Skip to content

Multi-electrode Radiofrequency Balloon Catheter Use for the Isolation of the Pulmonary Veins.

Multi-electrode Radiofrequency Balloon Catheter Use for the Isolation of the Pulmonary Veins.

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03437733
Acronym
SHINE
Enrollment
98
Registered
2018-02-19
Start date
2018-02-28
Completion date
2019-10-17
Last updated
2025-06-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Paroxysmal Atrial Fibrillation

Keywords

Radiofrequency Ablation, Paroxysmal Atrial Fibrillation

Brief summary

This clinical investigation is a prospective, multicenter, single arm clinical evaluation utilizing the multi-electrode radiofrequency balloon catheter and the multi-electrode circular diagnostic catheter.

Detailed description

The objective of this clinical investigation is to assess the safety and acute effectiveness of the multi-electrode radiofrequency balloon catheter and multi-electrode circular diagnostic catheter when used for the isolation of the pulmonary veins in the treatment of Paroxysmal Atrial Fibrillation (PAF).

Interventions

DEVICERadiofrequency Ablation

RF ablation using multi-electrode radiofrequency balloon catheter and multi-electrode circular diagnostic catheter

Sponsors

Biosense Webster, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
No

Inclusion criteria

1. Diagnosed with Symptomatic Paroxysmal AF. 2. Selected for atrial fibrillation (AF) ablation procedure for pulmonary vein isolation. 3. Able and willing to comply with uninterrupted per-protocol anticoagulation requirements 4. Age 18-75 years. 5. Able and willing to comply with all pre-, post- and follow-up testing and requirements. 6. Signed Patient Informed Consent Form.

Exclusion criteria

1. AF secondary to electrolyte imbalance, thyroid disease, or reversible or non-cardiac cause. 2. Previous surgical or catheter ablation for AF. 3. Anticipated to receive ablation outside the PV ostia and Cavo-triscuspid-isthmus (CTI) region 4. Previously diagnosed with persistent, longstanding AF and/or continuous AF \> 7 days, or \> 48 hrs terminated by cardioversion. 5. Any percutaneous coronary intervention (PCI) within the past 2 months. 6. Valve repair or replacement and presence of a prosthetic valve. 7. Any carotid stenting or endarterectomy. 8. Coronary artery bypass grafting (CABG), cardiac surgery (e.g. ventriculotomy, atriotomy), or valvular cardiac surgical or percutaneous procedure within the past 6 months. 9. Documented left atrium (LA) thrombus on baseline/pre-procedure imaging. 10. LA antero posterior diameter \> 50 mm 11. Any PV with a diameter ≥ 26 mm 12. Left Ventricular Ejection Fraction (LVEF) \< 40%. 13. Contraindication to anticoagulation (e.g. heparin). 14. History of blood clotting or bleeding abnormalities. 15. Myocardial infarction within the past 2 months. 16. Documented thromboembolic event \[including transient ischemic attack(TIA)\] within the past 12 months. 17. Rheumatic Heart Disease. 18. Uncontrolled heart failure or New York Heart Association (NYHA) function class III or IV. 19. Awaiting cardiac transplantation or other cardiac surgery within the next 12 months. 20. Unstable angina. 21. Acute illness or active systemic infection or sepsis. 22. Diagnosed atrial myxoma or interatrial baffle or patch. 23. Presence of implanted pacemaker or implantable cardioverter defibrillator (ICD). 24. Significant pulmonary disease, (e.g. restrictive pulmonary disease, constrictive or chronic obstructive pulmonary disease) or any other disease or malfunction of the lungs or respiratory system that produces chronic symptoms. 25. Significant congenital anomaly or medical problem that, in the opinion of the investigator, would preclude enrollment in this study. 26. Women who are pregnant (as evidenced by pregnancy test if pre-menopausal), lactating, or who are of child bearing age and plan on becoming pregnant during the course of the clinical investigation. 27. Enrollment in an investigational study evaluating another device, biologic, or drug. 28. Has known pulmonary vein stenosis. 29. Presence of intramural thrombus, tumor or other abnormality that precludes vascular access, or manipulation of the catheter. 30. Presence of an Inferior Vena Cava (IVC) filter 31. Presence of a condition that precludes vascular access. 32. Life expectancy or other disease processes likely to limit survival to less than 12 months. 33. Presenting contra-indication for the devices (e.g. transthoracic echocardiography (TTE), CT, etc.) used in the study, as indicated in the respective instructions for use. 34. Categorized as a vulnerable population and requires special treatment with respect to safeguards of well-being Additional

