3 years ago

Slides - Clinical Trial Results

Slides - Clinical Trial Results


Trial design and selection criteria• Two-Center randomized clinical trial with a 12 mo follow-up• CA vs. SA, 1:1 randomization, July 2007-July 2011• Inclusion:Drug-refractory AF, documented in the last 12 mo, symptomduration>1 year, high chance of CA failure 1 due to:1. LA diameter >40-44 mm with hypertension, or2. LA diameter≥45 mm, or3. Failed prior catheter ablation• Exclusion:longstanding persistent AF>1 yr, permanent AF, LAD>65 mm,LVEF

Treatment protocol for CA and SACA group :• Catheter ablation: single tip RF catheterguided by 3-D mapping 1 (NavX/CARTO)under conscious sedation• Wide encircling linear antral PV isolation• Additional LA lines at the discretion of theindividual operatorSA group:• Video-assisted thoracoscopic surgery:Bipolar RF, coolrail, and RF pen (AtriCure)• PV isolation, LA ganglionic plexi ablation, andLA appendage excision 2• Additional lines at the operator discretion1. Courtesy of St.Jude medical, 2. Wolf et al. J Thor Cardiovas Surgery,

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