Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07428967

AV Node Ablation and CONDUCTion System Pacing for Atrial Fibrillation With Preserved Left Ventricular Function

Led by St. Josefs-Hospital Wiesbaden GmbH · Updated on 2026-02-24

86

Participants Needed

2

Research Sites

204 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

AVA CONDUCT is a prospective, multicenter, randomized study with single blinding, comparing left bundle branch area (LBBA) pacing with right ventricular (RV) pacing following AV node ablation in terms of clinical, functional, and electrophysiological outcomes. The primary hypothesis is that pacing-induced cardiomyopathy, defined as a decrease in LVEF by 10% or more from baseline to an absolute value below 50%, occurs significantly more frequently in patients receiving RV pacing compared with LBBA pacing. Secondarily, LBBA pacing is expected to maintain comparable procedural safety while providing better cardiac function, resulting in improved quality of life and functional capacity compared with conventional RV pacing.

CONDITIONS

Official Title

AV Node Ablation and CONDUCTion System Pacing for Atrial Fibrillation With Preserved Left Ventricular Function

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • History of symptomatic atrial fibrillation despite guideline-indicated medical or interventional therapy
  • Preserved left ventricular ejection fraction of 50% or higher by echocardiography
  • Scheduled for AV node ablation independently of study participation
  • Age 18 years or older
  • Ability to give informed consent
Not Eligible

You will not qualify if you...

  • Left ventricular ejection fraction below 50%
  • Existing pacemaker implanted before the study
  • Contraindication for pacemaker implantation or AV node ablation
  • Severe left heart valve disease (high grade III°)
  • Recent coronary surgery within 30 days or ongoing triple therapy after stent PCI
  • Body mass index over 40 kg/m2
  • Pregnancy
  • Unable to provide written informed consent
  • Life expectancy less than 12 months

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Evangelisches Krankenhaus Hagen-Haspe

Hagen, Germany

Not Yet Recruiting

2

St. Josefs-Hospital Wiesbaden GmbH

Wiesbaden, Germany

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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