Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Using radiofrequency ablation to prevent atrial fibrillation after heart surgery

Official title: Prophylactic Radiofrequency Left Atrial Posterior Wall Isolation (box Lesion Ablation) to Prevent Atrial Fibrillation After Cardiac Surgery (PROBOX): a Randomized Controlled Trial

Run by Yudin Hospital · NCT06823778 · Data updated 2026-11-12

This study is testing if a special heart procedure can help prevent new cases of atrial fibrillation in patients after they have heart surgery.

More Atrial Fibrillation trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment216 (estimated)
SponsorYudin Hospital
Academic / other
Locations1 site (Moscow, Moscow)
StatusRecruiting
StartedFebruary 17, 2025
Main results expectedSeptember 2027
Study endsSeptember 2027
Registry record updatedFebruary 21, 2025
Trial IDNCT06823778 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are patients scheduled for cardiac surgery who can provide informed consent.

Probably not a fit

Patients with a history of atrial fibrillation or those undergoing minimally invasive or emergency surgeries 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 whether epicardial radiofrequency left atrial posterior wall isolation, also known as box lesion ablation, can effectively prevent postoperative atrial fibrillation (POAF) in patients undergoing cardiac surgery. Participants will be randomly assigned to receive either the ablation procedure or no ablation during their cardiac surgery. The study aims to determine if this approach reduces the incidence of de-novo atrial fibrillation requiring treatment after surgery. Data will be collected during the hospital stay and followed up with participants 30 days post-surgery to assess outcomes.

Why it matters

Potential benefit: If successful, this approach could significantly reduce the occurrence of atrial fibrillation after cardiac surgery, leading to better patient outcomes and shorter hospital stays.

How similar studies have gone: Previous studies have explored radiofrequency ablation for atrial fibrillation but have faced limitations; this study aims to provide a more robust evaluation of a novel approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* All patients undergoing cardiac surgery by a single surgeon (V.K.)
* Informed consent

Exclusion Criteria:

* History of atrial fibrillation/flutter
* Minimally invasive approach
* Off-pump surgery
* Emergent/salvage surgery
* Severe pericardial adhesions

Where it's running

  • Department of Cardiac Surgery, Yudin Hospital
    Moscow, Moscow, Russia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.