Re-Ablation Using a Tailored Approach Targeting EGM-Dispersion

Not Applicable

Active, not recruiting

• Conditions: Atrial Fibrillation
• Interventions: Device: Catheter Ablation

• Registration Number: NCT05477147
• Lead Sponsor: Volta Medical

Brief Summary

Multi-center, international, non-randomized clinical trial evaluating the use of Volta's VX1 algorithm as used in combination with repeat catheter ablation after AF recurrence after previous catheter ablation.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-07-25
• Study First Submitted QC: 2022-07-25
• Study First Posted: 2022-07-28
• Study Start: 2023-03-17
• Status Verified: 2025-02
• Last Update Submitted: 2025-02-04
• Last Update Posted: 2025-02-10
• Primary Completion: 2025-03
• Study Completion: 2025-06

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 92

Inclusion Criteria

1. Patients 21 years of age or older indicated for redo AF ablation
2. Previous catheter or surgical ablation for paroxysmal AF, persistent AF, or long-standing persistent AF
3. Documented symptomatic AF recurrences that occurred within the last 12 months and persisted beyond 3 months after the last AF ablation procedure
4. Continuous anticoagulation with warfarin (INR 2-3) or NOAC for > 4 weeks prior to ablation
5. Patients must be able and willing to provide written informed consent to participate in the clinical trial

Exclusion Criteria

1. Previous ablation procedure-related complication (e.g. fistula, perforation, etc.)
2. First AF ablation procedure indication was persistent AF lasting longer than 24 months
3. Long-standing persistent AF recurrence prior to study redo procedure
4. Previous AF ablation using VX1 software
5. Severe obesity (BMI > 50)
6. Very dilated Left Atrium (LA) (e.g. LA diameter > 55 mm and/or LA surface > 40 cm2 determined by 2D echocardiography)
7. Patients with AF secondary to an obvious reversible cause
8. Inadequate anticoagulation as defined in the inclusion criteria
9. LA thrombus on Transesophageal Echocardiography (TEE)* or CT Scan prior to procedure
10. Contraindications to anticoagulation (heparin, warfarin or NOAC)
11. Patients who are or may potentially be pregnant
12. Any cardiac surgery except catheter ablation within the past 2 months (60 days) (includes PCI)
13. Myocardial infarction within the past 2 months (60 days)
14. Previous AV valve surgery
15. Patient diagnosed with hypertrophic cardiomyopathy
16. History of blood clotting or bleeding abnormalities
17. Documented arterial thromboembolic event (including TIA) within the past 12 months (365 days)
18. Rheumatic Heart Disease
19. Cardiac Sarcoidosis
20. Chronic severe Heart Failure (NYHA functional class IV and/or LVEF < 25%)
21. Awaiting cardiac transplantation or other cardiac surgery within the next 12 months (365 days)
22. Unstable angina within the past month
23. Acute illness or active systemic infection or sepsis
24. AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause
25. Diagnosed atrial myxoma
26. Significant severe pulmonary disease (e.g. patients with restrictive pulmonary disease, constrictive or chronic obstructive pulmonary disease in GOLD stage IV) or any other disease or malfunction of the lungs or respiratory system that produces chronic symptoms (e.g. unstable or untreated sleep apnea)
27. Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment
28. Enrollment in an investigational study evaluating another device, biologic, or drug
29. Presence of intramural thrombus, tumor or other abnormality or condition that precludes vascular access, or manipulation of the catheter
30. Life expectancy or other disease processes likely to limit survival to less than 12 months
31. Acute Covid-19 infection (fever and/or biological inflammatory syndrome, and positive test documented)

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Treatment Group	Catheter Ablation	Patients undergoing catheter ablation that qualify after initial screening.

Primary Outcome Measures

Name	Time	Method
Freedom from AF	1 year	Percent of patient free from recurrent AF episodes of \>30 seconds at 1 year after 1 study redo procedure

Trial Locations

Locations (19)

Grandview Medical Center; 🇺🇸 Birmingham, Alabama, United States

Arrhythmia Research Group; 🇺🇸 Jonesboro, Arkansas, United States

Northwestern University; 🇺🇸 Evanston, Illinois, United States

Loyola University; 🇺🇸 Maywood, Illinois, United States

Allegheny Health Network; 🇺🇸 Pittsburgh, Pennsylvania, United States

Ascension St. Vincent's Hospital; 🇺🇸 Jacksonville, Florida, United States

Kansas City Cardiac Arrhythmia Research LLC; 🇺🇸 Overland Park, Kansas, United States

Penn Presbyterian Medical Center; 🇺🇸 Philadelphia, Pennsylvania, United States

Clinique Pasteur; 🇫🇷 Toulouse, France

Brigham and Women's Hospital; 🇺🇸 Boston, Massachusetts, United States

Northwell Health System; 🇺🇸 New York, New York, United States

Inova Fairfax Hospital; 🇺🇸 Fairfax, Virginia, United States

Deutsches Herzzentrum München; 🇩🇪 München, Germany

Washington University; 🇺🇸 Saint Louis, Missouri, United States

OLV Aalst; 🇧🇪 Aalst, Belgium

Hôpital Privé Jacques Cartier; 🇫🇷 Massy, France

Northshore University Health System; 🇺🇸 Evanston, Illinois, United States

Houston Methodist Research Institute; 🇺🇸 Houston, Texas, United States

The Ohio State University; 🇺🇸 Columbus, Ohio, United States