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临床试验/NCT05856461
NCT05856461Unknown不适用

Pulmonary Artery Denervation+ Atrial Fibrillation Ablation vs Atrial Fibrillation Ablation Only in Patients With Atrial Fibrillation and Group 2 of Pulmonary Hypertension

Meshalkin Research Institute of Pathology of Circulation2 个研究点 分布在 2 个国家目标入组 116 人开始时间: 2023年5月22日最近更新:
适应症

试验速览

阶段
不适用
发起方
入组人数
116
试验地点
2
主要终点
Freedom from Atrial Fibrillation/Atrial Flutter/Atrial Tachycardia

研究概览

简要总结

The goal of the study is to compare efficacy and safety of the pulmonary artery denervation procedure combined with atrial fibrillation ablation versus atrial fibrillation ablation alone in patients with paroxysmal and persistent atrial fibrillation and group 2 of the pulmonary hypertension

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
Double (Participant, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 80 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Mean pulmonary artery pressure > 25 mm Hg and pulmonary artery wedge pressure > 15 mm Hg by right heart catheterization
  • Paroxysmal or persistent atrial fibrillation
  • NYHA II-III
  • BNP > 105 pg/ml
  • Indications for catheter ablation of atrial fibrillation according guidelines
  • LVEF > 50%

排除标准

  • Group 1,3,4 of the pulmonary hypertension
  • Left atrium diameter > 6 cm
  • Planned open heart surgery procedure
  • Previous heart valve surgery
  • Severe aortic, pulmonary, tricuspid or mitral, valves regurgitation
  • Thrombus in the left heart chambers

结局指标

主要结局

Freedom from Atrial Fibrillation/Atrial Flutter/Atrial Tachycardia

时间窗: 12 months

Freedom from Atrial Fibrillation/Atrial Flutter/Atrial Tachycardia 3 months after blanking period without antiarrhythmic drugs

次要结局

  • Number of hospitalizations(12 months)
  • Perioperative complications(30 days)
  • Pulmonary vascular resistance(12 months)
  • Pulmonary wedge pressure(12 months)
  • Clinical adverse events(12 months)
  • Mean pulmonary artery pressure(12 months)
  • Systolic pulmonary artery pressure(12 months)
  • 6-minutes walking distance(12 months)
  • Atrial fibrillation burden(12 months)
  • Brain natriuretic peptide(12 months)

研究者

发起方
Meshalkin Research Institute of Pathology of Circulation
申办方类型
Network
责任方
Sponsor

研究点 (2)

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