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Esophageal Cooling for AF Ablation

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合作者:
信息的提供 (责任方):
September 7, 2018
October 1, 2018
October 1, 2018
October 2018
September 2019   (主要结果测量的最终数据收集日期)
The occurrence rate of esophageal thermal injury between groups measured by EGD[ Time Frame: Day 1 to 2 ]

The severity and size of esophageal injury between groups measured by EGD[ Time Frame: Day 1 to 2 ]

与当前相同
  • Posterior wall ablation parameters: Temperature[ Time Frame: Day 0 ]
    initial and maximum temperatures
  • Posterior wall ablation parameters: Impedance drop[ Time Frame: Day 0 ]
  • Occurrence of acute PV reconnection[ Time Frame: Day 0 ]
    PV reconnection present or no as recorded in Carto
  • Location of acute PV reconnection[ Time Frame: Day 0 ]
    Location of PV reconnection present or no as recorded in Carto
  • Freedom from AF[ Time Frame: 3 months, 6 months, and 12 months ]
    Clinically documented Atrial Fibrillation via review of multiple data sources in clinical record
 
Esophageal Cooling for AF Ablation
Utility of Esophageal Cooling Therapy for the Prevention of Thermal Injury During Atrial Fibrillation Ablation (eCoolAF)

The purpose of this study is to determine if esophageal cooling using the Attune Medical Esophageal Heat Transfer Device (EnsoETM) limits the number or seriousness of injury to the esophagus during atrial fibrillation ablation procedures. The EnsoETM is an FDA cleared device used for temperature management, but is not routinely used during atrial fibrillation ablation procedures.

The EnsoETM is a non-sterile multi-lumen silicone tube placed in the esophagus for the purpose of cooling or warming a patient while simultaneously allowing gastric decompression and drainage. Modulation and control of the patient's temperature is achieved by connecting the EnsoETM to an external heat exchanger. Two lumens connect to the external heat exchanger, while a third central lumen provides stomach access for connection to a fluid collection device with low intermittent suction for gastric decompression. The EnsoETM is made of standard medical-grade silicone. It is a single-use, disposable, non-implantable device with an intended duration of use of 72 hours or less. Distilled water circulates within the EnsoETM just like a water blanket.
Interventional
N/A
分配: Randomized
干预模型: Parallel Assignment
干预模型描述: Randomized, blinded single center pilot study
盲法: Interventional
盲法描述:
主要目的: Prevention
  • Device: Esophageal Cooling
    The EnsoETM is a non-sterile multi-lumen silicone tube placed in the esophagus for the purpose of cooling or warming a patient while simultaneously allowing gastric decompression and drainage.
  • Device: Control
    Standard of care involves standard temperature probe monitoring.
  • Experimental: Esophageal Cooling
    Patients randomized to Group A receive the EnsoETM (Attune Medical Esophageal Heat Transfer Device).
  • Active Comparator: Control
    Patients randomized to Group B receive standard of care treatment (standard temperature probe monitoring).
 
Not yet recruiting
40
与当前相同
December 2019
September 2019   (主要结果测量的最终数据收集日期)
Inclusion Criteria: 1. Patients above the age of 18 years old. 2. Patients with the diagnosis of atrial fibrillation undergoing clinically indicated de-novo AF ablation procedure. 3. Patients must be able to understand and critically review the informed consent form. Exclusion Criteria: 1. Patients whom are unable to provide informed consent. 2. Patients with contraindication to EGD. 3. History of prior AF ablation procedures. 4. Significant co-morbidities that preclude standard ablation procedure. 5. Patient is ineligible for EnsoETM placement due to: - Known esophageal deformity or evidence of esophageal trauma (for example history of esophagectomy, previous swallowing disorders, achalasia). - Known ingestion of acidic or caustic poisons within the prior 24 hours. - Patients with <40 kg of body mass.
参与研究的性别: All
最小年龄:18 Years ,最大年龄:N/A  
没有
United States
 
研究美国FDA监管的药品: No
研究涉及美国FDA监管的设备产品: Yes
计划分享 IPD:
University of Pennsylvania
:
September 2018

ICMJE     国际医学期刊编辑委员会和 世界卫生组织 ICTRP 要求的元素
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