CClinicalTrials.gg
CompletedNCT00259623Updated Jul 17, 2009

Cardiac Surgical Treatment by Radiofrequency Ablation on Valvular Patients: Efficacy at 3 Months

An interventional study of Radiofrequency ablation in Atrial Fibrillation, sponsored by University Hospital, Toulouse. Completed at 5 sites in France. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2009-07-17.

Sponsored by University Hospital, Toulouse · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
13
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

The objective of the study is to evaluate the efficacy of the epicardial or endocardial radiofrequency ablation in the treatment of atrial fibrillation.

It is a multicentric, prospective, randomized, parallel, comparative, double blind study. The study principal objective is to evaluate the absence of atrial fibrillation after 3 months. The secondary objectives consist in the evaluation of the maintenance of the sinusal heart rate at one year and of the quality of life improvement

Read the detailed description

Principal objective:

To evaluate the efficacy at 3 months of combined ablation technique in the treatment of chronic atrial fibrillation during cardiac surgery in order to obtain a sinusal heart rate.

A sequential statistical analysis of the results will be performed every 10 patients.

In case of validation of the principal objective by a sequential method i.e. proving the superiority of the treatment by ablation, ,the study would then be opened and pursued by using the ablation technique for all subsequent patients in order to validate the secondary study objectives

Secondary objectives:

  • To evaluate the quality of life of the patients at one year and the absence of atrial fibrillation relapse.
  • 6 and 12 months clinical follow-up
  • To evaluate the left atrial function at 6 months by trans-oesophagus echocardiography
02

Conditions studied

  • Atrial Fibrillation

Browse trials for

Keywords

  • Cardiac surgery
  • Radiofrequency ablation
  • Atrial fibrillation
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 924 are open to participants now.

This study's enrollment of 13 is below the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

University Hospital, Toulouse is the lead sponsor of 794 studies on the registry; 214 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adult patients with no age limit, presenting a chronic atrial fibrillation and planned to undergo a surgical intervention on mitral valve (valve replacement or plasty) associated or not with myocardial revascularization or replacement/plasty of another valve (aortic, tricuspid)
  • The chronic atrial fibrillation is defined as a continuous atrial fibrillation more than 1 month before the surgery despite all anti-arrhythmia treatments including cardioversion ; the atrial fibrillation can be associated to another rhythm trouble except the severe ventricular rhythm troubles.
  • The indication for surgery is performed using the clinical evaluation : NYHA >2 and the usual echocardiography criteria (mitral regurgitation > grade 3, mitral gradient >10 mm Hg or valve surface \< 1,5 cm2)
  • Patients with a vital prognosis not compromised by comorbidity in the next 2 years and with a mental state enabling to give informed consent
  • Patients agreeing to take part in the study and having signed the informed consent form.

For the part of the study pursued in open independent to the actual protocol, patients having signed the modified informed consent with approval of the new study procedure not yet published.

Exclusion criteria

Exclusion Criteria:

  • Paroxystic atrial fibrillation or atrial fibrillation for less than 1 month
  • Atrial fibrillation never treated by cardioversion or pharmacology before surgery.
  • Contra-indication to surgery, i.e. severe respiratory failures, multivisceral deficiencies (renal, cardiac or hepatic), rapidly evolutive or metastatic cancers, malignant hemopathies not stabilized by chemotherapy
  • Contra-indication to the following arrhythmia treatments: class III (amiodarone) associated to contra-indication to class II (beta blockers) or to class Ic (flecainide, propafenone, cibenzoline).
  • Severe decompensated heart failure.
  • Uncontrolled, repetitive, severe documented ventricular arrhythmia (ventricular tachycardia, ventricular fibrillation episodes)
  • Contra indication to epicardic ablation procedure (pericardic adhesions, intra-atrial thrombus) In these cases the ablation could be only an endocardic ablation but it does not necessarily exclude the patient.
  • Ventricular "ejection fraction " \< 40%
  • Impossibility to follow the pre-inclusion phases i.e. emergency surgery for mitral break or evolutive endocarditis.
  • Patients with disabled mental status
  • Patient participating in another clinical study
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
13 participants (actual)

Interventions

  • DeviceRadiofrequency ablation
06

What researchers measure

Primary outcomes

  1. - absence of atrial fibrillation at 3 months.

  2. The patients presenting a spontaneous sinus rhythm heart rate or who need a permanent pace maker at 3 months will be considered as SUCCESSFUL.

  3. The patients presenting at 3 months either an atrial fibrillation or a left flutter despite an adapted anti-arrythmia treatment and one electric cardioversion,and the patients who died before the 3 months evaluation will be considered as FAILURES

07

Study locations

5 sites
  • Service de Chirurgie Cardio-Vasculaire - Hôpital Côte de Nacre
    Caen, 14033, France
  • Service de Chirurgie Cardio-Vasculaire - Hôpital Gabriel Montpied
    Clermont-Ferrand, 63003, France
  • Service de Chirurgie Cardio-vasculaire - CHU Dupuytren
    Limoges, 87042, France
  • Service de Chirurgie Cardio Vasculaire - CHU RANGUEIL
    Toulouse, 31059, France
  • Service de Chirurgie Cardio Vasculaire - Clinique Pasteur
    Toulouse, 31076, France
08

References and documents

Publications

  • Benussi S, Nascimbene S, Agricola E, Calori G, Calvi S, Caldarola A, Oppizzi M, Casati V, Pappone C, Alfieri O. Surgical ablation of atrial fibrillation using the epicardial radiofrequency approach: mid-term results and risk analysis. Ann Thorac Surg. 2002 Oct;74(4):1050-6; discussion 1057. doi: 10.1016/s0003-4975(02)03850-x. PubMed 12400744 ↗
  • Raman JS, Ishikawa S, Power JM. Epicardial radiofrequency ablation of both atria in the treatment of atrial fibrillation: experience in patients. Ann Thorac Surg. 2002 Nov;74(5):1506-9. doi: 10.1016/s0003-4975(02)03945-0. PubMed 12440600 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 17, 2009, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00259623
Lead sponsor
University Hospital, Toulouse
First posted
Nov 29, 2005
Start date
Dec 2005
Primary completion
Oct 2007
Completion
Oct 2007
Last update
Jul 17, 2009

Study contacts

Gérard FOURNIAL, MD
principal investigator · University Hospital, Toulouse, France

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2009. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion