Actively Recruiting
Personalized Atrial Fibrillation Ablation Guided by Non-Invasive Global Mapping
Led by German Heart Institute · Updated on 2026-01-06
45
Participants Needed
5
Research Sites
102 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
This pilot study investigates if non-invasive global mapping can guide catheter ablation of atrial fibrillation (AF) by defining personalized targets based on the temporal Stability of local Atrial High-Rate Activity (SAHRA). The study also assesses efficacy and safety of this approach and evaluates potential signals of harm. The main questions it aims to answer are: * Does ablation of targets defined by non-invasive global mapping improve rates of acute atrial fibrillation termination? * Does such a personalized ablation approach reduce arrhythmia recurrence rates? Researchers will compare the results of the personalized ablation approach with comparable patients that had undergone a conventional "empirical" ablation approach (pulmonary vein isolation). Participants will: * Undergo a personalized catheter ablation approach employing both a non-invasive global mapping system and a conventional intracardiac mapping system * Visit the clinic 3, 6 and 12 months after ablation for clinical follow-up * Schedule a telephone visit 9 and 24 months after ablation for clinical follow-up
CONDITIONS
Official Title
Personalized Atrial Fibrillation Ablation Guided by Non-Invasive Global Mapping
Who Can Participate
Eligibility Criteria
You may qualify if you...
Ablation-naïve patients with:
- Persistent AF planned for catheter ablation plus
- Left atrial enlargement (LA diameter ≥45 mm or LA volume index ≥35ml/m2 or LA area ≥20 cm2)
You will not qualify if you...
- Previous cardiac ablation
- Age <18 years
- Pregnancy or lactation
- Previous stroke/TIA
- Severe left ventricular dysfunction (LVEF <35%)
- Renal failure (GFR <30 ml/min)
- Dermal disease or hypersensitivity predisposing for skin irritation or exanthema
AI-Screening
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Trial Site Locations
Total: 5 locations
1
German Heart Center of the Charité, Charité University Hospital Berlin
Berlin, Germany, 10117
Actively Recruiting
2
Frankfurt University Heart and Vascular Center
Frankfurt am Main, Germany, 60598
Not Yet Recruiting
3
Central Lisbon University Hospital Centre (CHULC), Hospital de Santa Marta
Lisbon, Portugal, 1169-024
Not Yet Recruiting
4
Hospital Clinic, University of Barcelona
Barcelona, Spain, 08036
Not Yet Recruiting
5
Gregorio Marañón General University Hospital
Madrid, Spain, 28007
Not Yet Recruiting
Research Team
T
Till F Althoff, M.D.
CONTACT
G
Gerhard Hindricks, M.D.
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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