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Early Onset Primary Adverse Events (PAEs): Death, Atrio-esophageal Fistula and Pulmonary Vein StenosisUp to 90 days (post initial mapping and ablation procedure)A Primary AEs is an event which occurred within 90 days following initial ablation procedure. Primary AEs included: Death, atrio-esophageal fistula, and pulmonary vein stenosis.
Number of Participants With Early Onset PAEs: Myocardial Infraction, Cardiac Tamponade/Perforation, Thromboembolism, Stroke/Cerebrovascular Accident, Transient Ischemic Attack, Phrenic Nerve Paralysis, and Major Vascular Access Complication/BleedingUp to 7 days (post initial mapping and ablation procedure)A Primary AEs is an event which occurred within the first week (7 days of the initial mapping and ablation procedure) which included myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cerebrovascular accident (CVA), Transient ischemic attack (TIA), phrenic nerve paralysis (PNP), and major vascular access complication (MVAC)/bleeding following initial ablation procedure.
Percentage of Participants With Acute Procedural SuccessDay 1Acute procedural success is defined as confirmation of entrance block in treated pulmonary veins (PV) after adenosine and/or isoproterenol challenge (with or without the use of a focal catheter).

Secondary

MeasureTime frameDescription
Number of Participants With Non-serious Adverse EventsUp to 405 DaysAn AE is any untoward medical occurrence in participants whether or not related to the investigational medical device.
Number of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral EmboliPre-procedure, at Discharge, 1 Month and at unscheduled visit (Up to 405 Days)Number of participants with pre-and post-ablation asymptomatic and symptomatic cerebral emboli was reported.
Number of Participants With Symptomatic and Asymptomatic Cerebral EmboliUp to 405 DaysNumber of participants with symptomatic and asymptomatic cerebral emboli was reported
Number of Participants With New or Worsening Neurologic DeficitsPre-procedure, discharge, 1 Month, 3 Month and 6 MonthNumber of participants with new or worsening neurologic deficits was reported.
Number of Participants With NIHSS ScoresPre-procedure and at discharge (Up to 405 Days)The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS) is a tool used to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The individual scores from each item are summed to calculate a patient's total NIHSS score. The patient's total NIHSS score ranges from 0 (minimum) - 42 (maximum). Score 0 (no stroke symptoms); 1 - 4 (Minor stroke); 5-15 (Moderate stroke); 16-20 (Moderate to severe stroke); and 21-42 (Severe stroke).
Number of Participants With Individual PAE From Primary CompositeUp to 7 days for MI, CT/perforation, thromboembolism, stroke/CVA, TIA, PNP and MVAC (initial mapping and ablation procedure) and up to 90 days for death, AE fistula, and PVST (post procedure)A Primary AEs is an event which occurred within the first week (7 days of the initial mapping and ablation procedure) which included death, atrio-esophageal fistula (AE fistula) and pulmonary vein stenosis (PVST); and up to 90 days post procedure which included myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cerebrovascular accident (CVA), Transient ischemic attack (TIA), phrenic nerve paralysis (PNP), and major vascular access complication (MVAC)/bleeding following initial ablation procedure.
Number of Participants With Hospitalization for Cardiovascular EventsWithin 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 405 Days)Hospitalization was defined as prolonged stay greater than or equal to (\>=) 2 nights post index procedure or in-patient stay not concurrent with index procedure \>= 1 calendar day. Hospitalization included cardiovascular events due to any cause post index procedure, regardless of protocol-defined serious/non-serious adverse events (AEs) or not. Hence this data was not contributed in serious Adverse events until met the AE definition.
Percentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsUp to 405 DaysPercentage of participants with PVI touch-up by balloon and/or focal catheter among all targeted veins and by participants was reported. Most of the participants were ablated by Balloon catheter only while one participant was ablated with both Balloon and Focal catheters.
Percentage of Participants With Use of Focal Catheter Ablation for Non-PV TriggersUp to 405 DaysPercentage of participants with use of focal catheter ablation for non-PV triggers was reported.
Percentage of Participants With Freedom From Documented Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atypical (Left Side) Atrial Flutter (AFL) Episodes or Documented Symptomatic AF/AT/AFLUp to 6 MonthsPercentage of participants with six-month arrythmia recurrence \[defined as freedom from documented symptomatic or asymptomatic atrial fibrillation (AF), atrial tachycardia (AT), or atypical (left side) atrial flutter (AFL) episodes (episodes \>30 seconds on arrhythmia monitoring device from Day 91 to 180 post the index procedure)\] was reported.
Percentage of Participants With Freedom From Documented, AF, AT, or Atypical (Left Side) AFL Episodes or Documented Symptomatic AF/AT/AFLUp to 12 MonthsTwelve-month Arrythmia recurrence is defined as a documented symptomatic or asymptomatic episode \>30 seconds on an arrhythmia monitoring device between day 91 to 365 post the index procedure.
Number of Participants With MoCA ScoresUp to 405 DaysMontreal Cognitive Assessment (MoCA) is used for detecting cognitive impairment, the scores range from 0 to 30. A score of 26 or higher is considered normal, patients with mild cognitive impairment (MCI) were scored an average of 22 and patients with significant cognitive impairment (SCI) were scored an average of 16.
Number of Participants With Serious Adverse Device Effects (SADEs)Up to 405 DaysAn adverse device effect is an adverse event related to the to the device and or the procedure of the investigational medical device. SADE is an adverse device effect that has resulted in any of the consequences characteristic of an SAE.
Number of Participants With Serious Non-primary Adverse Events Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation ProcedureWithin 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 405 Days)Serious non-primary adverse event was defined as SAE that are not primary adverse events. Primary AEs included: Death, atrio-esophageal fistula, and pulmonary vein stenosis.

