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This study is designed to determine if CTI prior to CPVA/PVI/Linear Lesions/Fractionation results in reduced left atrial ablation lesion sets prior to restoration of sinus rhythm in patients with long standing persistent atrial fibrillation in the absence of antiarrhythmic drug therapy compared to CTI after CPVA/PVI/Linear Lesions/Fractionation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CTI First | Experimental | CTI ablation prior to left atrial ablation |
|
| CTI second | Experimental | CTI ablation after left atrial ablation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CTI ablation Timing | Procedure | The timing of when the CTI ablation is performed. There are no other relevant interventions used in the procedure. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of Ablation Lines Required to Organize Atrial Fibrillation to an Atrial Tachycardia or Sinus Rhythm | Acute (intra procedure) |
| Measure | Description | Time Frame |
|---|---|---|
| Early recurrence of atrial arrhythmias | Atrial Fibrillation or Atrial Tachycardia lasting longer than 30 seconds | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anthony Aizer, MD | NYU School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NYU Langone Medical Center | New York | New York | 10016 | United States |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |