QUAFI: Non-invasive Quantification of Atrial Fibrosis by MRI in Atrial Fibrillation
Study Details
Study Description
Brief Summary
Three groups of patients will be considered: a control group (n = 10); a group of patients with paroxysmal or persistent AF with AF cryoablation procedure - within this group, MRI will replace CT-scan usually performed in routine before the procedure (n = 15); a group of patients with permanent AF (n = 15). MRI study will include pulmonary veins angiography with gadolinium injection (0.20 mmol/kg), 2D-cine imaging and late-enhancement imaging. A 3D gradient-echo sequence(Flash 3-D) will then be applied 20 minutes after the injection, with the following parameters : echo time 0.98 ms, repetition time 2.53 ms, angle 15°, resolution 2.0x1.3x1.0 mm. T1 map and two T2 sequences will be performed so as to determine LA relaxation times. Argus software will be used for post-treatment imaging. Quantitative data will be expressed in mean ± SD. A comparison of T1 and T2 values in LA will be performed between the three groups. Statistics will be performed with SPSS software in bilateral analysis and a value of p < 0.05 will be considered as significant.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: a control group
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Device: MRI 3T
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Experimental: patients with paroxysmal or persistent AF
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Device: MRI 3T
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Experimental: patients with permanent AF
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Device: MRI 3T
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Outcome Measures
Primary Outcome Measures
- quantitative measure of atrial fibrosis [4 years]
Eligibility Criteria
Criteria
Inclusion Criteria:
All persons > 18 years, which have:
gp paroxysmal or persistant FA
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paroxysmal or persistent FA (under one year),
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refractory to at least one antiarrhythmic drug therapy
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eligible for an ablation procedure with cryotherapy
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the patient may benefit from surveillance. gp permanent FA permanent AF ( defined as chronic arrhythmia after 2 failed attempts to electrical cardioversion and / or more than one year old) , and hospitalized for cardiac reasons or not in different cardiology Timone .
Exclusion Criteria:
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age < 18 years,
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cons -indications to MRI ( claustrophobia, pacemakers and implantable cardiac defibrillators , metal chips intra ocular , valvular mechanical prosthesis ) , allergy to gadolinium ,
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renal impairment ( creatinine clearance <60 mL / min)
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pregnant or nursing ( a pregnancy test must be performed for women of childbearing age at the time of inclusion , the result of this test will be communicated to them .
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the MRI examination takes place three months after the inclusion women of childbearing potential should be placed under effective contraception)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | AP HM | Marseille | France |
Sponsors and Collaborators
- Assistance Publique Hopitaux De Marseille
Investigators
- Study Director: catherine GEINDRE, Assistance Publique Hopitaux De Marseille
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 2011-A00285-36
- 2011-04