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The aim of this prospective randomized study was to assess the efficacy of ablation of the ganglionated plexi localized in the epicardial fat pads for preventing recurrences of atrial tachyarrhythmia in patients with paroxysmal atrial fibrillation undergoing coronary artery bypass grafting.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Coronary artery bypass grafting + epicardial ganglionated plexi ablation |
|
| Group 2 | Active Comparator | Coronary artery bypass grafting |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Coronary artery bypass grafting | Procedure |
| ||
| Epicardial ganglionated plexi ablation |
| Measure | Description | Time Frame |
|---|---|---|
| Recurrence of any atrial tachyarrhythmia, including atrial fibrillation and atrial flutter/tachycardia, after cardiac surgery procedure with no antiarrhythmic drug | 12 month |
| Measure | Description | Time Frame |
|---|---|---|
| atrial fibrillation burden | 12 month | |
| incidence of congestive heart failure | 12 month | |
| incidence of sustained ventricular arrhythmias |
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Inclusion Criteria:
Exclusion Criteria:
Previous heart surgery or atrial fibrillation ablation procedure Emergency coronary artery bypass grafting Unstable angina or heart failure Persistent atrial fibrillation Planned maze procedure or pulmonary vein isolation Unwillingness to participate
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Alexander Romanov, MD, PhD | Contact | +73833327655 | abromanov@mail.ru | |
| Evgeny Pokushalov, MD, PhD | Contact | +73833327655 |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| State Research Institute of CIrculation Pathology Novosibirsk, Russian Federation | Recruiting | Novosibirsk | 630055 | Russia |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| D017202 | Myocardial Ischemia |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| ID | Term |
|---|---|
| D001026 | Coronary Artery Bypass |
| ID | Term |
|---|---|
| D009204 | Myocardial Revascularization |
| D006348 | Cardiac Surgical Procedures |
| D013504 | Cardiovascular Surgical Procedures |
| D013514 | Surgical Procedures, Operative |
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| Procedure |
|
| implantable loop recorder | Procedure |
|
| 12 month |
| rehospitalization | 12 month |
| stroke or transient ischemic attack | 12 month |
| number of Deaths | 12 month |
| Cardiology Research Institute | Recruiting | Tomsk | Russia |
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D058017 | Vascular Grafting |
| D014656 | Vascular Surgical Procedures |
| D019616 | Thoracic Surgical Procedures |