Countries

Czechia, Italy, United Kingdom

Participant flow

Participants by arm

ArmCount
Roll-in Study Phase: Radiofrequency (RF) Ablation
Roll-in study phase was to demonstrate the acute effectiveness of the multi-electrode RF balloon catheter in the absence of confounding evidence that reflects early stages of a medical device learning curve.
8
Main Study Phase: RF Ablation
RF ablation was done using multi-electrode radiofrequency balloon catheter device (facilitate electrophysiological mapping of the heart and to transmit RF current to the target tissue) and multi-electrode circular diagnostic catheter device (recording and mapping of the atria of the heart with the carto system).
87
Total95

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyEligibility criteria not met03

Baseline characteristics

CharacteristicRoll-in Study Phase: Radiofrequency (RF) AblationMain Study Phase: RF AblationTotal
Age, Continuous61.9 Years
STANDARD_DEVIATION 6.9
60.2 Years
STANDARD_DEVIATION 10.05
60.3 Years
STANDARD_DEVIATION 9.81
Race and Ethnicity Not Collected0 Participants
Sex: Female, Male
Female
3 Participants31 Participants34 Participants
Sex: Female, Male
Male
5 Participants56 Participants61 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 80 / 87
other
Total, other adverse events
0 / 80 / 87
serious
Total, serious adverse events
1 / 82 / 87

Outcome results

Primary

Number of Participants With Early Onset PAEs: Myocardial Infraction, Cardiac Tamponade/Perforation, Thromboembolism, Stroke/Cerebrovascular Accident, Transient Ischemic Attack, Phrenic Nerve Paralysis, and Major Vascular Access Complication/Bleeding

A Primary AEs is an event which occurred within the first week (7 days of the initial mapping and ablation procedure) which included myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cerebrovascular accident (CVA), Transient ischemic attack (TIA), phrenic nerve paralysis (PNP), and major vascular access complication (MVAC)/bleeding following initial ablation procedure.

Time frame: Up to 7 days (post initial mapping and ablation procedure)

Population: The population analysis included the modified intent-to-treat (mITT) analysis set included all enrolled participants who met eligibility criteria, had undergone insertion of the study catheters and were followed-up for 90-days period for evaluation of PAEs.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Early Onset PAEs: Myocardial Infraction, Cardiac Tamponade/Perforation, Thromboembolism, Stroke/Cerebrovascular Accident, Transient Ischemic Attack, Phrenic Nerve Paralysis, and Major Vascular Access Complication/Bleeding1 Participants
Primary

Number of Participants With Early Onset Primary Adverse Events (PAEs): Death, Atrio-esophageal Fistula and Pulmonary Vein Stenosis

A Primary AEs is an event which occurred within 90 days following initial ablation procedure. Primary AEs included: Death, atrio-esophageal fistula, and pulmonary vein stenosis.

