Randomized Clinical Trial PULVAB (Prophylactic Pulmonary Veins Ablation)

NCT ID: NCT03857711

Last Updated: 2020-02-06

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

280 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-01

Study Completion Date

2022-12-01

Brief Summary

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To compare prophylactic strategies of atrial fibrillation in patients with CAD and without AF.

Detailed Description

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Prospective, multicenter, randomized trial, intended to compare three prophylactic strategies of atrial fibrillation in patients with coronary artery disease and without history of atrial fibrillation.

The study includes 4 groups of patients:

Group I (conventional CABG)

Group II (CABG + pulmonary veins isolation). Concomitant CABG and epicardial bipolar radiofrequency pulmonary veins isolation.

Group III (CABG+ pulmonary veins isolation + amiodarone). Concomitant CABG and epicardial bipolar radiofrequency pulmonary veins ablation with administration of amiodarone in postoperative periode.

Group IV (CABG+ amiodarone). Conventional CABG with administration of amiodarone in postoperative periode.

Conditions

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Arrhythmias, Cardiac Cardiovascular Diseases Postoperative Atrial Fibrillation Myocardial Ischemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Conventional CABG

Coronary artery bypass grafting (CABG) treatment (CABG group,n=70)

Group Type ACTIVE_COMPARATOR

Conventional CABG

Intervention Type PROCEDURE

Coronary artery bypass grafting

CABG+ PVI

CABG + prophylactic epicardial bipolar radiofreaquency pulmonary veins isolation (CABG +PVI group, n=70)

Group Type ACTIVE_COMPARATOR

CABG+ PVI

Intervention Type PROCEDURE

CABG+ prophylactic epicardial bipolar radiofrequency isolation of the pulmonary veins

CABG+ PVI+amiodarone

CABG+ prophylactic epicardial bipolar radiofreaquency pulmonary veins isolation + amiodarone (CABG +PVI+ class III antiarrhythmic drug- amiodarone, group, n=70)

Group Type ACTIVE_COMPARATOR

CABG+ PVI+amiodarone

Intervention Type PROCEDURE

CABG+PVI+amiodarone (CABG+RFA + class III antiarrhythmic drug- amiodarone)

CABG+amiodarone

CABG+class III antiarrhythmic drug- amiodarone, group, n=70

Group Type ACTIVE_COMPARATOR

CABG+amiodarone

Intervention Type PROCEDURE

Interventions

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Conventional CABG

Coronary artery bypass grafting

Intervention Type PROCEDURE

CABG+ PVI

CABG+ prophylactic epicardial bipolar radiofrequency isolation of the pulmonary veins

Intervention Type PROCEDURE

CABG+ PVI+amiodarone

CABG+PVI+amiodarone (CABG+RFA + class III antiarrhythmic drug- amiodarone)

Intervention Type PROCEDURE

CABG+amiodarone

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients must have signed an informed consent.
* patients had indications for two or more coronary arteries to be bypassed
* no history of AF

Exclusion Criteria

* acute coronary syndrome
* previous CABG.
* a significant decrease in the contractile function of the heart (EF \<40%)
* significant heart valve disease requiring surgical repair
* long-standing persistent, persistent, or paroxysmal forms of atrial fibrillation
* respiratory failure
* left ventricular aneurysm requiring surgical correction
* chronic renal failure (≤60 mL/min/1⋅73 m2)
* chronic diseases that make a significant contribution to the prognosis of life (e.g. oncology)
* participation in other clinical trials
Minimum Eligible Age

45 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Federal Centre of High Medical Technologies of the RF Ministry of Public Health, Kaliningrad, Russia.

UNKNOWN

Sponsor Role collaborator

National Research Center of Surgery, Russia

OTHER_GOV

Sponsor Role lead

Responsible Party

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Stepanova Yulia Aleksandrovna

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amiran Sh. Revishvili

Role: STUDY_CHAIR

A.V. Vishnevsky National Medical Research Center of Surgery. Moscow. Russian Federation.

Locations

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Federal Centre of High Medical Technologies of the RF Ministry of Public Health, Kaliningrad, Russia.

Kaliningrad, , Russia

Site Status RECRUITING

A.V. Vishnevsky National Medical Research Center of Surgery.

Moscow, , Russia

Site Status RECRUITING

Countries

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Russia

Central Contacts

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Amiran Sh. Revishvili

Role: CONTACT

+7 (499) 236-72-90

Vadim A. Popov

Role: CONTACT

+7 9166706609

Facility Contacts

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Yuri A Schneider

Role: primary

Amiran Sh. Revishvili

Role: primary

+7 (499) 236-72-90

Other Identifiers

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q9ics7t8

Identifier Type: -

Identifier Source: org_study_id

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