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This study will compare right sided atrioventricular node ablation to left sided atrioventricular node ablation
Right-sided atrioventricular node ablation has been the initial conventional approach however up to 18.5% of patients require switching to a left sided approach or have a challenging procedure. Previous studies have found that left sided ablation is more efficacious than right-sided ablation requiring less than 5 applications of radiofrequency energy to induce atrioventricular block.
This study will compare right sided atrioventricular node ablation to left sided atrioventricular node ablation
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Right sided atrioventricular node ablation | Active Comparator | Right sided atrioventricular node ablation |
|
| Left sided atrioventricular node ablation | Active Comparator | Left sided atrioventricular node ablation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| atrioventricular node ablation | Procedure | atrioventricular node ablation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of total ablation time required to induce complete atrioventricular node block | Time in seconds | intraoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Comparison of number of RF applications required to induce complete atrioventricular node block | Comparison of number of RF applications required to induce complete atrioventricular node block | intraoperative |
| Comparison of total procedure time between the two groups |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rick Veasey | Contact | 03001315457 | rick.veasey@nhs.net |
| Name | Affiliation | Role |
|---|---|---|
| Rick Veasey | East Sussex Healthcare NHS | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Eastbourne District General Hospital | Recruiting | Eastbourne | East Sussex | United Kingdom |
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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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Comparison of total procedure time between the two groups |
| intraoperative |
| Comparison of radiation exposure between the two groups | Comparison of radiation exposure between the two groups | intraoperative |
| Comparison of rate of the escape rhythm after ablation in beats/min | Comparison of rate of the escape rhythm after ablation in beats/min | intraoperative |
| Comparison of number of patients requiring crossover to each side | Comparison of number of patients requiring crossover to each side | intraoperative |
| Comparison of adverse events / complications between each group | Comparison of adverse events / complications between each group | intraoperative |
| Comparison of patient comfort of procedure | Comparison of patient comfort of procedure using visual analogue scale ( 0-100) | intraoperative |
| D013568 |
| Pathological Conditions, Signs and Symptoms |