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Marshall Ethanolization, Pulmonary Vein Isolation and Line Completion for Ablation of Persistent Atrial Fibrillation
Sponsor: University Hospital, Bordeaux
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
Conditions
Interventions
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.
Pulmonary veins isolation
Achievement of a wide disconnection of the right and left pulmonary veins.
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