Investigation of Cardioversion Versus Therapeutic Ablation for Persistent AF (ORBICA-AF)

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-85
SponsorBarts & The London NHS Trust

About this trial

The main aim of the research is to investigate whether patients undergoing pulmonary vein isolation with catheter ablation for persistent atrial fibrillation (AF) will have lower rates of AF recurrence than those treated by DC cardioversion without an ablation procedure.

Eligibility criteria

Qualifiers

Ability to give informed consent

Age 18-85 years

Persistent AF (atrial fibrillation lasting > 7days) of total continuous duration <2 years as documented in medical notes.

Patients being considered for cardioversion.

Disqualifiers

Creatinine clearance (eGFR) < 30mls/min

Contraindication or unable to take anticoagulation

Uncontrolled hypertension

Contraindication for catheter ablation

Trial design

Treatments tested in this trial

  • Pulmonary vein isolation
  • DC Cardioversion
  • Implantable loop recorder
  • Femoral sheath insertion

Treatment groups

208 Participants
are divided into 2 treatment groups

Sponsors and collaborators