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Efficacy and Safety of Cryoballoon Closure for Iatrogenic Atrial Septal Defect Following Atrial Fibrillation Ablation

Efficacy and Safety of Cryoballoon Closure for Iatrogenic Atrial Septal Defect Following Atrial Fibrillation Ablation

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2500109743
Enrollment
Unknown
Registered
2025-09-24
Start date
2025-10-30
Completion date
Unknown
Last updated
2025-09-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

atrial fibrillation

Interventions

Experimental group:iASD cryoballoon ablation

Sponsors

The First Affiliated Hospital of Wenzhou Medical University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients diagnosed with atrial fibrillation through electrocardiogram and Holter monitoring prior to enrollment; 2. Patients undergoing catheter-based cryoballoon ablation for atrial fibrillation; 3. Age 18 or older; 4. Consent to participate in this study, with the ability to understand and sign the informed consent form, and have good clinical compliance to complete the post-operative clinical follow-up required by the protocol.

Exclusion criteria

Exclusion criteria: 1. Prior left atrial ablation or cardiac surgery (including left atrial appendage closure); 2. History of atrial septal defect closure/occlusion; 3. History of prior transseptal puncture; 4. Known history of atrial septal defect (ASD); 5. Known history of patent foramen ovale (PFO); 6. Pre-existing pulmonary vein stent; 7. Pre-existing pulmonary vein stenosis; 8. History of pre-existing unilateral phrenic nerve palsy; 9. Presence of any cardiac valve prosthesis; 10. Presence of moderate-to-severe (grade 3-4) mitral regurgitation or mitral stenosis; 11. Any cardiac surgery, myocardial infarction, percutaneous coronary intervention (PCI)/percutaneous transluminal coronary angioplasty (PTCA), or coronary stenting within three months prior to signing consent; 12. Unstable angina pectoris; 13. Rheumatic heart disease; 14. Any condition contraindicating long-term anticoagulation therapy; 15. Active systemic infection; 16. Cryoglobulinemia; 17. Women known to be pregnant or breastfeeding; 18. Life expectancy less than one year; 19. Current or anticipated participation in any other investigational drug, device, or biologic trial during the study period; 20. Presence of intracardiac thrombus; 21. Known drug or alcohol addiction; 22. Patients unwilling or unable to fully comply with the study protocol and complete follow-up; 23. Patients with severe renal insufficiency, eGFR < 30 umol/L.

Design outcomes

Primary

MeasureTime frame
Size of iASD after 6 months of cryoballoon ablation;

Secondary

MeasureTime frame
Success rate after 6/12 months of cryoballoon ablation;Surgical complication record;

Countries

China

Contacts

Public ContactWu Xinlei

The First Affiliated Hospital of Wenzhou Medical University

87738296@qq.com+86 13587668730

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026