Status:

ACTIVE_NOT_RECRUITING

ABLATE Versus PACE: PVI or AV Node Ablation and PM Implantation for Elderly Patients With Persistent AF

Lead Sponsor:

St. Josefs-Hospital Wiesbaden GmbH

Collaborating Sponsors:

The German Heart Foundation

Conditions:

Atrial Fibrillation

Eligibility:

All Genders

75-99 years

Phase:

NA

Brief Summary

As patients age, symptom control and treatment of atrial fibrillation become equally difficult, often leading to increased hospitalization. ABLATE versus PACE is a prospective, randomized clinical tri...

Detailed Description

Atrial fibrillation is the most common cardiac arrhythmia and is a major public and represents a major public health problem with increasing healthcare costs and increased mortality risk. In case of ...

Eligibility Criteria

Inclusion

  • Persistent AF according to current ESC guideline (2020)
  • Symptoms EHRA classification II - IV despite guideline indicated medical therapy
  • Age ≥ 75 years
  • Capability of giving written informed consent

Exclusion

  • impaired systolic left ventricular function (ejection fraction \< 50%)
  • High-grade (III°) left cardiac valvular disease
  • pre-implanted pacemaker
  • bradycardia-indication for pacemaker
  • Surgical coronary revascularization (within the last 90 days) or current triple therapy after stent PCI
  • contraindication for PVI or pacemaker-implantation
  • contraindication for oral anticoagulation
  • body-mass-index BMI \> 40 kg/m2
  • inability to give written informed consent
  • concomitant participation in another registered trial
  • life expectancy \< 12 months
  • reversible cause of AF (e.g. thyrotoxicosis, alcohol ingestion)

Key Trial Info

Start Date :

May 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

April 30 2027

Estimated Enrollment :

196 Patients enrolled

Trial Details

Trial ID

NCT04906668

Start Date

May 1 2021

End Date

April 30 2027

Last Update

September 17 2025

Active Locations (12)

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Page 1 of 3 (12 locations)

1

Universitätsklinikum Innsbruck

Innsbruck, Austria

2

Kerckhoff-Klinik Bad Nauheim

Bad Nauheim, Germany

3

Vivantes Klinikum am Urban

Berlin, Germany

4

Universitätsklinikum Essen

Essen, Germany