NCT00466973

Brief Summary

Atrial fibrillation is an irregular heart rhythm which requires long term anticoagulation to prevent risk of stroke and long term poor outcomes. At the same time one have heart surgery, a small additional procedure can be done to treat atrial fibrillation. Surgeons have a choice of six different devices that he or she can use to treat your atrial fibrillation. It is not known at this point which device is best at treating you, as each device seems to have the same success rate at curing atrial fibrillation. One of the six devices will be selected randomly by card pulled out at the time of enrollment. It is therefore the purpose of this study to compare the devices to each other and to follow up after surgery to determine if any one device is best. This information will be valuable to surgeons and to patients as the treatment for atrial fibrillation develops in the future.

Trial Health

30
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Timeline
Completed

Started Apr 2007

Geographic Reach
1 country

1 active site

Status
withdrawn

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2007

Completed
24 days until next milestone

First Submitted

Initial submission to the registry

April 25, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 27, 2007

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 20, 2008

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2009

Completed
Last Updated

August 17, 2018

Status Verified

August 1, 2018

Enrollment Period

1.6 years

First QC Date

April 25, 2007

Last Update Submit

August 15, 2018

Conditions

Keywords

Atrial fibrillationablation device comparisonablation in right atria

Outcome Measures

Primary Outcomes (3)

  • Freedom from Atrial fibrillation

    No atrial fibrillation noted by standard testing (Spot ECG, history, 24-hour Holter recording, Cardiac MRI or echocardiogram, Brain Natriuretic Peptide (BNP) levels

    3 months after surgery

  • Rhythm at 12 months

    No atrial fibrillation noted by standard testing (Spot ECG, history, 24-hour Holter recording, Cardiac MRI or echocardiogram, BNP levels

    12 months after surgery

  • Major Adverse Cardiovascular Events (MACEs) at 1 and 3 months

    Recording any major adverse cardiovascular events reported

    1 and 3 months post-surgical procedure

Secondary Outcomes (3)

  • Functional and qualitative improvement in heart failure, ejection fraction, left atrial size, exercise tolerance

    6 and 12 months post-surgical procedure

  • Rhythm at 3, 6 and 9 months

    3, 6 and 9 months post-surgical procedure

  • All other adverse events

    From surgical procedure through 12 months follow-up

Study Arms (6)

Dry bipolar radiofrequency (RF) clamp

ACTIVE COMPARATOR

used for ablation during surgical procedure

Device: Dry bipolar radiofrequency (RF) clamp

Unipolar microwave antenna

ACTIVE COMPARATOR

used for ablation during surgical procedure

Device: Unipolar microwave antenna

Unipolar cryothermic probe

ACTIVE COMPARATOR

used for ablation during surgical procedure

Device: Unipolar cryothermic probe

Irrigated unipolar RF antenna

ACTIVE COMPARATOR

used for ablation during surgical procedure

Device: Irrigated unipolar RF antenna

Irrigated bipolar RF clamp

ACTIVE COMPARATOR

used for ablation during surgical procedure

Device: Irrigated bipolar RF clamp

Hi-intensity focused ultrasound wand

ACTIVE COMPARATOR

used for ablation during surgical procedure

Device: Hi-intensity focused ultrasound wand

Interventions

Specified device used for ablation during standard surgical procedure

Also known as: AtriCure
Dry bipolar radiofrequency (RF) clamp

Specified device used for ablation during standard surgical procedure

Also known as: Boston Scientific FLEX 10
Unipolar microwave antenna

Specified device used for ablation during standard surgical procedure

Also known as: Cryocath SurgiFrost
Unipolar cryothermic probe

Specified device used for ablation during standard surgical procedure

Also known as: ESTECH Cobra Adhere
Irrigated unipolar RF antenna

Specified device used for ablation during standard surgical procedure

Also known as: Meditronic Cardioblate BP
Irrigated bipolar RF clamp

Specified device used for ablation during standard surgical procedure

Also known as: St. Jude Epicor
Hi-intensity focused ultrasound wand

Eligibility Criteria

Age19 Years - 75 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All patients undergoing concomitant cardiac surgery who also have AF.

You may not qualify if:

  • Patients undergoing re-do or emergency procedures
  • Females of child-bearing age who are pregnant
  • Age less than 19 and more than 75 years old

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Maimonides Medical Center

Brooklyn, New York, 11219, United States

Location

MeSH Terms

Conditions

Atrial Fibrillation

Interventions

Constriction

Condition Hierarchy (Ancestors)

Arrhythmias, CardiacHeart DiseasesCardiovascular DiseasesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Officials

  • Adam E Saltman, MD

    Director Atrial fibrillation Program, Cardiothoracic Surgeon

    PRINCIPAL INVESTIGATOR
  • Kamran B Ali, MD

    Cardiology Fellow

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 25, 2007

First Posted

April 27, 2007

Study Start

April 1, 2007

Primary Completion

November 20, 2008

Study Completion

May 1, 2009

Last Updated

August 17, 2018

Record last verified: 2018-08

Locations