Inflammation, oxidative stress and wound healing after ablation of atrial fibrillation

ISRCTN ISRCTN89619994
DOI https://doi.org/10.1186/ISRCTN89619994
Secondary identifying numbers 07098 (ref. no. of The Medical-Scientific Fund of the Mayor of Vienna)
Submission date
27/11/2007
Registration date
11/12/2007
Last edited
31/05/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Circulatory System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Bernhard Richter
Scientific

Waehringer Guertel 18-20
Vienna
1090
Austria

Phone +43 (0)1 40400 4614
Email bernhard.richter@meduniwien.ac.at

Study information

Study designObservational, prospective, single centre, longitudinal study
Primary study designObservational
Secondary study designCohort study
Study setting(s)Hospital
Study typeDiagnostic
Scientific titleTime course of biochemical markers of inflammation, oxidative stress and wound healing after ablation of atrial fibrillation
Study objectives1. Radiofrequency ablation of Atrial Fibrillation (AF) affects biochemical markers of inflammation, oxidative stress and wound healing
2. The ablation-induced changes of the assessed biochemical markers correlate with the ablation-induced structural changes, with the amount of energy applied during ablation and with the AF recurrence rate after ablation
Ethics approval(s)Ethics approval received from the Ethics Committee of the Medical University of Vienna on the 13th February 2007 (ref: 028/2007) - www.meduniwien.ac.at/ethik.
Health condition(s) or problem(s) studiedAtrial fibrillation
InterventionObservational trial:
The included patients will undergo a radiofrequency ablation procedure comprising:
1. A CARTO-guided left atrial circumferential ablation
2. A Lasso-guided segmental pulmonary vein isolation, and
3. Ablation of complex fractionated potentials

Venous blood sampling will be performed before and 6 hours, 24 hours, 48 hours, 7, 28, 90 and 180 days after ablation in order to determine biochemical markers of inflammation, wound healing and oxidative stress. Transthoracal echocardiography and cardiac MRI will be conducted before and 6 months after ablation in order to assess ablation-induced structural changes. Successful ablation will be defined as no recurrence of atrial fibrillation persisting or developing beyond a period of 3 months after ablation.
Intervention typeOther
Primary outcome measure1. Biochemical markers of inflammation, oxidative stress and wound healing at the above specified timepoints
2. Ablation-induced structural atrial changes evaluated by MRI and echocardiography at the above specified timepoints
Secondary outcome measures1. Correlation of the assessed biochemical markers with ablation-induced structural changes, energy application data and AF recurrence rate after ablation
2. Complications
Overall study start date30/11/2007
Completion date01/08/2008

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants30
Total final enrolment30
Key inclusion criteria1. Genders eligible for study: both
2. Age older than 18 years
3. Symptomatic, drug-resistant paroxysmal atrial fibrillation (self-terminating episodes lasting less than 7 days)
4. Patients referred to our department for catheter ablation of atrial fibrillation
5. Adequate anticoagulation for at least 1 month prior to admission (oral anticoagulation (target International Normalised Ratio [INR] 2 to 3) or treatment with weight-adjusted low-molecular-weight heparin
Key exclusion criteria1. Pregnancy
2. Ongoing infections
3. Intracardiac thrombosis detected by trans-oesophageal echocardiography
4. Contraindications to anticoagulation
5. History of myocardial infarction or cardiac surgery within the last 3 months prior to admission
6. Pacemaker or other contraindications to Magnetic Resonance Imaging (MRI)
7. Denial or withdrawal of informed consent
8. Life expectancy less than 1 year
Date of first enrolment30/11/2007
Date of final enrolment01/08/2008

Locations

Countries of recruitment

  • Austria

Study participating centre

Waehringer Guertel 18-20
Vienna
1090
Austria

Sponsor information

Medical University of Vienna (Austria)
University/education

Department of Internal Medicine II
Division of Cardiology
Währinger Gürtel 18-20
Vienna
1090
Austria

Website http://www.meduniwien.ac.at/
ROR logo "ROR" https://ror.org/05n3x4p02

Funders

Funder type

Government

The Medical-Scientific Fund of the Mayor of Vienna (Medizinisch-Wissenschaftlicher Fonds des Burgermeisters der Bundeshauptstadt Wien) (Austria) (ref: 07098) - http://www.wien.gv.at/fonds/gesundheit/index.htm

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 20/10/2011 31/05/2019 Yes No
Results article results 01/03/2012 31/05/2019 Yes No

Editorial Notes

31/05/2019: Publication reference and total final enrolment added.