The Impact of Expandable Cryoballoon on Autonomic Control of the Heart

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-79
SponsorWroclaw Medical University

About this trial

Approximately 40% of patients following cryoballoon ablation show signs of parasympathetic denervation. The presence of such effect is related to better outcomes in terms of clinical efficacy (freedom from atrial fibrillation). It could be hypothesized that larger sized balloon (POLARxFIT system) because of more antral position within the left atrium (and hence smaller distance from ganglionated plexi) might enhance this beneficial modulation of the autonomic system of the heart. This study intends to compare the effects of cryoablation employing expandable balloon (POLARxFIT) vs. standard balloon (POLARx) on autonomic system of the heart.

Eligibility criteria

Qualifiers

primary PVI

paroxysmal atrial fibrillation

sinus rhythm at the admission

participant meets clinical criteria for PVI

Disqualifiers

LA diameter <38 mm or >50 mm

LVEF <40%

intrinsic sinus node disease

advanced atrioventricular block (PR interval >300 ms, II or III degree AV block)

Trial design

Treatments tested in this trial

  • cryoablation of atrial fibrillation using only 28 mm size balloon
  • cryoablation of atrial fibrillation using expandable balloon (28 / 31 mm)

Treatment groups

100 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Wroclaw Medical University

Lead sponsor

Boston Scientific Corporation

Collaborator