Versatility of a Circular Multielectrode Catheter in the Individualized Recognition & Treatment of Atrial Fibrillation and Related Arrhythmias Using Pulsed Field Energy

ID#: NCT06056557

Age: 18 years - 66+

Gender: All

Healthy Subjects: No

Study Phase: N/A

Recruitment Status: Enrolling by invitation

Start Date: September 28, 2023

End Date: December 31, 2024

Summary: The purpose of this pragmatic study is to evaluate the safety, performance and effectiveness of the VARIPULSE catheter technology used in combination with the TRUPULSE™ Generator, and the compatible EAM system (Carto 3D) to treat patients with atrial fibrillation and related arrhythmias during clinically-indicated ablation procedures.
Eligibility:

Inclusion Criteria:

- Age 18 or older.

- Diagnosed with atrial fibrillation or atrial atypical atrial flutter (typical flutter may also be ablated provided that the typical flutter occurs in addition to atrial fibrillation or atypical flutter; that is, typical flutter as the sole arrhythmia should not undergo PFA).

- Previous surgical or catheter ablation for atrial fibrillation is allowed

- Planned for a catheter ablation procedure

- Able and willing to provide written consent and comply with all testing and follow-up requirements

- Have in place or are planned to receive an implantable loop recorder, pacemaker or defibrillator capable of recording atrial rhythm

Exclusion Criteria:

- Documented "active" left atrial thrombus

- Conditions that preclude the introduction and manipulation of intracardiac catheters: eg, active intracardiac thrombus, myxoma, tumor, a prohibitive interatrial baffle or patch, etc.)

- Previous PCI/MI within the past 1 month

- Active systemic infection or sepsis

- Uncontrolled heart failure

- New York Heart Association (NYHA) function class IV.

- History of blood clotting, bleeding abnormalities or contraindication to anticoagulation.

- Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment.

- Women who are pregnant, lactating, or who are of childbearing age and plan on becoming pregnant during this trial.

- Life expectancy or other disease processes likely to limit survival to less than 12 months.

- Currently enrolled in an investigational study evaluating another device, biologic, or drug, that would interfere with this trial.