Could a gentle electric field heal the heart? new study tests Pulsed-Field ablation for persistent AF
NCT ID NCT07675395
First seen Jun 30, 2026 · Last updated Jul 02, 2026 · Updated 2 times
Summary
This study looks at whether pulsed-field ablation (PFA), a non-thermal technique that uses electric pulses to target faulty heart tissue, can reverse structural changes in the heart caused by persistent atrial fibrillation (AF). Researchers will enroll 30 people with persistent AF and use the FARAPULSE system to isolate the pulmonary veins and modify additional heart tissue. They will measure changes in heart size, function, and scarring using echocardiograms, MRI, and invasive pressure readings before and after the procedure, and track whether participants stay free of AF for up to a year.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pulsed-field ablation using the FARAPULSE system (FARAWAVE catheter)
- What this could lead to
- If successful, this could show that pulsed-field ablation not only treats atrial fibrillation but also helps reverse structural damage to the heart, potentially improving long-term outcomes.
- What could go wrong
- This is a small, early-stage study with only 30 participants, so results may not apply to everyone. The procedure carries risks like bleeding, heart damage, or recurrence of abnormal heart rhythms.
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
-
About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
-
Jul 2026
An estimate. Start dates often move.
- Expected to finish
-
Dec 2028
An estimate. End dates often move.
- Lead sponsor
-
A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * Diagnosis of persistent atrial fibrillation * Left atrial anteroposterior (AP) diameter greater than 4 cm and less than 6 cm * Anti-arrhythmic medications (except amiodarone) discontinued for at least 5 half-lives before the procedure * No use of beta-blockers or diuretics before or after the ablation procedure * Willing and able to provide written informed consent Exclusion Criteria: * Paroxysmal atrial fibrillation * Previous left atrial surgery or catheter ablation procedure, including left atrial appendage closure * Atrial fibrillation due to reversible causes, such as thyroid disorders, acute alcohol intoxication, or other major surgeries within the 90 days preceding the procedure * Myocardial infarction, acute coronary syndrome, percutaneous coronary intervention, or coronary artery bypass grafting within 90 days of the procedure * Known presence of cardiac thrombus * Stroke or transient ischemic attack within the last 90 days * Any other anatomical or comorbid condition that, in the investigator's opinion, could limit the patient's ability to participate in the clinical trial, comply with follow-up requirements, or impact the scientific validity of the clinical trial results
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Atrial fibrillation (AF) are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The places running it
1 site. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
-
Taipei Veterans General Hospital
Taipei, 112, Taiwan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a checklist and heart monitor stop repeat strokes?
- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
- Can a breathing workout and walks help dialysis patients with irregular heartbeats?
- Zapping the ear: a new way to stop Post-Surgery heart rhythm problems?
- Can a new mapping and ablation system fix recurring atrial fibrillation?
- Extra vein ablation tested to keep persistent AFib from returning