New ablation combo may keep AFib at bay longer
NCT ID NCT03057548
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether adding ablation of the left atrial posterior wall to standard pulmonary vein isolation reduces the return of atrial fibrillation in people with persistent AF. A total of 110 adults having their first catheter ablation took part. The goal was to see if the combined procedure leads to fewer arrhythmia episodes one year later.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- catheter ablation procedure
- What this could lead to
- If successful, this combined ablation approach could offer a more effective way to control persistent atrial fibrillation and reduce the chance of it coming back.
- What could go wrong
- This is a completed trial with 110 participants, so results are limited in size. The procedure carries risks like bleeding or heart complications, and the added ablation may not provide extra benefit over standard treatment.
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
-
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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110 people
The number who actually took part.
- Started
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Feb 2017
- Finished
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May 2020
- 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 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: * Males and females with an age \>18 years undergoing a first-time catheter ablation of AF; prior ablation of a right atrial cardiac arrhythmia (i.e., typical right atrial flutter) is permitted * All patients must understand the requirements of the study and be willing to comply with the post-study follow-up requirements * Patients must be in AF on the day of the procedure Exclusion Criteria: * Any reversible cause of AF (post-operative, thyroid disorder, etc) * Patients with cerebral ischemic events (stroke or transient ischemic attack), myocardial infarction or unstable angina in the previous 2 months * Patients with any corrected or uncorrected congenital heart disease * Patients with a history of hypertrophic cardiomyopathy * Patients with cardiomyopathy and a left ventricular ejection fraction \<35% * Congestive heart failure, class IV * Women who are known to be pregnant or have had a positive β-Human Chorionic Gonadotropin (β-HCG) test 7 days prior to procedure * Patients whose life expectancy is \<1 year * History of left-sided left atrial ablation (catheter or surgically-based) * Mental impairment precluding the patient from providing informed consent or completing appropriate follow-up
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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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Heart Center, Japan Red Cross Yokohama-city Bay Hospital
Yokohama, Japan
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Mercy General Hospital and Dignity Health Heart and Vascular Institute
Sacramento, California, 95819, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Extra vein ablation tested to keep persistent AFib from returning
- Duel of ablation catheters: which wins for persistent AF?
- Can a new drug stop long atrial fibrillation episodes?
- Which ablation method wins for tough atrial fibrillation cases?
- Can a diabetes drug keep the heart in rhythm?