Atrial Fibrillation Clinical Trial
Official title:
A Prospective Randomized Trial Comparing Freedom From Atrial Fibrillation at One Year Post CABG in Patients Undergoing Concomitant Left Atrial Ablation Using HIFU Versus CABG in Patients With Persistent or Long Standing Persistent AF
Concomitant AF ablation with HIFU in patients with persistent or long standing persistent AF undergoing CABG will be superior in restoring SR, compared with patients with persistent or long standing persistent AF undergoing CABG treated with best medical treatment according to ACC/AHA/ESC 2006 guidelines and no AF ablation.
Primary Objective
• To compare the efficacy of concomitant AF ablation using HIFU to no ablation at 12 months
in patients with persistent or long standing persistent AF undergoing CABG according to
ACC/AHA/ESC 2006 guidelines and HRS/EHRA/ECAS Consensus Statement on Catheter and Surgical
Ablation .
Secondary Objectives
- To compare the safety of concomitant AF ablation using HIFU to no ablation in patients
with persistent or long standing persistent AF undergoing CABG.
- To compare AF burden in patients with persistent or long standing persistent AF treated
with concomitant HIFU AF ablation undergoing CABG to those receiving no ablation.
- To compare the quality of life of patients with persistent or long standing persistent
AF treated with concomitant HIFU AF ablation undergoing CABG to those receiving no
ablation.
- To compare the health economic impact of concomitant AF ablation with HIFU in patients
with persistent or long standing persistent AF undergoing CABG to those receiving no
ablation.
- To compare the morbidity associated with persistent or long standing persistent AF in
patients following CABG and ablation compared to those receiving no ablation.
- To compare cardiac function and left atrial transport associated with persistent or long
standing persistent AF patients following CABG and ablation compared to those receiving
no ablation.
- To document the incidence of immediate post ablation bidirectional conduction block
through the pulmonary venous cinch and mitral lines.
- To document the effect of Intra-operative pre and post ablation stimulation and ablation
of the autonomic ganglia.
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