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Clinical Trials/NCT06157437
NCT06157437RecruitingNot Applicable

An Exploratory Study of Focal Pulse Ablation System in the Treatment of Atrial Arrhythmia

Hangzhou Dinova EP Technology Co., Ltd1 site in 1 country10 target enrollmentStarted: December 1, 2023Last updated:

Trial Snapshot

Phase
Not Applicable
Status
Recruiting
Enrollment
10
Locations
1
Primary Endpoint
Acute procedural success

Study Overview

Brief Summary

This is a prospective, single-group clinical study. The objective is to evaluate the safety and efficacy of focal pulse ablation system in the treatment of typical atrial flutter.

Study Design

Study Type
Interventional
Allocation
Na
Intervention Model
Single Group
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Subjects aged at least 18;
  • Subjects with at least one typical atrial flutter attack recorded by ECG or holter in the 180 days prior to enrollment, and the ECG of other hospitals could be accepted;
  • Subjects are able to understand the purpose of the study, voluntarily participate in the study and sign the informed consent, and are willing to complete the follow-up according to the requirements of the program.

Exclusion Criteria

  • Any prior cavo-tricuspid isthmus ablation;
  • Unstable angina;
  • Atrial flutter secondary to electrolyte disorder, thyroid disease or other reversible causes;
  • Myocardial infarction or coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) within the prior three months;
  • At baseline, New York College of Cardiology (NYHA) heart function grades III and IV;
  • Implantable devices such as ICDs, CRTS and pacemakers in the body;
  • Atrial or ventricular tumors, blood clots, thrombus, or known clotting disorders were recorded within the prior 90 days;
  • Severe structural heart disease, including tricuspid stenosis, tricuspid malformation, or other congenital heart disease that prevents ablation surgery;
  • Previously received tricuspid metal valve replacement;
  • Thromboembolic events (including transient ischemic attacks) within the past 6 months;
  • Mural thrombosis, tumor, or other abnormality that interferes with vascular puncture or catheter operation;
  • Severe lung disease, pulmonary hypertension or any lung disease involving abnormal blood gas or severe breathing difficulties;
  • Anticoagulation contraindications and a history of blood clotting or abnormal bleeding;
  • Acute systemic infection;
  • Serum creatinine greater than twice the upper limit of normal, or any history of renal dialysis;
  • Women who are pregnant or breastfeeding or who cannot use contraception during the study period;
  • Enrollment in another clinical trial evaluating other devices or drugs during the same period;
  • Life expectancy less than 12 months (e.g. advanced malignancy);
  • Abnormalities or diseases considered by the investigator to be excluded from inclusion in this study.

Outcomes

Primary Outcomes

Acute procedural success

Time Frame: immediately after the procedure

Acute procedural success is defined as the creation of bidirectional conduction block across the cavo-tricuspid isthmus immediately and 30 minutes after ablation.

Secondary Outcomes

  • Ablation efficiency including total procedure time, catheter dwell time, pulse discharge time and total X-ray exposure time(immediately after the procedure)
  • Incidence of device-related severe adverse events (SAE)(3 months and 6 months after procedure)
  • Chronic success(6 months after procedure)
  • Incidence of device-related major adverse events (MAE) within 7 days after ablation(within 7 days after ablation)

Investigators

Sponsor Class
Industry
Responsible Party
Sponsor

Study Sites (1)

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