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Comparing ways to use pulsed field ablation for persistent atrial fibrillation

Compares pulsed field ablation approaches in people with persistent atrial fibrillation.

Plain-language title generated from the registry record
Registry title: Pulsed Field Ablation in Three Different Substrate Ablation Strategies for Persistent Atrial Fibrillation

Key facts

Where
Shanghai, ChinaSee the site

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults with persistent atrial fibrillation who did not respond to, or could not tolerate, at least one rhythm medicine.

Age
18 to 80 years
Sex
All sexes can join.
Disease stage
Persistent atrial fibrillation.
Earlier treatment
At least one Class I or III anti-arrhythmic drug that did not work or was not tolerated.

Main reasons for not taking part

  • Major valve disease that needs surgery
  • Blood clot in the left atrium on recent imaging
  • Recent heart attack
  • Severe heart failure (LVEF ≤ 30%)
  • Current severe infection

Read by machine on 9 November 2026.

Could this be for you?

Answer for yourself. This is not a decision: only the study team can say whether you can take part.

  • Are you between 18 and 80 years old?

Source: NCT06739512, who can take part

Where in China

  • No. 241, West Huaihai RoadShanghai, ChinaNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?
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Trial details

Who runs it
Shanghai Chest Hospital
Trial code
NCT06739512
Record updated
18 December 2024
Original description
This multicenter, randomized, controlled trial aims to evaluate the efficacy and safety of pulsed field ablation (PFA) in patients with persistent atrial fibrillation (PeAF). We will compare three distinct substrate ablation strategies: anatomical guided ablation (ANAT group), electrogram guided ablation (EGM group), and extensive electro-anatomical guided ablation (EXT group). The study seeks to identify which ablation strategy yields the highest efficacy and safety profiles to potentially guide future clinical practice in the management of PeAF.Read full original descriptionShow less

Efficacy and Safety of Pulsed Field Ablation in Three Different Substrate Ablation Strategies for Persistent Atrial Fibrillation: a Multicenter Randomized Controlled Trial

This multicenter, randomized, controlled trial aims to evaluate the efficacy and safety of pulsed field ablation (PFA) in patients with persistent atrial fibrillation (PeAF). We will compare three distinct substrate ablation strategies: anatomical guided ablation (ANAT group), electrogram guided ablation (EGM group), and extensive electro-anatomical guided ablation (EXT group). The study seeks to identify which ablation strategy yields the highest efficacy and safety profiles to potentially guide future clinical practice in the management of PeAF.

Inclusion: Adults aged 18-80 years diagnosed with persistent atrial fibrillation; Ineffectiveness or intolerance to at least one Class I or III anti-arrhythmic drug.

Exclusion: Major valvular diseases needing surgical intervention; Current Severe Infection; Recent myocardial infarction or severe heart failure (LVEF ≤ 30%); Presence of a left atrial thrombus on recent imaging.

ClinicalTrials.gov NCT06739512