Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| 11/SC/0398 | Other Identifier | Oxford C NRES Committee South Central |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This study aims to investigate the benefit of a new impedance-based computer software application during routine catheter ablation for atrial fibrillation, to see if this information improves short and long term electrical disconnection of the pulmonary veins. This study will be a single blind prospective randomised control trial in patients undergoing AF ablation. Study participants will be randomly assigned to undergo parts of their pulmonary vein ablation with, and parts of their ablation without tissue contact data displayed for the doctor performing the ablation to see. The pulmonary veins will then be studied at the end of the procedure, and at any repeat procedure in the future, to look for a difference in the recovery rate of the ablations performed using contact data, compared to those ablations performed without the use of this contact data. If a reduction in tissue recovery is achieved through the use of this tissue contact data, it may lead in the future to a reduced need for repeat ablation procedures, and better outcomes for patients.
The investigators hypothesise that the use of the Ensiteâ„¢ Contactâ„¢ ECI data will reduce the recovery of conduction, and promote long-term pulmonary vein isolation in patients undergoing left atrial ablation for atrial fibrillation.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Contact ECI active | Active Comparator | Contact ECI active |
|
| Contact information deactivated | Placebo Comparator | RF ablation without contact data |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ablation | Procedure | RF ablation to the left atrium of the heart, guided by ECI-contact information (active arm) |
|
| Measure | Description | Time Frame |
|---|---|---|
| The primary outcome measure will be the proportion (%) of pulmonary vein pairs found to be reconnected electrically to the left atrium at a subsequent redo ablation procedure | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Proportion of acute venous electrical reconnections | proportion of pulmonary veins found to be electrically reconnected to the left atrium at the end of the index procedure | acute (intra-procedure) |
| touch-up ablation requirements |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Michael A Jones, MBBS | Oxford University Hospitals NHS Trust | Principal Investigator |
| Tim R Betts, MbCHb PhD | Oxford University Hospitals NHS Trust | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| John Radcliffe Hospital | Headington | Oxfordshire | Ox39DU | United Kingdom |
Not provided
| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| RF ablation | Procedure | RF ablation to the left atrium of the heart, without the use of ECI-contact information (control arm) |
|
|
proportion of veins requiring additional ablation after initial successful isolation, at the end of the index procedure
| acute (intra-procedure) |
| procedure time | duration of procedure | acute |
| RF time | total amount of radiofrequency ablation required | acute (intra-procedure) |
| anatomical location of reconnections at repeat procedure | anatomical location of electrical reconnections in pulmonary vein antra, as measured at a repeat ablation procedure | at repeat ablation procerdure (6-12 months post index ablation procedure) |
| amount of RF required to achieve re-isolation at repeat ablation procedure | total time of RF delivery required to re-isolate the reconnected pulmonary veins at a repeat ablation procedure | at repeat ablation procedure (6-12 months post-index ablation procedure) |
| complications | procedure-related complications | acute and subacute (intra-procedure, and during entire follow-up period) |
| D013568 |
| Pathological Conditions, Signs and Symptoms |