Evidence map›Paper›PMID 41127849›Full record

ArticleInternational journal of cardiology. Heart & vasculature2025

Protocol for a prospective, multicenter, randomized, controlled trial comparing pulsed field ablation vs. cryoballoon ablation in patients with persistent atrial fibrillation (PEACE trial).

Hidehira Fukaya, Jun Oikawa, Tomoharu Yoshizawa, Akira Satoh, Wataru Shinkai, Megumi Toraiwa, Sho Ogiso, Daiki Saito, Gen Matsuura, Shuhei Kobayashi and 5 more

Registry-linked trialAbstract read
In one paragraph

Article in International journal of cardiology. Heart & vasculature, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07064616 (Pulsed Field Ablation vs. Cryoballoon Ablation in Patients With Persistent Atrial Fibrillation), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07064616 narecruitingnot on this map

Pulsed Field Ablation vs. Cryoballoon Ablation in Patients With Persistent Atrial Fibrillation

TypeinterventionalSponsorKitasato UniversityRan2025 to 2028Enrolled300ConditionsPersistent Atrial FibrillationArmsCatheter ablation using pulsed field ablation, Catheter ablation using cryoballoon ablation
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Recent highlights from theInternational journal of cardiology. Heart & vasculature · 2026
    Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Hidehira FukayaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Jun OikawaDepartment of Kitasato Clinical Research Center, Kitasato University School of Medicine, Kanagawa, Japan.
Tomoharu YoshizawaDepartment of Cardiovascular Medicine, Sagamihara Kyodo Hospital, Kanagawa, Japan.
Akira SatohDepartment of Cardiovascular Medicine, Nerima Hikarigaoka Hospital, Tokyo, Japan.
Wataru ShinkaiDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Megumi ToraiwaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Sho OgisoDepartment of Cardiovascular Medicine, Sagamihara Kyodo Hospital, Kanagawa, Japan.
Daiki SaitoDepartment of Cardiovascular Medicine, Nerima Hikarigaoka Hospital, Tokyo, Japan.
Gen MatsuuraDepartment of Cardiovascular Medicine, Sagamihara Kyodo Hospital, Kanagawa, Japan.
Shuhei KobayashiDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Yuki ArakawaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Hironori NakamuraDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Naruya IshizueDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Jun KishiharaDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.
Junya AkoDepartment of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Catheter ablation has become a standard treatment for atrial fibrillation (AF). However, evidence regarding the efficacy and safety of pulsed field ablation (PFA) in patients with persistent AF (PeAF) remains limited. The PEACE trial aims to evaluate the efficacy and safety of PFA compared to cryoballoon ablation (CBA) in PeAF. Methods: This prospective, multicenter, open-label, randomized controlled, non-inferiority trial (NCT07064616, UMIN000057896) will enroll 300 patients with PeAF, randomly assigned (1:1) to undergo either PFA using the PulseSelect™ or cryoballoon ablation (CBA) using the Arctic Front Advance™. The primary efficacy endpoint is atrial tachyarrhythmia recurrence within 12 months. The primary safety endpoint is procedure-related complications within 30 days. Secondary outcomes include early recurrence, changes in LA diameter, natriuretic peptide levels, and patient-reported symptoms. Expected results: We hypothesize that PFA will be non-inferior to CBA in terms of efficacy and safety. Conclusions: The PEACE trial will provide essential data regarding the efficacy and safety of PFA compared to CBA in patients with PeAF, potentially informing future clinical practice.

Indexed as

Atrial fibrillationCatheter ablationCryoballoon ablationPulsed-field ablationRandomized controlled trial

Identifiers

PMID41127849
PMCPMC12538402

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.