Left Atrial Ablation With Permanent Pacemaker or ImplanTable Loop Recorder Follow-UP

NCT ID: NCT01095770

Last Updated: 2010-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-04-30

Study Completion Date

2012-11-30

Brief Summary

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The purpose of this study is 3 fold:-

1. To compare the efficacy and complication rates of 2 widely used methods, conventional irrigation tip ablation catheter (LASSO) and Ablation Frontiers ablation technology, of AF ablation for PAF.
2. To evaluate the Reveal XT ILR as a long term accurate AF monitoring device as compared to the 'gold standard' DDD pacemaker Holter.
3. To accurately evaluate, by continuous rhythm monitoring for 1 year, the efficacy of AF ablation therapy for PAF.

Detailed Description

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Conditions

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Paroxysmal Atrial Fibrillation

Keywords

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Atrial Fibrillation Atrial Fibrillation Ablation Atrial Fibrillation monitoring Ablation Frontiers Reveal XT LASSO

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Ablation Frontiers Ablation

This group will undergo AF ablation using Ablation Frontiers Technology.

Group Type ACTIVE_COMPARATOR

AF Ablation with Ablation Frontiers Technology

Intervention Type PROCEDURE

AF Ablation with Ablation Frontiers Technology - PVAC, TVAC and MASC.

LASSO ablation

This group will undergo atrial fibrillation ablation with traditional LASSO technology

Group Type ACTIVE_COMPARATOR

AF Ablation with LASSO catheter

Intervention Type PROCEDURE

AF Ablation with traditional LASSO catheter

Reveal XT monitoring

This group will be monitored pre and post ablation using a Reveal XT implantable loop recorder.

Group Type ACTIVE_COMPARATOR

Reveal XT

Intervention Type DEVICE

Reveal XT implantable loop recorder monitored group

Permanent Pacemaker - dual chamber

This group will be monitored pre and post ablation with a dual chamber permanent pacemaker

Group Type ACTIVE_COMPARATOR

Permanent Dual Chamber Pacemaker

Intervention Type DEVICE

This group will be monitored with a dual chamber pacemaker with advanced AF monitoring capabilities.

Interventions

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AF Ablation with Ablation Frontiers Technology

AF Ablation with Ablation Frontiers Technology - PVAC, TVAC and MASC.

Intervention Type PROCEDURE

AF Ablation with LASSO catheter

AF Ablation with traditional LASSO catheter

Intervention Type PROCEDURE

Reveal XT

Reveal XT implantable loop recorder monitored group

Intervention Type DEVICE

Permanent Dual Chamber Pacemaker

This group will be monitored with a dual chamber pacemaker with advanced AF monitoring capabilities.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient aged 16-80 years old.
* Symptomatic PAF with AF episodes self terminating after at least 30 seconds but not longer than 24 hours. Preference is given to patients with AF episodes lasting no longer than 4 hours.
* PAF should have failed at least one drug therapy medical therapy.
* Patients must give written informed consent form prior to participating in this study.

Exclusion Criteria

* Patient is suffering with unstable angina in last 1 week.
* Patient has had a myocardial infarction within last 2 months.
* Patient is expecting or has had major cardiac surgery within last 2 months.
* Patient is participating in a conflicting study.
* Patient is mentally incapacitated and cannot consent or comply with follow-up.
* Patient has NYHA class III/ IV heart failure.
* Patients with severe valvular or ventricular dysfunction.
* Pregnancy.
* Patient suffers with other cardiac rhythm disorders.
* Recent coronary artery intervention or other factors suggesting clinical instability (ECG, clinical or laboratory findings)
Minimum Eligible Age

16 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Eastbourne General Hospital

OTHER

Sponsor Role lead

Responsible Party

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East Sussex NHS Trust

Principal Investigators

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Stephen S Furniss, FRCP, MD

Role: PRINCIPAL_INVESTIGATOR

East Sussex NHS Trust

AN Sulke, FRCP, MD

Role: PRINCIPAL_INVESTIGATOR

East Sussex NHS Trust

Locations

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Eastbourne District General Hospital

Eastbourne, East Sussex, United Kingdom

Site Status

Countries

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United Kingdom

Central Contacts

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Steven J Podd, MBBS, MRCP, BA

Role: CONTACT

Phone: 01323 417400

Email: [email protected]

Facility Contacts

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Steven J Podd, MBBS, MA, MRCP

Role: primary

References

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Podd SJ, Sulke AN, Sugihara C, Furniss SS. Phased multipolar radiofrequency pulmonary vein isolation is as effective and safe as conventional irrigated point-to-point ablation. A prospective randomised 1-year implantable cardiac monitoring device follow-up trial. J Interv Card Electrophysiol. 2015 Dec;44(3):257-64. doi: 10.1007/s10840-015-0042-0. Epub 2015 Aug 27.

Reference Type DERIVED
PMID: 26310300 (View on PubMed)

Other Identifiers

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LAAPITUP

Identifier Type: -

Identifier Source: org_study_id