Could a bigger balloon tame the Heart's electrical chaos?

NCT ID NCT06053606

First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time

Summary

This trial tests whether using a larger, expandable balloon during cryoablation for paroxysmal atrial fibrillation better affects the heart's autonomic (automatic) control compared to a standard-size balloon. About 40% of patients show signs of beneficial parasympathetic denervation after cryoablation, and a larger balloon may enhance this effect by sitting closer to key nerve clusters. The study enrolls 100 adults with paroxysmal AF who are scheduled for their first pulmonary vein isolation, and it measures changes in heart rate, time to AF recurrence, and procedure details.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
cryoablation using either a standard 28 mm balloon or an expandable 28/31 mm balloon
What this could lead to
If the larger balloon enhances beneficial autonomic modulation, it could improve long-term freedom from atrial fibrillation after ablation.
What could go wrong
This is an early-stage comparison; the larger balloon may not provide extra benefit, and cryoablation carries risks like heart rhythm disturbances or damage to nearby structures.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Institute of Heart Diseases, Wroclaw Medical University

    Wroclaw, Lower Silesian Voivodeship, 50-556, Poland

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