Can a gentle electric pulse fix an irregular heartbeat?
NCT ID NCT07779369
First seen Aug 21, 2026 · Last updated Aug 21, 2026
Summary
This trial investigates whether a new technique called pulsed field ablation (PFA) can more effectively treat atrial fibrillation, a common heart rhythm problem. The procedure uses short electrical pulses to create precise lesions in the heart tissue, aiming to block faulty signals while sparing nearby structures. Participants will undergo PFA with the VARIPULSE catheter, followed by a re-mapping procedure after three months to check if the isolation holds. The study also uses MRI to see if imaging can predict long-term success, potentially improving future treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pulsed field ablation (PFA) using the VARIPULSE catheter, a device that delivers short electrical pulses to create heart tissue lesions.
- What this could lead to
- If successful, this could show that pulsed field ablation provides more durable isolation of the pulmonary veins than current heat-based methods, potentially reducing the need for repeat procedures in atrial fibrillation.
- What could go wrong
- This is a relatively small study (40 participants) and early-stage, so results may not apply broadly. The procedure carries standard risks of catheter ablation, such as bleeding, infection, or heart damage, and the long-term durability is still unproven.
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 40 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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Sep 2028
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: * ≥18 years of age * AF and eligible for index PVI according to current ESC guidelines Exclusion Criteria: * Unwilling or unable to give written informed consent * Prior left atrial ablation * Other left atrial arrhythmias including atrial flutters * Prior left atrial surgery * Severe mitral valve regurgitation * Contraindication for gadolinium-based contrast agents * Contraindications for CMR (including metallic implants, cochlear implants, cardiac devices, neurostimulation systems, claustrophobia) * Renal insufficiency (eGFR \< 30 ml/min)
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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 official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Evaluation of the factors associated with bradtycardia following pulmonary vein isolation using pulsed field ablation
- 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?
- Which ablation method best stops atrial fibrillation from returning?
- Your phone's camera might spot a hidden heart rhythm problem