Status:

WITHDRAWN

PVI Using Cryoablation Alone in Paroxysmal AF Patients Converted From Persistent AF With Dofetilide

Lead Sponsor:

University of Rochester

Collaborating Sponsors:

Medtronic

Conditions:

Paroxysmal Atrial Fibrillation

Persistent Atrial Fibrillation

Eligibility:

All Genders

18-80 years

Brief Summary

To determine the efficacy of cryoablation alone in patients with paroxysmal atrial fibrillation who have been pretreated with dofetilide and converted from persistent atrial fibrillation.

Detailed Description

Pulmonary vein isolation is now considered a cornerstone of all atrial fibrillation (AF) ablation procedures. In patients with paroxysmal AF, pulmonary vein isolation alone is usually sufficient. The ...

Eligibility Criteria

Inclusion

  • Aged 18 to 80 years
  • Able and willing to give written informed consent
  • Paroxysmal AF, defined as recurrent AF ( ≥ 2 episodes in 1 month) that terminates within 7 days as assessed by ECG recordings
  • Prior persistent AF, defined as sustained beyond seven days and up to one year, successfully converted to paroxysmal AF by dofetilide

Exclusion

  • Previous ablation for AF
  • Left atrial size larger than 60mm (parasternal view on transthoracic echocardiogram)
  • Patients who have AF episodes triggered by another uniform arrhythmia (e.g. atrial flutter or atrial tachycardia)
  • Presence of severe valvular disease with the need for surgical correction
  • AF deemed secondary to a transient or correctable abnormality including electrolyte imbalance, trauma, recent surgery, infection, toxic ingestion, and endocrinopathy
  • Pregnant women or women of child bearing potential and not on reliable methods of birth control
  • Second or third degree AV block, sinus pause \> 3 seconds, resting heart rate\< 30 bpm without permanent pacemaker
  • History of drug-induced Torsades de Pointes or congenital long QT syndrome
  • Uninterrupted AF for more than 12 months prior to randomization unless sinus rhythm maintained for ≥ 24 hours after cardioversion.

Key Trial Info

Start Date :

January 1 2016

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

December 1 2016

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT01877486

Start Date

January 1 2016

End Date

December 1 2016

Last Update

October 4 2016

Active Locations (1)

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Valley Hospital

Ridgewood, New Jersey, United States, 07450