Prophylactic Pulmonary Vein Isolation Study

Mayo Clinic

Status: Terminated

Conditions: Atrial Fibrillation

Treatments: Procedure: Pulmonary Vein Isolation

Study type: Interventional

Funder types: Other

Identifiers

NCT00587899

06-005543

Details and patient eligibility

About

This study is being done to learn the effects of the Pulmonary Vein Isolation in patients that are at high risk to developing, but do not have a documented history of atrial fibrillation.

Full description

Patients with a dilated left atrium (left upper chamber of the heart) that undergo mitral valve surgery may be at risk for the development of atrial fibrillation after surgery.

Atrial fibrillation (also known as "A-Fib" or AF) is an abnormal heart rhythm which may cause symptoms such as pounding sensations in your chest, dizziness, fatigue, chest pain and/or shortness of breath. AF patients are at a higher risk of developing a stroke.

Participants who sign informed consent will be randomized into one of two groups by chance (as in the flip of a coin).

Approximately 77 patients will undergo their mitral valve operation along with Pulmonary Vein Isolation (a treatment group) and 77 patients who do not undergo Pulmonary Vein Isolation at the time of their mitral valve surgery (a control group).

The treatment group will undergo operation for mitral valve disease with an additional procedure called Pulmonary Vein Isolation using a device that delivers radiofrequency energy to the heart muscle in order to create scar tissue to block electrical impulses that can trigger episodes of AF.

The control group of patients will undergo operation for mitral valve disease without the additional Pulmonary Vein Isolation.

Enrollment: 41 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Indication for open-heart surgery: Mitral valve repair or replacement, evidence of a dilated left atrium

Exclusion criteria

• History of Atrial Fibrillation
• Need for emergent cardiac surgery
• Previous cardiac surgery
• Preoperative need for an intraaortic balloon pump or intravenous inotropes
• Current diagnosis of active endocarditis
• Mental impairment/or experience other conditions which may not allow subject to understand nature
• Significance and scope of study
• Pregnancy

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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41 participants in 2 patient groups

1

Other group

Description:

The treatment group will undergo operation for mitral valve disease with an additional procedure called Pulmonary Vein Isolation.

Treatment:

Procedure: Pulmonary Vein Isolation

2

No Intervention group

Description:

The control group of patients will undergo operation for mitral valve disease without the additional Pulmonary Vein Isolation