Line Versus Spot Ablation in Persistent Atrial Fibrillation
Linear Anatomically Versus Focal Electrophysiologically Guided Substrate Ablation in Patients With Persistent Atrial Fibrillation
1 other identifier
interventional
116
1 country
1
Brief Summary
In this randomized study dealing with the ablative treatment of persistent atrial fibrillation, two ablation strategies are compared: a more anatomically guided linear ablation scheme versus an electrophysiological guided focal ablation strategy aiming at the electrical isolating of the pulmonary veins and ablating areas of fragmented intracardiac electrograms thought to maintain atrial fibrillation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_4 atrial-fibrillation
Started Aug 2004
Typical duration for phase_4 atrial-fibrillation
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2004
CompletedFirst Submitted
Initial submission to the registry
September 12, 2005
CompletedFirst Posted
Study publicly available on registry
September 20, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2008
CompletedMay 29, 2009
May 1, 2009
3.8 years
September 12, 2005
May 28, 2009
Conditions
Outcome Measures
Primary Outcomes (1)
Sinus rhythm in follow-up
Sinus rhythm in follow-up
Study Arms (2)
1
EXPERIMENTALlinear lesions to ablate persistent atrial fibrillation
2
EXPERIMENTALfocal electrophysiologically guided ablations to treat persistent atrial fibrillation
Interventions
linear lesions to ablate persistent atrial fibrillation
focal electrophysiologically guided ablations to treat persistent atrial fibrillation
Eligibility Criteria
You may qualify if:
- age between 18 and 80 years
- symptomatic persistent (\> 7 days lasting) atrial fibrillation
- at least one unsuccessful cardioversion or atrial fibrillation relapse in the first 3 months after cardioversion despite antiarrhythmic drug therapy
- oral anticoagulation (\> 4 weeks prior to ablation)
You may not qualify if:
- moderate to severe valvular heart disease
- congenital heart disease
- LV-EF \< 35%
- reversible cause for atrial fibrillation (e.g., hyperthyreosis)
- prior left atrial ablation or Maze operation
- left atrial thrombus
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Deutsches Herzzentrum Muenchen
Munich, 80636, Germany
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Claus Schmitt, MD
Deutsches Herzzentrum Muenchen
- PRINCIPAL INVESTIGATOR
Heidi Estner, MD
Deutsches Herzzentrum Muenchen
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 12, 2005
First Posted
September 20, 2005
Study Start
August 1, 2004
Primary Completion
May 1, 2008
Study Completion
November 1, 2008
Last Updated
May 29, 2009
Record last verified: 2009-05