Pilot Study: ARI Phrenic Nerve Monitoring Study

  • Research type

    Research Study

  • Full title

    Pilot Study: Phrenic Nerve Monitoring During Pulmonary Vein Isolation for Atrial Fibrillation by Cryoablation; a Comparative Study of Novel Techniques

  • IRAS ID

    213234

  • Contact name

    Chris Llewellyn

  • Contact email

    chris.llewellyn@nhs.net

  • Sponsor organisation

    Research Governance

  • Duration of Study in the UK

    0 years, 6 months, 2 days

  • Research summary

    Atrial fibrillation (AF) is the most common heart rhythm abnormality affecting around 1 million people in the UK (NHS Choices, 2015). AF causes an irregular heart rhythm, which is generated by areas of abnormal tissue within one of the hearts chambers. \n\nSymptomatic patients can be treated either by medication or intervention, one type of intervention is cryoballoon ablation. Cryoballoon ablation is a procedure where by a small balloon is passed into one of the heart chambers via a vein in the leg. Once the balloon is in position it is inflated using freezing cold gas, this in turn freezes the tissue surrounding it. The freezing procedure kills the areas of abnormal tissue, preventing the AF. \n\nDuring the procedure of cryoballoon ablation there is a small risk of a complication called phrenic nerve palsy. The phrenic nerve runs alongside the heart and controls the movement of the diaphragm. Phrenic nerve palsy can be debilitating (Ghosh et al., 2015) as it sometimes affects a person’s ability to breath. \n\nIn order to try and prevent this complication various monitoring techniques can be employed during the procedure. At present there have been lots of new monitoring techniques described. What this project aims to do is compare three of these techniques and determine which method is the best. This is important as better monitoring should result in fewer complications during these procedures.

  • REC name

    North of Scotland Research Ethics Committee 2

  • REC reference

    17/NS/0001

  • Date of REC Opinion

    6 Feb 2017

  • REC opinion

    Further Information Favourable Opinion