Thoracoscopic Versus Endocardial Ablation in Patient With Paroxysmal AF After Failed Initial Endocardial Ablation

Meshalkin Research Institute of Pathology of Circulation50 enrolled

Overview

The investigators aimed to compare two approaches thoracoscopic epicardial ablation and endocardial catheter ablation after failed initial catheter ablation in patients with paroxysmal atrial fibrillation.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Paroxysmal Atrial Fibrillation

Interventions

Thoracoscopic epicardial ablationPROCEDURE

Endocardial catheter ablationPROCEDURE

Implantable loop recorderDEVICE

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * failed initial catheter ablation * paroxysmal atrial fibrillation Exclusion Criteria: * chronic lung disease * body mass index \>35 * longstanding atrial fibrillation 1 year * previous stroke or transient ischemic attack * left atrial thrombus * left atrial size \>65 mm * left ventricular ejection fraction \<35%

Locations (1)

State Research Institute of Circulation Pathology

Novosibirsk, Russia

Outcomes

Primary Outcomes

freedom from any atrial arrhythmia

Time frame: 12 months

Secondary Outcomes

rate of significant adverse events (SAEs)

Time frame: 12 months

atrial fibrillation burden by ILR

Time frame: 12 months

Data from ClinicalTrials.gov

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