Condition: Atrial Fibrillation (Paroxysmal) · Sponsor: St. Joseph's Centre, Poland
Pulsed-field ablation (PFA) is a novel, non-thermal method for the treatment of atrial fibrillation (AF). It uses short, high-voltage electrical pulses to selectively ablate cardiomyocytes. PFA has demonstrated a high safety profile with reduced complication rates compared to thermal ablation. Thermal ablation of parasympathetic ganglia during conventional pulmonary vein isolation (PVI) may improve long-term procedural outcomes by reducing AF recurrence. However, due to its non-thermal nature, PFA may not significantly affect cardiac autonomic innervation, which could be clinically relevant in vagally mediated AF or tachycardia-bradycardia syndrome. This randomized study compares two strategies: (1) PFA-only PVI, and (2) PFA combined with selective thermal ablation (radiofrequency energy) of the superior paraseptal parasympathetic ganglion. The primary objective is to evaluate whether adjunctive thermal ablation improves clinical outcomes and reduces intraprocedural bradyarrhythmic events.
This description comes directly from the study's public registry record.
Piotr Futyma, MD, PhD · +48 17 858 19 00 · piotr.futyma@gmail.com
Łukasz Zarębski, MD · +48 17 858 19 00 · lukasz.zarebski@interia.pl
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| St. Joseph's Heart Rhythm Center | Rzeszów, Podkarpackie Voivodeship, Poland | Recruiting |
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Source record: clinicaltrials.gov/study/NCT07171463