Pulsed Field Ablation Versus Radiofrequency Ablation for Persistent Atrial Fibrillation

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBeijing Anzhen Hospital

About this trial

This clinical trial aims to compare the efficacy and safety of pulsed field ablation and radiofrequency ablation to treat persistent atrial fibrillation in adults.

Participants will:

Undergo pulsed field ablation or radiofrequency ablation. Keep follow-up for at least 12 months.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

18-80 years

Patients with non-valvular persistent atrial fibrillation undergoing their first catheter ablation (AF duration: 3 months to 3 years)

Left atrial diameter on parasternal long-axis view of echocardiogram < 50 mm

Agree to be randomly assigned to the ablation strategy and able to follow up

Disqualifiers

Atrial fibrillation due to reversible causes

LVEF < 30%

Severe congenital heart disease

Severe liver or kidney dysfunction (eGFR < 15, Child-Pugh grade 3), or history of dialysis

Trial design

Design model

Parallel

Treatments tested in this trial

  • Pulsed Field Ablation

    Device

    Patients will be treated with pulsed field ablation for atrial fibrillation.

  • Radiofrequency Ablation

    Device

    Patients will be treated with radiofrequency ablation for atrial fibrillation.

Treatment groups

700 Participants
are divided into 2 treatment groups
Group A: Radiofrequency AblationActive comparator 1 intervention
Group B: Pulsed Field AblationExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Freedom from any documented atrial arrhythmia lasting for >30s in the absence of antiarrhythmic therapy in 12 months after the index ablation procedure (excluding a blanking period of 3 months)

Time frame
From the end of the 3-month blanking period post-ablation to the 12-month follow-up

Secondary outcomes

1

Freedom from any documented atrial arrhythmia in 12 months after the index ablation procedure

Time frame
From the end of the 3-month blanking period post-ablation to the 12-month follow-up
2

Freedom from any documented atrial fibrillation lasting for >30s in 12 months after the index ablation procedure (excluding a blanking period of 3 months)

Time frame
From the end of the 3-month blanking period post-ablation to the 12-month follow-up
3

Freedom from any documented atrial tachycardia and atrial flutter episodes in 12 months after the index ablation procedure

Time frame
From the end of the 3-month blanking period post-ablation to the 12-month follow-up
4

Freedom from any documented atrial arrhythmia in the absence of antiarrhythmic therapy in 12 months after multiple ablation procedure (excluding a blanking period of 3 months)

Time frame
From the end of the 3-month blanking period post-ablation to the 12-month follow-up

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: