New study tests extra ablation targets to stop A-Fib recurrence
NCT ID NCT07197931
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests if burning extra spots outside the main heart veins can better control persistent atrial fibrillation (a type of irregular heartbeat). About 406 adults having their first ablation will be split into two groups: one gets standard vein isolation, the other gets additional trigger ablation. The goal is to see which approach reduces the return of arrhythmia over time.
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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 406 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2025
An estimate. Start dates often move.
- Expected to finish
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Aug 2030
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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19 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients aged ≥19 years with persistent atrial fibrillation scheduled for catheter ablation. * Refractory to or intolerant of at least one Class I or III antiarrhythmic drug. * Undergoing first-time catheter ablation for atrial fibrillation. Exclusion Criteria: * Acute coronary syndrome within the past 3 months. * Severe unrevascularized coronary artery disease: ≥70% stenosis in at least one major epicardial vessel with a diameter ≥2 mm. * History of stroke or transient ischemic attack (TIA) within the past 3 months. * Uncontrolled severe hypertension (systolic blood pressure ≥180 mmHg or diastolic blood pressure ≥120 mmHg). * Severe untreated aortic valve stenosis. * Symptomatic moderate-to-severe valvular heart disease. * Aortic dissection. * Heart failure with reduced ejection fraction (LVEF \<40%). * Severe pulmonary hypertension (resting RVSP \>60 mmHg). * Left atrial anteroposterior diameter \>60 mm. * Presence of cyanotic congenital heart disease. * Obstructive hypertrophic cardiomyopathy (resting or provoked LVOT pressure gradient ≥30 mmHg). * History of prior maze surgery or catheter ablation for atrial fibrillation. * Active internal bleeding. * Contraindications to anticoagulation therapy or rhythm control treatment. * Presence of severe comorbid conditions or life expectancy \<1 year. * Drug or alcohol abuse. * Pregnancy. * Any other condition that, in the investigator's judgment, makes the patient unsuitable for study participation.
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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
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.
Contacts and locations
Locations
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Severance Cardiovascular Hospital, Yonsei University Health System
Seoul, 120-752, South Korea
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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