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ACTIVE NOT RECRUITING
NCT04681872
NA

Marshall Ethanolization, Pulmonary Vein Isolation and Line Completion for Ablation of Persistent Atrial Fibrillation

Sponsor: University Hospital, Bordeaux

View on ClinicalTrials.gov

Summary

In ablation strategy for persistent Atrial Fibrillation (PsAF), ablation limited to Pulmonary Vein (PV) isolation is the most straightforward approach but the result give only 50% of arrhythmia free follow-up. Substrate modification strategies have failed to demonstrate their superiority with variable reported success rate. The Marshall network is a highly arrhythmogenic structure that has not been incorporated in current ablation strategies. The investigators sought to investigate a new ablation strategy that target systematically the vein of Marshall by ethanol infusion. This step is integrated in a new ablation strategy consisting in a global anatomical substrate based ablation including PV isolation and left atrial linear ablation (Marshall-Plan).

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

262

Start Date

2021-09-20

Completion Date

2027-09-20

Last Updated

2025-07-01

Healthy Volunteers

No

Interventions

PROCEDURE

Destruction of Marshall bundles

Destruction of Marshall bundles by ethanol 96% infusion (2 separate injections of 5ml on 1 minute each) followed by ablation of the distal coronary sinus bundles, the ridge and the saddle.

PROCEDURE

Pulmonary veins isolation

Achievement of a wide disconnection of the right and left pulmonary veins.

PROCEDURE

Linear ablation in the left and right atria

Ablation of the mitral, the roof, and the cavo-tricuspid isthmus

Locations (9)

AZ Sint Jan Brugge

Bruges, Belgium

Clinique Saint Augustin

Bordeaux, France

Clermont-Ferrand University Hospital

Clermont-Ferrand, France

Ambroise Paré Hospital

Neuilly-sur-Seine, France

Les Franciscaines Hospital

Nîmes, France

Bordeaux University Hospital

Pessac, France

Centre Cardiologique du Nord

Saint-Denis, France

Clinique Pasteur

Toulouse, France

Toulouse University Hospirtal

Toulouse, France