The Impact of Expandable Cryoballoon on Autonomic Control of the Heart

NCT ID: NCT06053606

Last Updated: 2025-07-24

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

RECRUITING

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-05-10

Study Completion Date

2026-12-31

Brief Summary

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Approximately 40% of patients following cryoballoon ablation show signs of parasympathetic denervation. The presence of such effect is related to better outcomes in terms of clinical efficacy (freedom from atrial fibrillation). It could be hypothesized that larger sized balloon (POLARxFIT system) because of more antral position within the left atrium (and hence smaller distance from ganglionated plexi) might enhance this beneficial modulation of the autonomic system of the heart. This study intends to compare the effects of cryoablation employing expandable balloon (POLARxFIT) vs. standard balloon (POLARx) on autonomic system of the heart.

Detailed Description

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Conditions

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Paroxysmal Atrial Fibrillation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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expandable cryoballoon

POLARxFIT

Group Type EXPERIMENTAL

cryoablation of atrial fibrillation using expandable balloon (28 / 31 mm)

Intervention Type DEVICE

first applications in LSPV and RSPV are done with 31 mm balloon

standard cryoballoon

POLARx

Group Type EXPERIMENTAL

cryoablation of atrial fibrillation using only 28 mm size balloon

Intervention Type DEVICE

all applications in all PVs are done with 28 mm balloon

Interventions

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cryoablation of atrial fibrillation using only 28 mm size balloon

all applications in all PVs are done with 28 mm balloon

Intervention Type DEVICE

cryoablation of atrial fibrillation using expandable balloon (28 / 31 mm)

first applications in LSPV and RSPV are done with 31 mm balloon

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* primary PVI
* paroxysmal atrial fibrillation
* sinus rhythm at the admission
* participant meets clinical criteria for PVI

Exclusion Criteria

* LA diameter \<38 mm or \>50 mm
* LVEF \<40%
* intrinsic sinus node disease
* advanced atrioventricular block (PR interval \>300 ms, II or III degree AV block)
* previous cardioneuroablation procedure
* pregnancy
* contraindications to anticoagulation treatment
* any other clinical contraindications to PVI
* known atropine intolerance
Minimum Eligible Age

18 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role collaborator

Wroclaw Medical University

OTHER

Sponsor Role lead

Responsible Party

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Piotr Niewinski, MD

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Piotr Niewinski, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Wroclaw Medical University

Locations

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Institute of Heart Diseases, Wroclaw Medical University

Wroclaw, Lower Silesian Voivodeship, Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Piotr Niewinski, MD, PhD

Role: CONTACT

+48 71 733 1112

Facility Contacts

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Piotr Niewinski, PhD

Role: primary

790423298

Other Identifiers

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POLARxFIT and GPs

Identifier Type: -

Identifier Source: org_study_id

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