Time frame: Up to 90 days (post initial mapping and ablation procedure)

Population: The population analysis included the modified intent-to-treat (mITT) analysis set included all enrolled participants who met eligibility criteria, had undergone insertion of the study catheters and were followed-up for 90-days period for evaluation of PAEs.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Early Onset Primary Adverse Events (PAEs): Death, Atrio-esophageal Fistula and Pulmonary Vein Stenosis0 Participants
Primary

Percentage of Participants With Acute Procedural Success

Acute procedural success is defined as confirmation of entrance block in treated pulmonary veins (PV) after adenosine and/or isoproterenol challenge (with or without the use of a focal catheter).

Time frame: Day 1

Population: PP analysis set included participants who comply with the following criteria: a). were enrolled and met all eligibility criteria; b). had undergone RF ablation with study catheters; c) were treated for the study-related arrhythmia. Population included participants who had the adenosine/isoproterenol challenge.

ArmMeasureValue (NUMBER)
Radiofrequency (RF) AblationPercentage of Participants With Acute Procedural Success100 Percentage of participants
Secondary

Number of Participants With Hospitalization for Cardiovascular Events

Hospitalization was defined as prolonged stay greater than or equal to (\>=) 2 nights post index procedure or in-patient stay not concurrent with index procedure \>= 1 calendar day. Hospitalization included cardiovascular events due to any cause post index procedure, regardless of protocol-defined serious/non-serious adverse events (AEs) or not. Hence this data was not contributed in serious Adverse events until met the AE definition.

Time frame: Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 405 Days)

Population: The safety population was defined to consist of all enrolled participants who have undergone insertion of the study catheter. Here 'n' (number analyzed) signifies the number of participants analyzed at specified timepoints.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Hospitalization for Cardiovascular Events0 - 7 Days2 Participants
Radiofrequency (RF) AblationNumber of Participants With Hospitalization for Cardiovascular Events8 - 30 Days0 Participants
Radiofrequency (RF) AblationNumber of Participants With Hospitalization for Cardiovascular Events>= 31 Days5 Participants
Secondary

Number of Participants With Individual PAE From Primary Composite

A Primary AEs is an event which occurred within the first week (7 days of the initial mapping and ablation procedure) which included death, atrio-esophageal fistula (AE fistula) and pulmonary vein stenosis (PVST); and up to 90 days post procedure which included myocardial infraction (MI), cardiac tamponade (CT)/perforation, thromboembolism, stroke/cerebrovascular accident (CVA), Transient ischemic attack (TIA), phrenic nerve paralysis (PNP), and major vascular access complication (MVAC)/bleeding following initial ablation procedure.

Time frame: Up to 7 days for MI, CT/perforation, thromboembolism, stroke/CVA, TIA, PNP and MVAC (initial mapping and ablation procedure) and up to 90 days for death, AE fistula, and PVST (post procedure)

Population: The population analysis included the mITT analysis set included all enrolled participants who met eligibility criteria, had undergone insertion of the study catheters and were followed-up for 90-days period for evaluation of PAEs. Here 'N' (number of participants analyzed) signifies the number of participants analyzed in this outcome measure.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeDeath0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeAtrio-esophageal fistula0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeMyocardial infraction0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeCardiac tamponade/perforation0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeThromboembolism0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeStroke/cerebrovascular accident (CVA)0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeTransient ischemic attack0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositePhrenic nerve paralysis0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositePulmonary vein stenosis0 Participants
Radiofrequency (RF) AblationNumber of Participants With Individual PAE From Primary CompositeMajor vascular access complication/bleeding1 Participants
Secondary

Number of Participants With MoCA Scores

Montreal Cognitive Assessment (MoCA) is used for detecting cognitive impairment, the scores range from 0 to 30. A score of 26 or higher is considered normal, patients with mild cognitive impairment (MCI) were scored an average of 22 and patients with significant cognitive impairment (SCI) were scored an average of 16.

Time frame: Up to 405 Days

Population: NAE Analysis set was a subset of the Per Protocol Population, consent and are eligible for the required neurological assessments, and have post-ablation MRI. Here 'n' (number analyzed) signifies participants analyzed at specified time point.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With MoCA ScoresPre-procedure: 0-2516 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA ScoresPre-procedure: 26-3015 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA Scores1 Month: 0-256 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA Scores1 Month: 26-3024 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA Scores3 Month: 0-251 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA Scores3 Month: 26-301 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA Scores6 Month: 0-251 Participants
Radiofrequency (RF) AblationNumber of Participants With MoCA Scores6 Month: 26-300 Participants
Secondary

Number of Participants With New or Worsening Neurologic Deficits

Number of participants with new or worsening neurologic deficits was reported.

