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The objective of the study is to investigate the feasibility of a hybrid procedure removal of the atrial fibrillation.
This is a single procedure for both surgical epicardial by minimally invasive route (Thoracoscopy) without even flow controlled and supplemented if necessary by extra corporeal intracavitary route at the same time.
This faster procedure combined with complete lesions have a higher success rate and less frequent re-hospitalizations of patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | All patients will have the hybrid procedure of ablation of atrial fibrillation. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| The AtriCure Synergy Ablation System | Device | The AtriCure Synergy Ablation System will be used on all patients for AF ablation. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of participants with complete procedure or not | At the end of the intervention, the doctor evaluates whether the procedure was complete with electric exclusion of the posterior wall of the left atrium and the 4 pulmonary veins. | 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Number of atrial fibrillation episode | 12 months | |
| Stroke Rate | 12 months | |
| Hospitalization for heart failure |
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Inclusion Criteria:
patients with complex AF defined by the following criteria :
Exclusion Criteria:
The exclusion criteria are relevant contraindications thoracoscopy or the non-complex nature of the AF:
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| Name | Affiliation | Role |
|---|---|---|
| Bertrand Marcheix, MD | University Hospital, Toulouse | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Toulouse | Toulouse | Midi Pyrenees | 31059 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 32241522 | Result | Rollin A, Mandel F, Grunenwald E, Mondoly P, Monteil B, Marcheix B, Maury P. Hybrid surgical ablation for persistent or long standing persistent atrial fibrillation: A French single centre experience. Ann Cardiol Angeiol (Paris). 2020 Apr;69(2):86-92. doi: 10.1016/j.ancard.2020.03.008. Epub 2020 Mar 30. |
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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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The number of hospitalizations for heart failure after hybrid procedure |
| 12 months |
| Evaluation of Quality of life (EQ-5D according to the survey-3L) | The quality of life will be measured using the EQ-5D 3L questionnaire (EQ-5D according to the survey-3L) | 12 months |
| The cost-effectiveness ration | Cost estimates will be conducted from the perspective of health insurance. The expenses incurred in the care of patients will be counted during the follow-up year. The effectiveness will be assessed against the complications of strategy | 12 months |
| D013568 |
| Pathological Conditions, Signs and Symptoms |