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临床试验/NCT05282823
NCT05282823已完成不适用

POLARx™ Cardiac Cryoablation System Post Market Clinical Study POLAR SMART

Boston Scientific Corporation19 个研究点 分布在 2 个国家目标入组 295 人开始时间: 2022年8月26日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
295
试验地点
19
主要终点
Failure Free Rate

研究概览

简要总结

This is a post-market study collecting real-world clinical data on safety, effectiveness and procedural success of Boston Scientific Cardiac Cryoablation System (POLARx™ System)

详细描述

The study will collect real-world clinical data on safety, effectiveness and procedural success of Boston Scientific Cardiac Cryoablation System (POLARx™ System) when used to perform pulmonary vein isolation (PVI) in the ablation treatment of De Novo Atrial Fibrillation (AF).

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
19 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Subjects indicated for the treatment of AF with the cryoablation system;
  • 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 study at an approved clinical investigational center;
  • Subjects who are of legal age to give informed consent specific to the national law.

排除标准

  • Any known contraindication to an AF ablation or anticoagulation, including those listed in the IFU/Tenpubunsyo as legally approved conditions;
  • Any prior LA ablation;
  • AF secondary to electrolyte imbalance, thyroid disease, or any other reversible or non-cardiac cause;
  • Known or pre-existing severe Pulmonary Vein Stenosis;
  • Evidence of cardiac myxoma, LA thrombus or intracardiac mural thrombus;
  • Previous cardiac surgery (e.g. ventriculotomy or atriotomy, CABG, PTCA, PCI, ventricular fistula or atrial incision) and any surgery within 90 days prior to enrollment;
  • Any implanted cardiac device (e.g. PM, ICD, CRT, valve replacement, LAAO, etc) within 90 days prior to enrollment;
  • Any planned OR scheduled cardiac device procedure (e.g. PM, ICD, CRT, valve replacement, LAAO, etc) during and post PVI ablation (during and post-index procedure);
  • Any planned ablation in LA except PVI procedure and roof line ablation;
  • Any planned ablation in ventricles;
  • Subjects undergoing atrial septal defect patch or other surgical procedures at or near the atrial septal defect;
  • Subjects with severe valvular disease OR with a prosthetic - mechanical or biological - heart valve (not including valve repair and annular rings);
  • Presence of any pulmonary vein stents;
  • Subjects with active systemic infection;
  • Subjects that have vena cava embolic protection filter devices and/or known femoral thrombus;
  • Any previous history of cryoglobulinemia;
  • Subjects that are unable to undergo atrium access safely or operate in the atrium as per investigator's medical judgement;
  • Subjects with no vascular access or obstruction of the femoral vein;
  • Subjects with blood coagulation disorders or diseases;
  • Any prior history of documented cerebral infarct, TIA or systemic embolism (excluding a post-operative deep vein thrombosis (DVT)) ≤ 180 days prior to enrollment;
  • Subjects who are hemodynamically unstable;
  • The subject is unable or not willing to complete follow-up visits and examination for the duration of the study;
  • Subjects with life expectancy ≤ 1 year per investigator's medical judgement;
  • Women of childbearing potential who are, or plan to become, pregnant during the time of the study (assessment per investigator's discretion);
  • Subjects with unrecovered/unresolved Adverse Events from any previous invasive procedure;
  • Subjects who are currently enrolled in another investigational study or registry that would directly interfere with POLAR SMART study. Exception when the subject is participating in a mandatory governmental registry, or a purely observational registry with no associated treatments. Each instance must be brought to the attention of the sponsor for approval.

结局指标

主要结局

Failure Free Rate

时间窗: 12 months

Failure to achieve acute procedural success during the procedure, or any documented recurrent AF episode(s), or new onset of atrial flutter (AFL) or any other atrial tachycardia (AT) events between Days 91 and 12-Month, or any interventions for AF/AFL/AT between Days 91 and 12-Month

Safety Event Free Rate

时间窗: 12 months

Freedom from procedure and device-related adverse events post-index procedure

次要结局

  • Failure Free Rate(6 month)

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (19)

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