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TerminatedNCT00735722AFMAZE-CABGUpdated Feb 4, 2019

A(f)MAZE-CABG Study

An interventional study of HIFU AF Ablation in Coronary Arteriosclerosis, Atrial Fibrillation and Coronary Artery Bypass Graft Surgery, sponsored by Abbott Medical Devices. Terminated at 10 sites in 6 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-02-04.

Sponsored by Abbott Medical Devices · Not applicable, Interventional, and Treatment

Why this study was terminated
Insufficient recruitment
Phase
Not applicable
Study type
Interventional
Enrollment
188
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Concomitant AF ablation with HIFU in patients with persistent or long standing persistent AF undergoing CABG will be superior in restoring SR, compared with patients with persistent or long standing persistent AF undergoing CABG treated with best medical treatment according to ACC/AHA/ESC 2006 guidelines and no AF ablation.

Read the detailed description

Primary Objective

  • To compare the efficacy of concomitant AF ablation using HIFU to no ablation at 12 months in patients with persistent or long standing persistent AF undergoing CABG according to ACC/AHA/ESC 2006 guidelines and HRS/EHRA/ECAS Consensus Statement on Catheter and Surgical Ablation .

Secondary Objectives

  • To compare the safety of concomitant AF ablation using HIFU to no ablation in patients with persistent or long standing persistent AF undergoing CABG.
  • To compare AF burden in patients with persistent or long standing persistent AF treated with concomitant HIFU AF ablation undergoing CABG to those receiving no ablation.
  • To compare the quality of life of patients with persistent or long standing persistent AF treated with concomitant HIFU AF ablation undergoing CABG to those receiving no ablation.
  • To compare the health economic impact of concomitant AF ablation with HIFU in patients with persistent or long standing persistent AF undergoing CABG to those receiving no ablation.
  • To compare the morbidity associated with persistent or long standing persistent AF in patients following CABG and ablation compared to those receiving no ablation.
  • To compare cardiac function and left atrial transport associated with persistent or long standing persistent AF patients following CABG and ablation compared to those receiving no ablation.
  • To document the incidence of immediate post ablation bidirectional conduction block through the pulmonary venous cinch and mitral lines.
  • To document the effect of Intra-operative pre and post ablation stimulation and ablation of the autonomic ganglia.
02

Conditions studied

  • Coronary Arteriosclerosis
  • Atrial Fibrillation
  • Coronary Artery Bypass Graft Surgery

Keywords

  • AF
  • CAD
03

In context

Atrial Fibrillation

3,869 studies on the registry are indexed under Atrial Fibrillation; 923 are open to participants now.

This study's enrollment of 188 is above the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

Abbott Medical Devices is the lead sponsor of 525 studies on the registry; 35 are open to participants now.

Of its 52 completed or terminated interventional studies of FDA-regulated products, 43 (83%) have results posted.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Legal age in host country
  • Scheduled for CABG surgery
  • Patient suffering from persistent or long-standing persistent AF
  • Patients having the ability to fully comply with the study requirements
  • Life expectancy > 2 years
  • Patients who have given written informed consent to participate in the study

Exclusion criteria

Exclusion Criteria:

  • Clinically significant local or systemic infection or active endocarditis
  • Sutures, pacing/defibrillator leads on the left side of the heart, valve prostheses or rings, or other implanted material in or adjacent to target treatment area.
  • Stent in the coronary artery preventing an adequate mitral line
  • Any other concomitant operation on the heart
  • Previous heart surgery
  • Patients who are or may potentially be pregnant
  • Previous catheter ablation for atrial arrhythmia
  • LA size more than 60 mm in apical view on Trans-Thoracic Echocardiogram (TTE)
  • LA thrombus on intra-operative Trans-Oesophageal Echocardiogram (TOE)
  • Known contraindication to Amiodarone
  • Inability to undergo TOE
  • Patients who are unable to give full informed consent for the study.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
188 participants (actual)

Study arms

  • Active comparator
    Concomitant HIFU ablation

    HIFU AF Ablation

    Device: HIFU AF Ablation

  • No intervention
    Best medical treatment

    Best medical treatment

Interventions

  • DeviceHIFU AF Ablation

    Concomitant left atrial ablation using High Intensity Focused Ultrasound (HIFU)

    Also known as: • Epicor™ UltraCinch™ LP Ablation Device, • Epicor™ UltraWand™ LP Tissue Ablation Wand, • Epicor™ LP Positioning and Sizing (LP PAS™) System, • Epicor™ LP Oblique Introducer

06

What researchers measure

Primary outcomes

  1. Freedom from Atrial Arrhythmias (AF, Atrial Flutter, Atrial Tachycardia) at 12 months

    Time frame: 12 months

Secondary outcomes

  1. Freedom from AF and other atrial arrhythmias at 3, 6, 9 and 18 months post ablation procedure (determined by 24 hour Holter monitor)

    Time frame: 18 months

  2. Freedom from AF and other atrial arrhythmias at 24 months post ablation procedure (determined by 72 hour Holter monitor)

    Time frame: 24 months

  3. AF burden (determined by 24 and 72 hour Holter monitor).

    Time frame: 24 months

  4. Morbidity performing concurrent ablation in patients undergoing CABG assessed using length of ICU and hospital stay

    Time frame: 24 months

  5. Incidence of stroke, TIA, PV stenosis, bleeding, thromboembolic complications, subsequent pace maker implantation, and death

    Time frame: 24 months

  6. LV function and dimensions and LA size/transport capability

    Time frame: 24 months

  7. Incidence of conduction block post ablation both intraoperatively across the pulmonary venous and mitral lines

    Time frame: At intervention

  8. Effect of autonomic ganglia stimulation pre and post ablation intra-operatively

    Time frame: Discharge

  9. Quality of life measurements (SF-36)

    Time frame: 24 months

07

Study locations

10 sites
  • Queen Elisabeth II Health Sciences Centre
    Halifax, Nova Scotia B3H 3A7, Canada
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • Tampere University Hospital
    Tampere, Western Finland 33520, Finland
  • Herzzentrum Essen
    Essen, North Rhine-Westphalia 45138, Germany
  • Universitatsklinikum Schleswig Holstein Campus Luebeck
    Luebeck, Schleswig-Holstein 23562, Germany
  • Catharina Ziekenhuis
    Eindhoven, Noord-Brabant 5623 EJ, Netherlands
  • Feiringklinikken
    Feiring, 2093, Norway
  • Rikshospitalet
    Oslo, 0027, Norway
  • Derriford Hospital
    Plymouth, Devon, United Kingdom
  • Southampton University Hospital
    Southampton, Hampshire SO16 6YD, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 4, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00735722
Lead sponsor
Abbott Medical Devices
Responsible party
Sponsor
First posted
Aug 15, 2008
Start date
Jul 2009
Primary completion
Aug 2012
Completion
Aug 2012
Last update
Feb 4, 2019

Study contacts

Malcolm Dalrymple-Hay, Mr.
principal investigator · Derriford Hospital, Plymouth, United Kingdom

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jan 2019. You cannot join it, but the record below documents what was studied.

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