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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 216 (estimated) |
| Sponsor | Yudin Hospital Academic / other |
| Locations | 1 site (Moscow, Moscow) |
| Status | Recruiting |
| Started | February 17, 2025 |
| Main results expected | September 2027 |
| Study ends | September 2027 |
| Registry record updated | February 21, 2025 |
| Trial ID | NCT06823778 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
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Department of Cardiac Surgery, Yudin Hospital
Moscow, Moscow, Russia Recruiting
Study contacts
- Study coordinator: Vasily I. Kaleda, M.D., Ph.D.
- Email: vasily.kaleda@gmail.com
- Phone: 7 (985) 641 1769
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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.