- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01037296
Catheter Ablation of Atrial Fibrillation Using Hansen Medical Robotic Navigation (Hansen)
Catheter Ablation of Atrial Fibrillation Using Hansen Medical Robotic Navigation - A Randomised Controlled Trial
Atrial fibrillation (AF) affects as many as 1 in 100 people and reduces the quality of life of large numbers of people in the UK and around the world. Catheter ablation is a minimally invasive treatment that has been developed to help eliminate AF. It is a complex procedure to perform so only a few hospitals are able to offer this treatment in the UK. A new technology allows the operator to guide their catheters (thin wires) in the patient by using a robotically steered sheath. This allows accurate and precise navigation that may improve the accuracy and integrity of ablation. We aim to prove whether this technology can make AF ablation easier and more effective.
Substudy: Platelet reactivity and activation in AF, and the impact of curative ablation. Blood and urine samples will be taken pre- and 3 months post ablation to see if platelet reactivity and activation are affected by AF compared to established normal ranges, and whether curative ablation impacts on this.
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Fase 4
Kontakter og lokationer
Studiesteder
-
-
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London, Det Forenede Kongerige, EC1A 7BE
- Barts and the London NHS Trust
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- All patients with symptomatic AF planned for catheter ablation.
Exclusion Criteria:
- Age < 18 years
- Previous ablation procedure
- Expected life expectancy < 6 months
- Inability or unwillingness to sign consent
- Pregnancy
- Contraindications for the ablation procedure o Thrombus in the left atrium that fails to resolve with optimal oral anticoagulation therapy
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: manual ablation
|
ablation procedure performed with Hansen robotic navigation system
Ablation will be performed as normal treatment
|
|
Eksperimentel: robotic ablation
|
ablation procedure performed with Hansen robotic navigation system
Ablation will be performed as normal treatment
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Single procedure success rate at 12 months
Tidsramme: 12 months
|
12 months
|
Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Complication rates, catheter stability, procedure/fluoroscopy time (and dose), subjectively assessed operator fatigue
Tidsramme: 0-12 months
|
0-12 months
|
|
Platelet substudy: Platelet activation post ablation compared to baseline.
Tidsramme: 3 months
|
3 months
|
Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Ullah W, McLean A, Hunter RJ, Baker V, Richmond L, Cantor EJ, Dhinoja MB, Sporton S, Earley MJ, Schilling RJ. Randomized trial comparing robotic to manual ablation for atrial fibrillation. Heart Rhythm. 2014 Nov;11(11):1862-9. doi: 10.1016/j.hrthm.2014.06.026. Epub 2014 Jun 21.
- Duncan ER, Finlay M, Page SP, Hunter R, Goromonzi F, Richmond L, Baker V, Ginks M, Ezzat V, Dhinoja M, Earley MJ, Sporton S, Schilling RJ. Improved electrogram attenuation during ablation of paroxysmal atrial fibrillation with the Hansen robotic system. Pacing Clin Electrophysiol. 2012 Jun;35(6):730-8. doi: 10.1111/j.1540-8159.2012.03381.x. Epub 2012 Apr 11.
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 005815
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Kliniske forsøg med Atrieflimren
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W.L.Gore & AssociatesAfsluttetSeptal defekt, atrialForenede Stater
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Pusan National University HospitalIkke rekrutterer endnuHjerteimplanterbar elektronisk enhed | Atrial High Rate EpisodeKorea, Republikken
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W.L.Gore & AssociatesAfsluttetSeptal defekt, atrialForenede Stater
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Academisch Medisch Centrum - Universiteit van Amsterdam...Tilmelding efter invitationKortkoblet idiopatisk ventrikulær fibrillationHolland
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Henry Ford Health SystemTrukket tilbage
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Centre Hospitalier Universitaire, AmiensHenri Mondor University HospitalRekrutteringSeptisk chok | Kritisk pleje | Transthorax ekkokardiografi | Speckle Tracking | Reproducerbarhed | Venstre atrial belastning | Højre atrial belastning | Ekkokardiografisk softwareFrankrig
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Assiut UniversityTrukket tilbageASD2 (Secundum atrial septal defekt)
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First Affiliated Hospital of Ningbo UniversityAfsluttetEvaluering af radiofrekvensoverført punkteringssystem | Atrial septum punkteringKina
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Prof. Dr. med. Ingo EitelRekrutteringAtrial hypertensionTyskland
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Nobles Medical Technologies II IncTilmelding efter invitationForamen Ovale, Patent | Septal defekt, atrial | Septaldefekt, HjerteForenede Stater, Italien
Kliniske forsøg med catheter ablation
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Shanghai Chest HospitalXuzhou Central Hospital; Shandong University of Traditional Chinese Medicine og andre samarbejdspartnereIkke rekrutterer endnu
-
Shanghai Chest HospitalUkendt
-
Heart Rhythm Clinical and Research Solutions, LLCAbbottAfsluttetAtrieflimrenForenede Stater
-
Tel-Aviv Sourasky Medical CenterAfsluttet
-
Maastricht University Medical CenterAfsluttet
-
St. Antonius HospitalHospital Clinic of Barcelona; AtriCure, Inc.Afsluttet
-
Deutsches Herzzentrum MuenchenCryoCath Technologies Inc.AfsluttetAtrioventrikulær Nodal Reentry TakykardiTyskland
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Stiftung Institut fuer HerzinfarktforschungBoston Scientific CorporationAfsluttet
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University of ManchesterManchester University NHS Foundation TrustTrukket tilbage
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Oxford University Hospitals NHS TrustAfsluttetAtrieflimrenDet Forenede Kongerige