NL-OMON50243已完成不适用
Clinical Evaluation of the StablePoint Catheter and Force-Sensing System for Paroxysmal Atrial Fibrillation - NEWTON AF
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18 至 99(—)
入选标准
- •* History of recurrent symptomatic Paroxysmal Atrial Fibrillation (PAF),
- •defined as atrial fibrillation (AF) that terminates spontaneously or with
- •intervention (either procedure or drug therapy) within seven days of onset.
- •Minimum documentation includes the following:
- •o a physician*s note indicating recurrent self-terminating atrial fibrillation
- •(AF) which includes at least two symptomatic AF episodes in the patient*s
- •history within the last 6 months prior to enrollment, and
- •o any electrocardiographically documented AF episode within 12 months prior to
- •enrollment.
- •* Subjects who are eligible for an ablation procedure for PAF according to 2017
- •HRS expert consensus statement on catheter ablation of atrial fibrillation;
- •* Subjects refractory or intolerant to at least one class I or class III
- •antiarrhythmic medication or contraindicated to any class I or III medications;
- •* Subjects who are willing and capable of providing informed consent;
- •* Subjects who are willing and capable of participating in all testing
- •associated with this clinical investigation at an approved clinical
- •investigational center;
- •* Subjects whose age is 18 years or above, or who are of legal age to give
- •informed consent specific to state and national law.
排除标准
- •* Subjects with New York Heart Association (NYHA) Class III or IV heart failure
- •< 180 days prior to enrollment
- •* Left atrial diameter > 5.0 cm or left atrial volume >50 ml/m² indexed based
- •on the most recent echocardiography
- •* Left ventricular ejection fraction < 35% based on the most recent
- •echocardiogram
- •* Continuous AF lasting longer than seven (7) days
- •* Subjects who have undergone any previous left atrial cardiac ablation (RF,
- •Cryo, surgical)
- •* Atrial fibrillation secondary to electrolyte imbalance, thyroid disease, or
- •reversible or non-cardiac cause
- •* Subjects who have undergone any cardiac ablation or any surgery within 30
- •days prior to enrollment
- •* Currently implanted with a pacemaker, ICD, CRT device, or an implanted
- •arrhythmia loop recorder
- •* Active systemic infection
- •* Unstable angina or ongoing myocardial ischemia
- •* Myocardial Infarction (MI) within 90 days prior to enrollment
- •* Evidence of myxoma, left atrial thrombus or intracardiac mural thrombus
- •* Previous cardiac surgery (i.e. ventriculotomy, atriotomy, CABG, PTCA, PCI,
- •coronary stenting procedures) * 90 days prior to enrollment.
- •* Severe valvular disease, including mechanical prosthetic mitral or tricuspid
- •heart valves (patients with successful mitral valve repair allowed * annular
- •ring constitutes repair);
- •* Any prior history of documented cerebral infarct, TIA or systemic embolism
- •[excluding a post-operative deep vein thrombosis (DVT)] <180 days prior to
- •* Moderate or severe mitral stenosis (severity assessed on the most recent TTE
- •*180 days prior to enrollment. Defined as pulmonary artery systolic pressure
- •* Presence of left atrial appendage closure device
- •* Interatrial baffle, closure device, patch, or patent foramen ovale (PFO)
- •* Subjects who, in the judgment of the investigator, have a life expectancy of
- •less than two (2) years
- •* Women of childbearing potential who are, or plan to become, pregnant during
- •the time of the study (method of assessment upon investigator*s discretion)
- •* Amiodarone use within 60 days prior to enrollment
- •* Any carotid stenting or endarterectomy
- •* Stage 3B renal disease or higher (estimated glomerular filtration rate, eGFR
- •<45 mL/min)
- •* Known coagulopathy disorder (e.g. von Willebrand*s disease, hemophilia)
- •* Any known contraindication to an AF ablation
- •* Any known contraindication for anticoagulation (e.g. patients unable to
- •receive heparin or an acceptable alternative to achieve adequate
- •anticoagulation)
- •* Vena cava embolic protection filter devices and/or known femoral thrombus
- •that prevents catheter insertion from the femoral approach
- •* Known sensitivity to contrast media (if needed during the procedure) that
- •cannot be controlled with pre-medication
- •* Rheumatic Heart Disease
- •* Presence of intramural thrombus, tumor or other abnormality that precludes
- •vascular access, or manipulation of the catheter
- 另有 6 项未显示
研究者
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