Randomized Trial: High Power Short Duration Versus Ablation Index

NCT ID: NCT05251545

Last Updated: 2025-08-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

176 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-01

Study Completion Date

2023-09-01

Brief Summary

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The single procedure success rates of durable pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF) varies between 80 and 90 %.

This prospective, randomized study investigated the efficacy of pulmonary vein isolation with RF-energy following the CLOSE protocol with standard energy application (30 Watts) versus PVI with RF-energy with high power settings (45 Watts).

Detailed Description

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A total number of 176 patients undergoing de-novo catheter ablation for paroxysmal AF are planned to be randomized to two different treatment arms. In group-A patients, PVI was performed with RF-energy with standard power settings of 30 Watts in a temperature-controlled mode.

The ablation procedure in group B was performed with RF-energy with higher power settings of 45 Watts. In both groups the ablation is performed with ablation index (AI) and following the CLOSE protocol (AI and ≤ 6 mm interlesion distance using a surround flow catheter, Biosense Webster Thermocool STSF).

A total of 88 patients are planned to be randomized into each group, the follow-up period will be 12 months after the first procedure.

The primary endpoint is freedom of all atrial arrhythmias after one procedure. The secondary endpoint is procedural time. The third endpoint is safety.

Conditions

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Atrial Fibrillation Paroxysmal Catheter Ablation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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High power - short duration

Pulmonary vein isolation with high power settings of 45 Watts

Group Type ACTIVE_COMPARATOR

Pulmonary vein isolation

Intervention Type OTHER

Comparison of power levels in catheter ablation in regard of single procedure success rate (freedom of any atrial arrhythmia with a duration of more than 30 sec. 45 Watts versus standard power levels (30 Watts).

Standard energy

Pulmonary vein isolation with standard power settings (30 Watts)

Group Type ACTIVE_COMPARATOR

Pulmonary vein isolation

Intervention Type OTHER

Comparison of power levels in catheter ablation in regard of single procedure success rate (freedom of any atrial arrhythmia with a duration of more than 30 sec. 45 Watts versus standard power levels (30 Watts).

Interventions

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Pulmonary vein isolation

Comparison of power levels in catheter ablation in regard of single procedure success rate (freedom of any atrial arrhythmia with a duration of more than 30 sec. 45 Watts versus standard power levels (30 Watts).

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Paroxysmal atrial fibrillation
* written informed consent

Exclusion Criteria

* inability to obtain written informed consent
* persistent atrial fibrillation
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Robert Bosch Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Peter Ong, MD

Consultant Cardiologist (in German: Oberarzt)

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter Ong, Prof

Role: PRINCIPAL_INVESTIGATOR

Robert Bosch Medical Campus

Locations

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Robert Bosch Medical Center

Stuttgart, , Germany

Site Status

Countries

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Germany

Other Identifiers

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High power - short duration

Identifier Type: -

Identifier Source: org_study_id

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