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New heart surgery technique aims to stop AFib in its tracks
NCT ID NCT07312149
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a new technique called PWI-Box, which uses a device named GeminiS to isolate the pulmonary veins and treat atrial fibrillation (AF) during open-heart surgery. About 200 adults with AF who are already scheduled for heart surgery via sternotomy will take part. The main goal is to see if this approach reduces AF recurrence one year after surgery, as measured by a 24-hour heart monitor.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GeminiS device for pulmonary vein isolation with posterior wall isolation (PWI-Box)
- What this could lead to
- If successful, this could offer a simpler, more reproducible way to treat atrial fibrillation during open-heart surgery, potentially reducing AF recurrence and stroke risk.
- What could go wrong
- This is an early-stage study (not yet recruiting) with 200 participants. The technique may not work as well as hoped, and surgery carries standard risks like infection or bleeding.
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.
- Participants
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About 200 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2032
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.
Who is studied
Patients with a surgical indication for AF in combination with conventional cardiac surgery performed by sternotomy (coronary artery bypass grafting, aortic valve replacement, aortic surgery, etc.). Patients may be included prospectively, via information provided by the attending physician during a consultation (written and oral), or retrospectively for those who have already undergone surgery, by sending an information notice with a non-objection period.
- 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: * Patients undergoing cardiac surgery via sternotomy * Concomitant use of the PWI box with GeminiS during surgery * Adult patients * Patients with the following characteristics: Preoperative paroxysmal/persistent/permanent AF; Duration of less than 5 years; And left atrium volume \<60 ml/m2 * Informed patient who did not object to the collection of their data for the study Exclusion criteria: * Unplanned surgery (emergency) * History of cardiac surgery (reoperation) * Pregnant or breastfeeding women * Adults under guardianship, curatorship or judicial protection * Patients with a life expectancy of less than three years * Patients currently taking medication or using an experimental device that clinically interferes with the study's evaluation criteria and results. * Inability to comply with the monitoring schedule. * Contraindication to long-term anticoagulants
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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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CHU de Nantes
Nantes, 44093, France
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