About this trial
This pragmatic, prospective, single-arm, multi-center, observational registry will evaluate the safety and effectiveness of PFA for the treatment of atrial fibrillation in underrepresented minority patients using FDA approved Boston Scientific PFA catheters; all data collected will be standard of care.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All consecutive patients classified as racial or ethnic minorities undergoing ablation using Boston Scientific FDA approved PFA catheters for AF will be included.
De novo ablation for symptomatic paroxysmal and persistent AF (Age ≥ 18) (unless it is a repeat for a patient whose index procedure is also in the registry) who are deemed to be candidates for AF ablation by the investigator.
Able and willing to participate in baseline and follow up evaluation over the study period
Willing and able to provide informed consent, if applicable.
Disqualifiers
Enrolled in an investigational drug or device clinical trial or any other trial with outlined treatment plan
Long standing persistent AF (AF > 1 year duration)
Repeat ablation, unless index ablation procedure was in the REPRESENT-PF registry
Any known contra-indication to ablation procedure at the discretion of the investigator
Trial population
Racial or ethnic minorities defined based on modified National Institutes of Health (NIH) categories: Black or African American, American Indian/Alaska native, Asian, Hawaiian or other Pacific Islander, multiracial or of Hispanic, Latino/Latina origin.
Trial design
Other
Prospective
Treatments tested in this trial
FARAWAVE Pulsed Field Ablation Catheter
DeviceThe FARAWAVE Pulsed Field Ablation (PFA) Catheter is a component of the FARAPULSE PFA System. The FARAWAVE Catheter is an over-the-wire, multi-electrode catheter designed to deliver PFA energy to the distal section for cardiac ablation. The FARAWAVE Catheter is indicated for: 1) the isolation of pulmonary veins in the treatment of drug-refractory, recurrent, symptomatic Paroxysmal Atrial Fibrillation (PAF) 2) the isolation of pulmonary veins and the posterior wall in the treatment of drug-refractory, symptomatic Persistent Atrial Fibrillation (episode duration less than one year) This device is FDA approved.
Treatment groups
Trial outcomes
Primary outcomes
Composite Serious Adverse Events
Assess device- or procedure-related Composite Serious Adverse Events (CSAEs) assessed through Day 60 following the Ablation Procedure The proportion of all Treatment Subjects and Attempt Subjects (combined PAF and PersAF cohort) with one or more device- or procedure-related Composite Serious Adverse Events (CSAEs) assessed through Day 60 following the Ablation Procedure on or prior to the Day 60 Assessment, with an Onset Date following the procedure.
Chronic Treatment Success
Chronic treatment success is defined as freedom from any of the following through the Day 365: * Arrhythmia: Occurrence of any detectable AF, AFL or AT * Re-ablation: Any re-ablation for AF, AFL or AT at any time following the index procedure after the blanking period. * Cardioversion: Any electrical cardioversion for AF, AFL or AT
Sponsors and contacts
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Vivek Reddy
Lead sponsor
Icahn School of Medicine at Mount Sinai
Sponsor institution
Boston Scientific Corporation
Collaborator