Using AI to select patients for atrial fibrillation catheter ablation
Official title: Artificial Intelligence Guided Patient Selection for Atrial Fibrillation Catheter Ablation: Randomized Clinical Trial (AI-PAFA Trial)
Run by Yonsei University · NCT04997824 · Data updated 2026-11-12
This study tests if using artificial intelligence to choose patients for atrial fibrillation catheter ablation can lead to better outcomes compared to the usual methods.
Quick facts
| Study type | Interventional |
|---|---|
| Sex | All |
| Enrollment | 1000 (estimated) |
| Sponsor | Yonsei University Academic / other |
| Locations | 1 site (Seoul) |
| Status | Recruiting |
| Started | October 7, 2021 |
| Main results expected | June 2031 |
| Study ends | June 2031 |
| Registry record updated | May 24, 2023 |
| Trial ID | NCT04997824 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients with recurrent atrial fibrillation who are eligible for anticoagulant therapy and have a left atrium size of less than 55 mm.
✕Probably not a fit
Patients with severe cardiac anomalies, active internal bleeding, or serious comorbidities may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the use of artificial intelligence (AI) to improve patient selection for atrial fibrillation catheter ablation (AFCA). It involves a prospective randomization of 1000 patients into two groups: one guided by AI predictions and the other following conventional clinical guidelines. The study aims to evaluate the efficacy of AI in predicting poor responders to AFCA and to track patient outcomes through regular follow-ups. The trial will also assess adverse events and hospitalization rates between the two groups.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the recurrence of atrial fibrillation and improve patient outcomes after catheter ablation.
How similar studies have gone: Other studies have shown promise in using AI for patient selection in various medical procedures, indicating potential success for this novel approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Left atrium size \< 55 mm 2. AF recurred during the administration of antiarrhythmic drugs or that antiarrhythmic drugs intolerable patients 3. Patients eligible for anticoagulant therapy (to prevent thromboembolic events) Exclusion Criteria: 1. AF associated with severe cardiac anomalies or structural heart disease with hemodynamic influence 2. Patients who have difficulty in CT imaging using a contrast medium 3. Patients with active internal bleeding 4. Inappropriate anticoagulant therapy 5. Serious comorbidities 6. Patients expected to survive less than 1 year 7. People with drug or alcohol addiction 8. Those who cannot read the consent form (illiterate, foreigners, etc.) 9. Patients who are judged unsuitable for participation in clinical research by the judgment of other investigators
Where it's running
-
Severance Hospital, Yonsei University Health System
Seoul, South Korea Recruiting
Study contacts
- Principal investigator: Hui-Nam Pak — Severance Hospital, Yonsei University Health System
- Study coordinator: Hui-Nam Pak
- Email: hnpak@yuhs.ac
- Phone: 82-2-2228-8459
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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.