Status:

NOT_YET_RECRUITING

Pulsed Field Ablation of SVC and PV in Paroxysmal Atrial Fibrillation (PASPA Study)

Lead Sponsor:

Changhai Hospital

Conditions:

Paroxysmal Atrial Fibrillation

Paroxysmal Atrial Fibrillation (PAF)

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

The PASPA study is a multicenter, randomized trial comparing Pulmonary Vein Isolation (PVI) alone versus PVI plus Superior Vena Cava Isolation (SVCI) using Pulsed Field Ablation (PFA) in patients with...

Detailed Description

The PASPA study addresses the limitations of traditional pulmonary vein isolation (PVI) for paroxysmal atrial fibrillation (PAF), where recurrence rates remain significant due to non-pulmonary vein tr...

Eligibility Criteria

Inclusion

  • Documented paroxysmal AF (episodes self-terminating within 7 days), evidenced by ECG, Holter, or event monitor
  • Age between 18 and 80 years
  • Willing and able to provide written informed consent

Exclusion

  • Intracardiac thrombus (left atrium or left atrial appendage)
  • Left atrial anterior-posterior diameter \> 60 mm
  • Absolute contraindication to anticoagulation therapy
  • Stroke or myocardial infarction within 1 month prior to enrollment
  • Uncontrolled hyperthyroidism
  • Pregnancy or planning pregnancy
  • Life expectancy less than 1 year
  • Previous atrial fibrillation ablation procedure
  • Known or suspected AF triggers primarily originating from the SVC (based on pre-procedure mapping, if available)
  • Inability or unwillingness to participate in the study or comply with follow-up requirements

Key Trial Info

Start Date :

November 1 2025

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

November 1 2027

Estimated Enrollment :

650 Patients enrolled

Trial Details

Trial ID

NCT07191626

Start Date

November 1 2025

End Date

November 1 2027

Last Update

September 25 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

The First Affiliated Hospital of Naval Medical University (Shanghai Changhai Hospital). No. 168, Changhai Road, Yangpu District, Shanghai, China.

Shanghai, Shanghai Municipality, China, 200040