Reprocessed versus new ablation catheters for pulmonary vein isolation
Official title: Feasibility, Safety, Cost-effectiveness, and Environmental Impact of Reprocessed Ablation Catheters in Pulmonary Vein Isolation
Run by University Hospital Dubrava · NCT07389434 · Data updated 2026-11-12
This will test whether re-sterilized (reprocessed) ablation catheters work as well and are as safe as new catheters for adults having pulmonary vein isolation for atrial fibrillation.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | University Hospital Dubrava Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Zagreb) |
| Status | Recruiting |
| Started | February 5, 2026 |
| Main results expected | July 30, 2027 |
| Study ends | August 20, 2027 |
| Registry record updated | February 5, 2026 |
| Trial ID | NCT07389434 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18 years) with paroxysmal or persistent atrial fibrillation who have an indication for pulmonary vein isolation and can give informed consent are ideal candidates.
✕Probably not a fit
Patients with severe valvular disease, significant structural heart disease that precludes pulsed field ablation, pregnancy, breastfeeding, or life expectancy under 12 months are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, controlled non-inferiority trial at a high-volume tertiary center comparing reprocessed and new electroporation ablation catheters for pulmonary vein isolation. Adult patients with paroxysmal or persistent atrial fibrillation scheduled for PVI are randomized 1:1 to undergo pulsed field ablation with either a new or a reprocessed catheter using identical procedural techniques. The study records procedure duration, ablation delivery metrics, fluoroscopy time and dose, catheter performance measures, peri- and post-procedural adverse events, and laboratory inflammation markers. It also compares costs and environmental impact metrics between the two approaches.
Why it matters
Potential benefit: If reprocessed catheters perform similarly to new ones, patients could benefit from lower procedure costs and reduced medical waste without loss of safety or effectiveness.
How similar studies have gone: Reprocessing of some medical devices has been studied previously, but randomized non-inferiority data specifically for reprocessed electroporation (PFA) ablation catheters are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years * Paroxysmal or persistent atrial fibrillation documented by ECG or Holter ECG monitoring * Indication for pulmonary vein isolation according to current clinical guidelines * Written informed consent Exclusion Criteria: * Severe valvular heart disease * Significant structural heart disease that precludes pulsed field ablation (PFA) * Pregnancy or breastfeeding * Life expectancy \< 12 months
Where it's running
-
UH Dubrava
Zagreb, Croatia Recruiting
Study contacts
- Study coordinator: Ivan Zeljković, PhD,MD
- Email: ivanzeljkov@gmail.com
- Phone: +385917823289
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.