About this trial
The TAILORED-LT study is conducted as an extension follow-up until 5 years of the initial TAILORED-AF study (NCT04702451), in order to demonstrate the long-term superiority in terms of freedom of atrial fibrillation (AF) of a tailored ablation strategy targeting areas of spatio-temporal dispersed electrograms in combination with pulmonary veins isolation (PVI) over an anatomical ablation strategy targeting PVI alone for the initial ablation procedure of persistent AF.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patient who participated in the Tailored AF study
Patient not withdrawn during the 12-month follow-up period post-index procedure in the Tailored AF study
Patient able and willing to provide written informed consent to participate in this extension Tailored-LT study
Disqualifiers
Person deprived of liberty or under guardianship
Person unable to undergo a medical monitoring for geographical, social or psychological reasons
Trial population
Patients previously enrolled in TAILORED-AF study, treated for their persistent AF by an index ablation procedure and not withdrawn during the 12-month follow-up period post-index procedure.
Trial design
Other
Other
Treatments tested in this trial
Volta AF-Xplorer
DeviceDispersion ablation strategy guided by Volta Medical AI-software targeting areas of spatiotemporal dispersed electrograms
Dispersion ablation + PVI
Procedure/SurgeryTAILORED-AF index procedure: Dispersion ablation + PVI
PVI
Procedure/SurgeryTAILORED-AF index procedure: PVI only
Treatment groups
Trial outcomes
Primary outcomes
Long-term freedom from documented atrial fibrillation (AF) after one ablation procedure
Long-term freedom from documented AF episodes \> 30 seconds, with or without antiarrhythmic drugs (AADs), after a single index ablation procedure.
Secondary outcomes
Long-term freedom from documented AF/AT after one or two ablation procedures
Long-term freedom from documented AF and Atrial Tachycardia (AT) episodes \> 30 seconds, after one or two procedures, with or without AADs
Long-term freedom from documented AF/AT after one ablation procedure
Long-term freedom from documented AF/AT episodes \> 30 seconds, after one procedure, with or without AADs
Heath Economics - Average Number of Ablation Procedures per patient
To determine how the number of repeat ablation procedures in addition to the index procedure impacts health care costs.
Heath Economics - Average Number of Hospitalizations per patient
To determine how the number of hospitalizations post-ablation index procedure impacts health care costs.
Sponsors and contacts
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