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.
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 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2024
- Expected to finish
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Mar 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 to 79 years
- 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: * primary PVI * paroxysmal atrial fibrillation * sinus rhythm at the admission * participant meets clinical criteria for PVI Exclusion Criteria: * LA diameter \<38 mm or \>50 mm * LVEF \<40% * intrinsic sinus node disease * advanced atrioventricular block (PR interval \>300 ms, II or III degree AV block) * previous cardioneuroablation procedure * pregnancy * contraindications to anticoagulation treatment * any other clinical contraindications to PVI * known atropine intolerance
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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
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Institute of Heart Diseases, Wroclaw Medical University
Wroclaw, Lower Silesian Voivodeship, 50-556, Poland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Pulsed electric fields take aim at irregular heartbeats
- Can a new heart ablation technique work without x-rays?
- Could a gentle sedation cocktail replace general anesthesia for heart ablation?
- Can a new freezing balloon tame a fluttering heart as well as the old one?
- Heart signals may reveal if a common AFib procedure will last
- Zapping the heart back to rhythm: a new device uses pulsed fields to treat atrial fibrillation