Using the CoolCryo System to treat Atrial Fibrillation during Mitral Valve Surgery
Official title: Evaluation of the Safety and Efficacy of the CoolCryo System for Cardiac Cryoablation in the Treatment of Atrial Fibrillation in a Single-arm, Non-randomised, Open-label Clinical Trial
Run by Medinice S.A. · NCT06557616 · Data updated 2026-11-12
This study is testing whether the CoolCryo system can safely help people with atrial fibrillation feel better during mitral valve surgery.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Medinice S.A. Industry-sponsored |
| Locations | 2 sites (Bydgoszcz and 1 other locations) |
| Status | Recruiting |
| Started | July 3, 2024 |
| Main results expected | June 30, 2026 |
| Study ends | June 30, 2026 |
| Registry record updated | September 23, 2025 |
| Trial ID | NCT06557616 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 and older who are scheduled for mitral valve surgery and have a documented history of atrial fibrillation.
✕Probably not a fit
Patients who are pregnant, breastfeeding, or have contraindications to the cryoablation procedure will 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 observational study evaluates the safety and efficacy of the CoolCryo system for cardiac cryoablation in patients undergoing mitral valve surgery. It involves endocardial cryoablation of the left and/or right atrium to eliminate atrial fibrillation, a common complication associated with mitral valve defects. The study will include 16 patients who have been diagnosed with paroxysmal or persistent atrial fibrillation for at least three months prior to surgery. Data will be collected during the procedure and at a six-month follow-up to assess outcomes.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of atrial fibrillation and its associated risks in patients undergoing mitral valve surgery.
How similar studies have gone: While this approach is being evaluated in this specific context, similar cryoablation techniques have shown promise in other studies for treating atrial fibrillation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Written consent from the patient to participate in the study. 2. age ≥18 years. 3. patient qualified for mitral valve surgery (mitral valve plication or mitral valve replacement "with" or "without" left atrial appendage closure). 4. a documented diagnosis of co-occurrence of paroxysmal or persistent atrial fibrillation (AF) since at least 3 months prior to surgery with exclusion of acute conditions. Exclusion Criteria: 1. Lack of written consent from the patient to participate in the study. 2. Failure to meet the inclusion criteria. 3. Contraindications to the cryoablation procedure. 4. Patient breastfeeding, pregnant or planning pregnancy within 6 months of study treatment. 5. co-morbidities and/or conditions that may cause atrial fibrillation (uncompensated hyperthyroidism or hypothyroidism, acute infection, pheochromocytoma, significant dyselectrolitemia). 6. significant calcification of the left atrium. 7. Condition after previous cardiac surgery. 8. significant left atrial enlargement (size greater than 10 cm on echocardiography in one of the projections performed). projection). 9. the patient is currently a participant in another clinical trial. 10. The patient is on active biological therapy. 11. emergency surgery. 12. Life expectancy \<12 months. 13. Any circumstances that, in the opinion of the Investigator, may prevent the patient from participating in the study, limit the ability to perform the procedures outlined in the study protocol or place an unreasonable risk on the patient.
Where it's running
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Antoni Jurasz University Hospital No. 1
Bydgoszcz, Poland Recruiting -
Silesian Centre for Heart Diseases
Zabrze, Poland Recruiting
Study contacts
- Principal investigator: Tomasz Hrapkowicz, MD PhD — Silesian Centre for Heart Diseases
- Study coordinator: Tomasz Hrapkowicz, MD PhD
- Email: t.hrapkowicz@sccs.pl
- Phone: +48-519-136-533
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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MRace Implant: A first look at fixing the mitral valve to reduce regurgitation
This single-arm study tests whether the MRace Implant and Delivery System can safely place a prosthesis to reduce severe mitral regurgitation in high-risk patients who may not be good candidates for open-heart surgery.
-
Mitral Valve Calcification Imaging with TrueVue 3D Light Rendering
This study tests how well three-dimensional transesophageal echocardiography with TrueVue transillumination detects mitral valve calcifications compared with CT in adults.
-
Tracking progression and consequences of heart valve disease
This project will follow adults with moderate or worse valve disease to see if clinical tests and imaging can predict when their condition will get worse.
-
Surgical implantation of a polymer prosthetic mitral or aortic valve
This will test a surgically implanted polymer heart valve to see if it is safe and works well for adults who need mitral or aortic valve replacement.
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Abbott Cephea registry for mitral valve disease
Collects clinical information on adults with symptomatic mitral valve disease to see how correcting the valve with the Cephea system affects outcomes for patients who might be candidates for transcatheter mitral valve replacement.
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Left atrial shunt to help after mitral valve surgery
This study tests whether making a small opening between the left and right atria during mitral valve repair can relieve high left atrial pressure for adults with primary mitral regurgitation.
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.