A Comparative Study of Percutaneous Pulsed Field Ablation Guided by Ultrasound Alone Versus Fluoroscopy in Patients With Atrial Fibrillation

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorChina National Center for Cardiovascular Diseases

About this trial

This prospective, randomized, multicenter, open-label, non-inferiority interventional study aims to compare the therapeutic efficacy of percutaneous pulsed field ablation (PFA) guided by ultrasound alone versus fluoroscopy in patients with paroxysmal atrial fibrillation (AF). The success rate of complete electrical isolation of pulmonary veins during the procedure was compared to verify that ultrasound-only guidance is non-inferior to fluoroscopic guidance.

Eligibility criteria

Qualifiers

Adult patients aged 18 to 75 years (including 18 years and 75 years of age).

Patients diagnosed with paroxysmal atrial fibrillation via 12-lead electrocardiography or ambulatory electrocardiography and scheduled to undergo pulsed field ablation.

Subjects are able to understand the purpose of the study, voluntarily participate in the study and sign the informed consent, and are willing to complete the follow-up according to the requirements of the program.

Disqualifiers

Atrial fibrillation secondary to electrolyte imbalance, thyroid disorders, or reversible non-cardiac causes;

Previous history of catheter ablation or cardiac surgery for atrial fibrillation;

Prior surgical history including patent foramen ovale closure, atrial septal defect closure or repair;

Implantation of left atrial appendage occluder, mechanical mitral valve prosthesis, or valvuloplasty ring containing metallic materials;

Trial design

Treatments tested in this trial

  • Percutaneous pulsed field ablation is performed under ultrasound-only guidance in patients with paroxysmal atrial fibrillation.
  • Patients with paroxysmal atrial fibrillation underwent percutaneous pulsed field ablation under fluoroscopic guidance.

Treatment groups

276 Participants
are divided into 2 treatment groups

Locations

This trial has no locations

Sponsors and collaborators

China National Center for Cardiovascular Diseases

Lead sponsor

Hangzhou Dinova EP Technology Co., Ltd

Collaborator