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Compares two heart ablation methods for persistent atrial fibrillation after failed treatment

Compares electric-shock ablation with heat ablation in adults with persistent atrial fibrillation.

Plain-language title generated from the registry record
Registry title: VEin of MArshall Ethanolization Vs Extended Pulmonary Vein PULSEd Field Ablation After Failed PVI for Persistent AF

Key facts

Where
Bruges, BelgiumSee the site

Where in Belgium

  • Az Sint-Jan Brugge AvBruges, BelgiumTaking people

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Trial details

Who runs it
Sebastien Knecht
Trial code
NCT06383975
Record updated
9 October 2024
Original description
The goal of this clinical trial is to compare two ablation techniques to treat patients with persistent atrial fibrillation (irregular and often very rapid heart rhythm). An ablation is a procedure during which some scars are made on the inside of the heart to break up the electrical signals that cause the irregular heartbeat. In this trial researchers will compare a new technique, which uses tiny electric shocks to make the scars, to the standard technique, which uses heat.Read full original descriptionShow less

Comparison Between VEin of MArshall Ethanol Infusion Versus Extended Pulmonary Vein PULSEd Field Ablation After Failed Pulmonary Vein Isolation in Patients with Persistent Atrial Fibrillation

The goal of this clinical trial is to compare two ablation techniques to treat patients with persistent atrial fibrillation (irregular and often very rapid heart rhythm). An ablation is a procedure during which some scars are made on the inside of the heart to break up the electrical signals that cause the irregular heartbeat. In this trial researchers will compare a new technique, which uses tiny electric shocks to make the scars, to the standard technique, which uses heat.

The main question the trial aims to answer is:

• Does the new technique work as well as the standard technique to prevent the irregular heartbeat from returning within one year of the procedure?

Participants will:

* Undergo an ablation with either the new or the standard technique * Visit the hospital 1, 3, 6, 9 and 12 months after the procedure for a check-up * Wear a device to register their heart rhythm for 24 hours before the 3 month visit and for 72 hours before the 6, 9 and 12 month visit * Record their heart rhythm at home every week * Complete a questionnaire 3, 6, 9 and 12 months after the procedure

Inclusion: Symptomatic persistent atrial fibrillation (AF) despite a first PVI. Persistent AF is defined as the presence of AF lasting ≥7 days (i.e. in case of new onset AF one has to wait for 7 days).

Exclusion: Advanced valvular heart disease; Persistent AF lasting ≥ 12 months; Left atrial (LA) volume >150mL; LA diameter (PS-LAX) >60mm; Septal wall diameter >15mm; Life expectancy <1 year; Weight >150 kg; Any contra indication to catheter ablation.

ClinicalTrials.gov NCT06383975