra-indication to Iodine-123 Meta-iodobenzylguanidine (123I-mIBG), iodine, isoproterenol
- •Use of medication for non-cardiac medical conditions that is known to interfere with 123I-mIBG uptake and cannot be safely withheld for at least 24 hours prior to the D-SPECT study procedures
- •Inability to undergo D-SPECT and CT imaging
Outcomes
Primary Outcomes
Number of patients without AF/AFl/AT
Time Frame: 12 months
Secondary Outcomes
- Time to first recurrence of AF or atrial tachycardia (AF burden > 0,5%).(12 month)
- Amount of mIBG uptake on 6 and 12 month DSPECT imaging in comparison to baseline D-SPECT.(12 month)
Investigators
Study Sites (2)
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