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

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorChanghai Hospital

About this trial

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 paroxysmal atrial fibrillation (PAF).

650 participants will be followed for 12 months. The main goal is to see if adding SVCI reduces arrhythmia recurrence without increasing complications such as phrenic nerve injury or sinus node dysfunction.

Eligibility criteria

Qualifiers

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

Disqualifiers

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

Trial design

Treatments tested in this trial

  • PFA - PV + SVCI
  • PFA - PVI only

Treatment groups

650 Participants
are divided into 2 treatment groups

Sponsors and collaborators