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AtriCure Minimally Invasive Surgical Ablation for Atrial Fibrillation/RESTORE IIB (RESTORE SR IIB)

Primary Purpose

Atrial Fibrillation

Status
Withdrawn
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
AtriCure Bipolar System
Sponsored by
AtriCure, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional trial for Atrial Fibrillation

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Patient between 18 and 80 years of age
  2. Patient with documented symptomatic persistent or permanent AF and failure or intolerance of one or more Class I or Class III antiarrhythmic drugs.

    • Persistent AF: AF that is not self-terminating or is terminated electrically or pharmacologically.
    • Longstanding AF: Persistent AF of 12 months (or longer) duration.
    • Permanent AF: Longstanding AF in which electrical or pharmacological cardioversion has failed or has not been attempted.
  3. Patient is willing and able to provide written informed consent.
  4. Patient has a life expectancy of at least 2 years.
  5. Patient is willing and able to attend the scheduled follow-up visits.

Exclusion Criteria:

  1. Prior cardiac catheter ablation for the treatment of arrhythmia within 4 months.
  2. Patients who refuse, but have not failed and can tolerate anti-arrhythmic medications
  3. Myocardial infarction within 8 weeks.
  4. Prior cardiac surgery.
  5. Patient requires cardiac surgery for treatment other than for AF.
  6. Class IV NYHA heart failure symptoms, unless due to uncontrolled AF
  7. Cerebrovascular accident within previous 6 months
  8. Known carotid artery stenosis greater than 80%
  9. Evidence of significant active infection
  10. Patient unable to undergo TEE
  11. Pregnant woman
  12. Patient requires anti-arrhythmic drug therapy for the treatment of ventricular arrhythmia
  13. Presence of thrombus in the left atrium
  14. Co-morbid condition that in the opinion of the investigator poses undue risk of general anesthesia or port access cardiac surgery
  15. Patient is enrolled in another cardiac clinical trial
  16. Left ventricular ejection fraction < 30%
  17. Left atrial transverse diameter >6.0
  18. Patient has undergone previous thoracic targeted radiation

Sites / Locations

    Outcomes

    Primary Outcome Measures

    Feasibility of performing the operation by demonstrating the ability to consistently isolate the left and right pulmonary veins and to confirm conduction block across the roof, anterior and LAA linear lesions.
    The primary safety endpoint will be determined by assessing the rate of serious adverse events.

    Secondary Outcome Measures

    Full Information

    First Posted
    December 10, 2007
    Last Updated
    February 18, 2011
    Sponsor
    AtriCure, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00571779
    Brief Title
    AtriCure Minimally Invasive Surgical Ablation for Atrial Fibrillation/RESTORE IIB
    Acronym
    RESTORE SR IIB
    Official Title
    Thoracoscopically-Assisted Epicardial Bilateral Pulmonary Vein Isolations Using the AtriCure Bipolar System and Exclusion of the Left Atrial Appendage for the Treatment of Atrial Fibrillation
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2011
    Overall Recruitment Status
    Withdrawn
    Study Start Date
    undefined (undefined)
    Primary Completion Date
    undefined (undefined)
    Study Completion Date
    undefined (undefined)

    3. Sponsor/Collaborators

    Name of the Sponsor
    AtriCure, Inc.

    4. Oversight

    5. Study Description

    Brief Summary
    Feasibility study arm to evaluate the safety of adding the left atrial linear connecting lesions of the Cox-Maze lesion set to the current RESTORE SR II IDE study procedure of performing pulmonary vein isolation, selected left atrial autonomic ganglionated plexi (GP) ablation, and optional left atrial appendage (LAA) excision/exclusion on a beating heart for patients with permanent or persistent Atrial Fibrillation (AF).

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Atrial Fibrillation

    7. Study Design

    Study Phase
    Phase 2

    8. Arms, Groups, and Interventions

    Intervention Type
    Device
    Intervention Name(s)
    AtriCure Bipolar System
    Primary Outcome Measure Information:
    Title
    Feasibility of performing the operation by demonstrating the ability to consistently isolate the left and right pulmonary veins and to confirm conduction block across the roof, anterior and LAA linear lesions.
    Title
    The primary safety endpoint will be determined by assessing the rate of serious adverse events.

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Maximum Age & Unit of Time
    80 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Patient between 18 and 80 years of age Patient with documented symptomatic persistent or permanent AF and failure or intolerance of one or more Class I or Class III antiarrhythmic drugs. Persistent AF: AF that is not self-terminating or is terminated electrically or pharmacologically. Longstanding AF: Persistent AF of 12 months (or longer) duration. Permanent AF: Longstanding AF in which electrical or pharmacological cardioversion has failed or has not been attempted. Patient is willing and able to provide written informed consent. Patient has a life expectancy of at least 2 years. Patient is willing and able to attend the scheduled follow-up visits. Exclusion Criteria: Prior cardiac catheter ablation for the treatment of arrhythmia within 4 months. Patients who refuse, but have not failed and can tolerate anti-arrhythmic medications Myocardial infarction within 8 weeks. Prior cardiac surgery. Patient requires cardiac surgery for treatment other than for AF. Class IV NYHA heart failure symptoms, unless due to uncontrolled AF Cerebrovascular accident within previous 6 months Known carotid artery stenosis greater than 80% Evidence of significant active infection Patient unable to undergo TEE Pregnant woman Patient requires anti-arrhythmic drug therapy for the treatment of ventricular arrhythmia Presence of thrombus in the left atrium Co-morbid condition that in the opinion of the investigator poses undue risk of general anesthesia or port access cardiac surgery Patient is enrolled in another cardiac clinical trial Left ventricular ejection fraction < 30% Left atrial transverse diameter >6.0 Patient has undergone previous thoracic targeted radiation

    12. IPD Sharing Statement

    Learn more about this trial

    AtriCure Minimally Invasive Surgical Ablation for Atrial Fibrillation/RESTORE IIB

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