New heart mapping technique could improve ablation for persistent AF

NCT ID NCT07187115

First seen Jun 24, 2026 · Last updated Jul 01, 2026 · Updated 3 times

Summary

This global trial compares two ablation strategies for people with persistent atrial fibrillation (AF) that hasn't responded to medication. One group gets standard ablation of the pulmonary veins and back wall of the left atrium. The other group gets ablation guided by a special mapping system (electrographic flow mapping) to target additional problem areas. The study aims to see if the mapping-guided approach is as safe and effective as the standard method. About 699 participants will be followed for one year.

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 (a procedure using electrical pulses to destroy heart tissue causing abnormal rhythms)

What this could lead to

If successful, this could offer a more targeted and potentially safer ablation approach for people with persistent atrial fibrillation, reducing the need for repeat procedures.

What could go wrong

This is a large but early-stage comparison trial; the new mapping technique may not prove superior to the standard approach. As with any heart procedure, risks include bleeding, infection, or heart rhythm complications.

Disclaimer Read more

This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Conditions

The condition(s) this trial relates to.

atrial fibrillation persistent atrial fibrillation

As listed by the trial registrant

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

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • AZORG

    ACTIVE_NOT_RECRUITING

    Aalst, 9300, Belgium

  • Alta Bates Summit Medical Center-Hospital

    NOT_YET_RECRUITING

    Oakland, California, 94609, United States

    Contact Email: •••••@•••••

    Contact

  • Arrhythmia Research Group

    ACTIVE_NOT_RECRUITING

    Jonesboro, Arkansas, 72401, United States

  • Banner University Medical Center

    NOT_YET_RECRUITING

    Phoenix, Arizona, 85008, United States

  • Baptist Health Lexington

    NOT_YET_RECRUITING

    Lexington, Kentucky, 40503, United States

  • Beth Israel Deaconess Medical Center-Hospital

    NOT_YET_RECRUITING

    Boston, Massachusetts, 02215, United States

    Contact

    Contact

  • Centre Hôpital Universitaire Rouen, Hôpital Charles Nicolle

    NOT_YET_RECRUITING

    Rouen, 76000, France

  • Christus Trinity Mother Frances Health System

    ACTIVE_NOT_RECRUITING

    Tyler, Texas, 75701, United States

  • Cleveland Clinic Foundation

    ACTIVE_NOT_RECRUITING

    Cleveland, Ohio, 44195, United States

  • Clinica Universidad de Navarra

    ACTIVE_NOT_RECRUITING

    Pamplona, Navarre, 31008, Spain

  • Emory University Hospital

    ACTIVE_NOT_RECRUITING

    Atlanta, Georgia, 30308, United States

  • Endeavor Hospital

    NOT_YET_RECRUITING

    Glenview, Illinois, 60026, United States

    Contact Email: •••••@•••••

    Contact

  • Erasmus MC - University Medical Center Rotterdam

    RECRUITING

    Rotterdam, 3015, Netherlands

    Contact Email: •••••@•••••

    Contact

  • Good Samaritan - Suffern

    NOT_YET_RECRUITING

    Suffern, New York, 10901, United States

  • Grandview Medical Center

    NOT_YET_RECRUITING

    Birmingham, Alabama, 35243, United States

    Contact

    Contact Email: •••••@•••••

  • Hartcentrum Hasselt Jessa Ziekenhuis Campus Virga Jesse

    ACTIVE_NOT_RECRUITING

    Hasselt, 3500, Belgium

  • Hospital Clinic de Barcelona

    NOT_YET_RECRUITING

    Barcelona, Catalonia, 08036, Spain

    Contact

    Contact Email: •••••@•••••

  • Hospital of the University of Pennsylvania

    NOT_YET_RECRUITING

    Philadelphia, Pennsylvania, 19104, United States

    Contact

    Contact Email: •••••@•••••

  • Inova Fairfax Hospital

    WITHDRAWN

    Falls Church, Virginia, 22042, United States

  • MVZ CCB Frankfurt und Main-Taunus GbR

    RECRUITING

    Frankfurt, 60431, Germany

    Contact

    Contact Email: •••••@•••••

  • Massachusetts General Hospital

    NOT_YET_RECRUITING

    Boston, Massachusetts, 02114, United States

    Contact

    Contact

  • Mercy Gilbert Medical Center

    NOT_YET_RECRUITING

    Gilbert, Arizona, 85297, United States

  • Mercy Hospital Medical Center

    NOT_YET_RECRUITING

    West Des Moines, Iowa, 50266, United States

    Contact

    Contact Email: •••••@•••••

  • Mission Hospital

    NOT_YET_RECRUITING

    Asheville, North Carolina, 28801, United States

  • Mount Sinai Medical Center

    ACTIVE_NOT_RECRUITING

    New York, New York, 10029, United States

  • Ohio State University Medical Center

    ACTIVE_NOT_RECRUITING

    Columbus, Ohio, 43210, United States

  • OhioHealth Research and Innovation Institute - Riverside Methodist Hospital

    NOT_YET_RECRUITING

    Columbus, Ohio, 43214, United States

    Contact

    Contact Email: •••••@•••••

  • Pacific Heart Institute

    ACTIVE_NOT_RECRUITING

    Santa Monica, California, 90404, United States

  • Piedmont Athens Regional

    RECRUITING

    Athens, Georgia, 30606, United States

    Contact Email: •••••@•••••

    Contact

  • Presbyterian University of Pennsylvania Medical Center

    WITHDRAWN

    Pittsburgh, Pennsylvania, 15213, United States

  • Prince of Wales Hosptial

    ACTIVE_NOT_RECRUITING

    Shatin, Hong Kong, Hong Kong

  • Sacred Heart Medical Center at Riverbend

    WITHDRAWN

    Springfield, Oregon, 97477, United States

  • Sentara Norfolk General Hospital

    NOT_YET_RECRUITING

    Norfolk, Virginia, 23507, United States

    Contact

    Contact Email: •••••@•••••

  • St. Antonius Ziekenhuis

    NOT_YET_RECRUITING

    Nieuwegein, 3435, Netherlands

  • St. John's Hospital

    NOT_YET_RECRUITING

    Springfield, Illinois, 62769, United States

    Contact Email: •••••@•••••

    Contact

  • St. Luke's Boise Medical Center

    ACTIVE_NOT_RECRUITING

    Boise, Idaho, 83702, United States

  • St. Mary's Duluth Clinic Regional Heart Center

    NOT_YET_RECRUITING

    Duluth, Minnesota, 55805, United States

    Contact

  • St. Vincent's Medical Center

    NOT_YET_RECRUITING

    Jacksonville, Florida, 32204, United States

    Contact

  • Stanford University Medical Center

    NOT_YET_RECRUITING

    Palo Alto, California, 94304, United States

    Contact Email: •••••@•••••

    Contact

  • Texas Cardiac Arrhythmia Research Foundation

    ACTIVE_NOT_RECRUITING

    Austin, Texas, 78705, United States

  • University of Pittsburgh Medical Center

    RECRUITING

    Pittsburgh, Pennsylvania, 15213, United States

    Contact Email: •••••@•••••

    Contact

  • William Beaumont Hospital

    ACTIVE_NOT_RECRUITING

    Royal Oak, Michigan, 48073, United States