About this trial
This clinical trial aims to compare the efficacy and safety of pulsed field ablation and radiofrequency ablation to treat persistent atrial fibrillation in adults.
Participants will:
Undergo pulsed field ablation or radiofrequency ablation. Keep follow-up for at least 12 months.
Eligibility criteria
Qualifiers
18-80 years
Patients with non-valvular persistent atrial fibrillation undergoing their first catheter ablation (AF duration: 3 months to 3 years)
Left atrial diameter on parasternal long-axis view of echocardiogram < 50 mm
Agree to be randomly assigned to the ablation strategy and able to follow up
Disqualifiers
Atrial fibrillation due to reversible causes
LVEF < 30%
Severe congenital heart disease
Severe liver or kidney dysfunction (eGFR < 15, Child-Pugh grade 3), or history of dialysis
Trial design
Treatments tested in this trial
- Pulsed Field Ablation
- Radiofrequency Ablation
Treatment groups
Locations
1Sponsors and collaborators
Beijing Anzhen Hospital
Lead sponsor