Manual vs Amigo SmartTouch Atrial Fibrillation Study (MAST AF)
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Purpose
Atrial fibrillation is a common form of heart rhythm disturbance that for some patients is treated by catheter ablation (making an ablation lesion or burn inside the heart using a fine wire (catheter)). A new system for manipulating the catheters has recently been introduced into clinical practice (the Amigo Remote Catheter System (RCS)). This trial is designed to answer two primary questions: a) is the contact force (the force with which the catheter comes into contact with the heart) any different using the RCS to manual techniques,and b)are the resulting ablation lesions within the heart any different in terms of the volume and contiguity of the lesions produced. Additionally the investigators aim to determine how the two techniques compare in success (the proportion of patients whose heart rhythm disturbance is corrected by the procedure).
| Condition | Intervention | Phase |
|---|---|---|
|
Atrial Fibrillation |
Procedure: Catheter ablation for atrial fibrillation, manual Device: Ablation using Amigo remote catheter system |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Manual vs Amigo SmartTouch Atrial Fibrillation Study |
- Contact force delivered [ Time Frame: Contact force information collected at the time of the procedures ] [ Designated as safety issue: No ]The contact force delivered by the catheter is measured and will be compared between the two groups.
- Quantity and contiguity of ablation lesions [ Time Frame: 3 months post procedure ] [ Designated as safety issue: No ]Cardiac magnetic resonance will be used to quantify and assess contiguity of ablation lesions.
- Recurrence of atrial fibrillation [ Time Frame: 1 year ] [ Designated as safety issue: No ]Patients will be asked to attend office follow-up up to one year post procedure to assess for recurrence of atrial fibrillation.
| Estimated Enrollment: | 50 |
| Study Start Date: | April 2012 |
| Estimated Study Completion Date: | March 2014 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Manual ablation
Patients will have their ablation performed manually.
|
Procedure: Catheter ablation for atrial fibrillation, manual
Ablation for atrial fibrillation will be performed manually
|
|
Active Comparator: Ablation using remote catheter system
Ablation for atrial fibrillation using the Amigo remote catheter system
|
Device: Ablation using Amigo remote catheter system
Atrial fibrillation ablation will be performed using the Amigo remote catheter system
|
Detailed Description:
The trial aims to recruit 50 patients, randomised into two groups, to have ablation for atrial fibrillation performed either using the RCS, or manually. Contact force information will be collected during the procedure, but the operators will be blinded to this information. Patients will have follow-up to include post-procedural cardiac magnetic resonance imaging and ambulatory electrocardiograms.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- atrial fibrillation
- scheduled for catheter ablation
Exclusion Criteria:
- contraindication to magnetic resonance imaging
- pregnancy
- life expectancy of less than six months
- participation in another trial that would conflict with this trial
Contacts and Locations| Contact: G Andre Ng, MBChB,PhD | +441162583297 | gan1@le.ac.uk |
| United Kingdom | |
| Glenfield Hospital, Groby Road | Recruiting |
| Leicester, United Kingdom, LE3 9QP | |
| Contact: G Andre Ng, MBChB, PhD +441162583297 | |
| Principal Investigator: | G Andre Ng, MBChB, PhD | University of Leicester, UK |
More Information
No publications provided
| Responsible Party: | University of Leicester |
| ClinicalTrials.gov Identifier: | NCT01583855 History of Changes |
| Other Study ID Numbers: | UNOLE 0260 |
| Study First Received: | February 27, 2012 |
| Last Updated: | January 7, 2013 |
| Health Authority: | United Kingdom: Research Ethics Committee |
Keywords provided by University of Leicester:
|
Remote catheter ablation Atrial fibrillation |
Additional relevant MeSH terms:
|
Atrial Fibrillation Arrhythmias, Cardiac Heart Diseases Cardiovascular Diseases Pathologic Processes |
ClinicalTrials.gov processed this record on May 22, 2013