Which ablation method best stops atrial fibrillation from returning?
NCT ID NCT07783919
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This study compares two catheter ablation techniques for treating atrial fibrillation, a common heart rhythm problem. One method uses a single-shot device, while the other uses a focal dual-energy approach. The trial includes 268 adults with symptomatic atrial fibrillation who are at high risk of recurrence. The goal is to see which technique better prevents abnormal heart rhythms from returning during follow-up.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Catheter ablation using pulsed field energy, comparing single-shot versus focal dual-energy approaches
- What this could lead to
- If successful, this could identify a more effective ablation technique to reduce atrial fibrillation recurrence and improve long-term heart rhythm control.
- What could go wrong
- The trial is still in progress, and results may not show a clear advantage for one method. Ablation carries risks like bleeding, infection, or heart rhythm disturbances.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 268 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Sep 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years * First-time pulmonary vein isolation * Symptomatic atrial fibrillation: * Paroxysmal atrial fibrillation (≥ 2 episodes in the last 6 months) and one of the following: CHA2DS2VA score ≥ 2, ≥ 1 cardioversion in the last 6 months or Left atrial (LA) diameter ≥ 45 mm o or persistent atrial fibrillation (≥ 1 episode in the last 6 months) Exclusion Criteria: * Atrial fibrillation due to reversible or non-cardiac causes * Severe mitral or tricuspid valve regurgitation requiring therapy * Previous left atrial endocardial or epicardial ablation * Pregnancy or breastfeeding * Lack of opportunity for reliable study participation
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Marien Hospital Herne
Herne, North Rhine-Westphalia, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can remote exercise sessions boost heart recovery after ablation?
- Can a heart drug keep atrial fibrillation at bay after ablation?
- Can a new drug stop long atrial fibrillation episodes?
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- Can a gentle electric pulse fix an irregular heartbeat?