AtriCure Bipolar Radiofrequency Ablation of Permanent Atrial Fibrillation (ABLATE)
AtriCure Synergy Bipolar RF Energy Lesions for Permanent Atrial Fibrillation Treatment During Concomitant On-Pump Endo/Epicardial Cardiac Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
California
-
Sacramento, California, United States, 95819
- Mercy Heart Institute
-
Sacramento, California, United States, 95819
- Sutter Health
-
-
Indiana
-
Indianapolis, Indiana, United States, 46290
- Heart Center of Indiana
-
-
Michigan
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Grand Rapids, Michigan, United States, 49503
- Spectrum Health
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Traverse City, Michigan, United States, 49684
- Munson Medical Center
-
-
Texas
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Dallas, Texas, United States, 75230
- Baylor Heart Hospital
-
-
Virginia
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Falls Church, Virginia, United States, 22042
- Inova Fairfax
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Norfolk, Virginia, United States, 23507
- Sentara Norfolk General Hospital
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Roanoke, Virginia, United States, 24014
- Carilion Roanoke Memorial Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Subject is greater than or equal to 18 years of age
- Subject has history of permanent atrial fibrillation as defined by the ACC/AHA/ESC Guidelines
Subject is scheduled to undergo elective on-pump cardiac surgical procedure(s) for one or more of the following:
- Mitral valve repair or replacement
- Aortic valve repair or replacement
- Tricuspid valve repair or replacement
- Coronary Artery Bypass procedures
- Atrial Septal Defect Repair
- Patent Foramen Ovale closure
- Subject's Left Ventricular Ejection Fraction ≥ 30%
- Subject is able and willing to provide written informed consent and comply with study requirements
- Subject has life expectancy of at least 1 year
Exclusion Criteria:
- Stand alone AF without indication(s) for concomitant CABG, valve surgery, ASD repair, or PFO closure
- Previous cardiac ablation including catheter ablation, AV-nodal ablation, or surgical Maze procedure
- Wolff-Parkinson-White syndrome
- Prior cardiac surgery (Redo)
- Class IV NYHA heart failure symptoms
- Prior history of cerebrovascular accidents within 6 months or at any time if there is residual neurological deficit
- Documented MI within 6 weeks prior to study enrollment
- Need for emergent cardiac surgery (i.e. cardiogenic shock)
- Known carotid artery stenosis greater than 80%
- LA size greater than or equal to 8cm
- Current diagnosis of active systemic infection
- Severe peripheral arterial occlusive disease defined as claudication with minimal exertion
- Pregnancy or desire to get pregnant within 12-months of the study enrollment
- Preoperative need for an intra-aortic balloon pump or intravenous inotropes
- Renal failure requiring dialysis or hepatic failure
- Requires anti-arrhythmic drug therapy for the treatment of a ventricular arrhythmia
- Therapy resulting in compromised tissue integrity including: thoracic radiation, chemotherapy, long term treatment with oral or injected steroids, or known connective tissue disorders
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: AtriCure Bipolar System
The AtriCure Synergy Bipolar Ablation system is used to create lesions outlined in the Maze IV procedure during a concomitant open cardiac surgical procedure.
|
Surgical bipolar radiofrequency ablation using the AtriCure Bipolar System
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percent of Patients Free From AF and Off Class I and III Anti-arrhythmic Drugs as Determined by Holter Monitoring at 6 Months.
Time Frame: 6 Months Post Procedure
|
6 Months Post Procedure
|
|
|
Composite Acute Major Adverse Event Rate, Within 30 Days Post-procedure or Hospital Discharge
Time Frame: 30 days Post Procedure
|
Major Adverse Events consist of Death within 30 days or beyond 30 days if considered device related, Excessive Bleeding, Stroke, TIA or MI.
A clinic visist was performed at 30 days to fully assess the patient for adverse events.
|
30 days Post Procedure
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percent of Patients Free From AF, Independent of Antiarrhythmic Drug Status as Determined by Holter Monitoring at 6 Months.
Time Frame: 6 Months Post Procedure
|
6 Months Post Procedure
|
|
Composite 6-month Post-procedure Major Adverse Event Rate.
Time Frame: 6 Months Post Procedure
|
6 Months Post Procedure
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CP2007-1
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