Status:

UNKNOWN

CPVI Alone Versus. CPVI Plus Electrophysiological Substrate Ablation in the LA During SR for the Treatment of Non-PAF

Lead Sponsor:

The First Affiliated Hospital with Nanjing Medical University

Collaborating Sponsors:

First Affiliated Hospital of Zhejiang University

Fudan University

Conditions:

Atrial Fibrillation

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

The primary objective of this investigation is to compare the efficacy of two different AF ablation strategies in patients with non-paroxysmal AF: CPVI plus electrophysiologic substrate ablation in th...

Detailed Description

BACKGROUND: Atrial fibrillation (AF) is the most common cardiac rhythm disorder, which affects patients' morbidity and mortality. AF ablation has emerged as a promising treatment strategy, offering th...

Eligibility Criteria

Inclusion

  • Patients age is 18-80 years;
  • Patients with non-paroxysmal AF; non-paroxysmal AF will be defined as a sustained episode lasting \> 7 days;
  • Patients can sign the written informed consent for the study;
  • Patients can endure the required follow-up.

Exclusion

  • Patients with previous radiofrequency ablation;
  • Patients with PLT count less than 80×109/L, or with contraindications to systemic anticoagulation with heparin or Coumadin or a direct thrombin inhibitor;
  • Patients with left atrial size ≥ 55 mm (2D echocardiography, parasternal long-axis view);
  • Patients with thromboemboli in LA (TEE or MSCT);
  • Patients with severe structural cardiac disease (medium or severe mitral regurgitation, DCM, HCM, or other severe valvular heart diseases);
  • Patients with abnormal thyroid function;
  • Patients with severe liver or renal dysfunction (AST or ALT \> 3-fold of upper limit value; the SCr \> 3.5 mg/dl or Ccr \< 30 ml/min);
  • Previous surgery history in last 3 months;
  • Patients with life expectancy \< 12 months; and
  • Patients who are pregnant.

Key Trial Info

Start Date :

April 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 30 2020

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT03448562

Start Date

April 1 2018

End Date

September 30 2020

Last Update

February 11 2020

Active Locations (1)

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The First Affiliated Hospital of Nanjing Medical University

Nanjing, Jiangsu, China, 210000