Atrial Fibrillation, Persistent
Conditions
Keywords
catheter ablation, atrial fibrillation, Driver ablation
Brief summary
Persistent atrial fibrillation (PerAF) can induce right atrial (RA) enlargement. Our previous study demonstrated patients with PerAF and RA enlargment may benefit from adjunctive RA ablation. Therefore, we conduct this multicenter, prospective, randomized study to confirm the value of adjunctive RA ablation.
Detailed description
Long-term persistent atrial fibrillation (PerAF) may induce right atrial (RA) enlargement and subsequently atrial functional tricuspid regurgitation (AF-TR) at the absence of structural valvular lesion, abnormal right ventricular geometry and function. Enlarged RA and significant AF-TR may aggravate atrial remodeling and contribute to AF sustaining. Previous studies showed that RA enlargement was closely related to the recurrence of AF after catheter ablation. However, unlike the left atrium, the RA mechanism has been poorly studied and generally excluded from the therapeutic target. In an animal model of right heart disease, the RA enlargement associated with re-entrant activity serves as the prominent mechanism of AF genesis. Using sophisticated mapping techniques, recent study has confirmed that up to one-third of AF drivers are located in the right atrium. Furthermore, our previous case report also showed that the majority of patients with right atrial appendage-driven AF have concomitant RA enlargement. Therefore, it is plausible to hypothesize that the presence of RA enlargement represents the necessity of adjunctive RA ablation. Currently, the value and timing of RA intervention are still under debate. Therefore, the purpose of the present study was to testify whether patients with PerAF and RA enlargement may benefit from adjunctive RA ablation
Interventions
PROCEDURECatheter ablation
The ablation approach includes: pulmonary vein isolation, left side linear ablation, left side driver ablation and right atrial driver ablation
Sponsors
The Third Xiangya Hospital of Central South University
Yangpu District Central Hospital Affiliated to Tongji University
Xu Liu
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed as persistent atrial fibrillation according to the latest clinical guidelines; * Ineffective or intolerable to ≥1 anti-arrhythmia drug treatment.
Exclusion criteria
* Uncontrolled congestive heart failure; * History of severe valve disease and/or prosthetic valve replacement; * Myocardial infarction or stroke within 6 months; * Severe congenital heart disease; * EF \<40%; * Contrast agent allergy; * The use of anticoagulant drugs is contraindicated; * Severe lung disease; * Left atrial thrombus confirmed by preoperative esophageal ultrasound; * Contraindications for cardiac catheterization; * Atrial fibrillation ablation; * Have performed any cardiac surgery within 2 months; * Poor general health; * Life expectancy \< 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Atrial fibrillation recurrence | 12 months | any AF episodes lasting more than 30 seconds after the blanking period without anti-arrhythmic drugs at 12 months after a single procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Atrial fibrillation/atrial tachycardia recurrence | 12 months | any documented AF/AT episode lasting more than 30 seconds after the blanking period without anti-arrhythmic drugs treatment at 12 months after a single procedure or freedom from any AF episodes lasting more than 30 seconds occurring after the blanking period without the use of anti-arrhythmic drugs at the end of study follow-up after a single procedure. |
Outcome results
None listed