Which ablation works best for AFib that returns? small study compares two techniques
NCT ID NCT03811795
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 9 people with atrial fibrillation (AFib) that came back after an initial cryoballoon ablation. It compared two repeat ablation methods: another cryoballoon procedure versus radiofrequency ablation guided by a high-fidelity mapping system (Rhythmia). Participants used a smartphone-based ECG monitor to track their heart rhythm daily for 6 months. The goal was to see which method better prevents AFib from returning.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cryoballoon ablation and radiofrequency ablation guided by high-fidelity mapping (Rhythmia)
- What this could lead to
- If this trial succeeds, it could help doctors choose the best repeat ablation method for people with atrial fibrillation that comes back after a first cryoballoon procedure.
- What could go wrong
- This is a very small, completed study with only 9 participants, so results may not apply to everyone. It does not test a new drug or device, just compares existing techniques.
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
-
9 people
The number who actually took part.
- Started
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Nov 2018
- Finished
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Apr 2022
- 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 100 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: * Individuals with paroxysmal or persistent AF undergoing repeat AF ablation as per recent HRS guidelines and standard practice; * Individuals in whom the initial ablation approach was cryoballoon PVI at the enrolling institution more than 3 month or more prior to the anticipated repeat ablation; * Age ≥ 18 years. Exclusion Criteria: * Individuals with recurrent AF who previously underwent RF-based PVI; * Individuals with known contraindications to ablation including permanent atrial fibrillation or intolerance of anticoagulation; * Individuals unable or not willing to complete follow-up visits and examination for the duration of the study; * Individuals without access to smartphone or tablet compatible with the monitoring system; * Prior valve surgery or surgical AF ablation; * Individuals with mental or physical limitations precluding informed consent; * Individuals currently enrolled in another investigational study or registry; * Women of childbearing potential who are, or plan to become, pregnant during the time of the study.
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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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Iowa Heart Center
West Des Moines, Iowa, 50266, United States
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Peace Health
Springfield, Oregon, 97477, United States
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The Valley Hospital
Paramus, New Jersey, 07652, United States
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