Time frame: Pre-procedure, discharge, 1 Month, 3 Month and 6 Month

Population: Neurological Assessment Evaluable (NAE) Analysis set was a subset of the Per Protocol Population, consented and were eligible for the required neurological assessments, and have post-ablation MRI. Here 'n' (number analyzed) signifies participants with neurological deficit at specified time point.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With New or Worsening Neurologic DeficitsPre-procedure0 Participants
Radiofrequency (RF) AblationNumber of Participants With New or Worsening Neurologic DeficitsDischarge1 Participants
Radiofrequency (RF) AblationNumber of Participants With New or Worsening Neurologic Deficits1 Month0 Participants
Radiofrequency (RF) AblationNumber of Participants With New or Worsening Neurologic Deficits3 Month0 Participants
Radiofrequency (RF) AblationNumber of Participants With New or Worsening Neurologic Deficits6 Month0 Participants
Secondary

Number of Participants With NIHSS Scores

The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS) is a tool used to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment. The individual scores from each item are summed to calculate a patient's total NIHSS score. The patient's total NIHSS score ranges from 0 (minimum) - 42 (maximum). Score 0 (no stroke symptoms); 1 - 4 (Minor stroke); 5-15 (Moderate stroke); 16-20 (Moderate to severe stroke); and 21-42 (Severe stroke).

Time frame: Pre-procedure and at discharge (Up to 405 Days)

Population: NAE Analysis set was a subset of the Per Protocol Population, consent and are eligible for the required neurological assessments, and have post-ablation MRI.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresPre-procedure: NIHSS Score: 031 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresPre-procedure: NIHSS Score: 1-40 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresPre-procedure: NIHSS Score: 5-150 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresPre-procedure: NIHSS Score: 16-200 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresPre-procedure: NIHSS Score: 21-420 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresDischarge: NIHSS Score: 031 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresDischarge: NIHSS Score: 1-40 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresDischarge: NIHSS Score: 5-150 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresDischarge: NIHSS Score: 16-200 Participants
Radiofrequency (RF) AblationNumber of Participants With NIHSS ScoresDischarge: NIHSS Score: 21-420 Participants
Secondary

Number of Participants With Non-serious Adverse Events

An AE is any untoward medical occurrence in participants whether or not related to the investigational medical device.

Time frame: Up to 405 Days

Population: The safety population was defined to consist of all enrolled participants who have undergone insertion of the study catheter.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Non-serious Adverse Events46 Participants
Secondary

Number of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral Emboli

Number of participants with pre-and post-ablation asymptomatic and symptomatic cerebral emboli was reported.

Time frame: Pre-procedure, at Discharge, 1 Month and at unscheduled visit (Up to 405 Days)

Population: Neurological Assessment Evaluable (NAE) Analysis set was a subset of the Per Protocol Population, consented and were eligible for the required neurological assessments, and had post-ablation MRI. Here 'n' (number analyzed) signifies participants with MRI done at specified time point.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral EmboliPre-procedure0 Participants
Radiofrequency (RF) AblationNumber of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral EmboliDischarge3 Participants
Radiofrequency (RF) AblationNumber of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral Emboli1 Month0 Participants
Radiofrequency (RF) AblationNumber of Participants With Pre-and Post-ablation Asymptomatic and Symptomatic Cerebral EmboliUnscheduled visit0 Participants
Secondary

Number of Participants With Serious Adverse Device Effects (SADEs)

An adverse device effect is an adverse event related to the to the device and or the procedure of the investigational medical device. SADE is an adverse device effect that has resulted in any of the consequences characteristic of an SAE.

Time frame: Up to 405 Days

Population: The safety population was defined to consist of all enrolled participants who have undergone insertion of the study catheter.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Serious Adverse Device Effects (SADEs)1 Participants
Secondary

Number of Participants With Serious Non-primary Adverse Events Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation Procedure

Serious non-primary adverse event was defined as SAE that are not primary adverse events. Primary AEs included: Death, atrio-esophageal fistula, and pulmonary vein stenosis.

Time frame: Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and >=31 Days (Late Onset) of Initial Ablation Procedure (Up to 405 Days)

Population: The safety population was defined to consist of all enrolled participants who have undergone insertion of the study catheter. Here 'n' (number analyzed) signifies the number of participants analyzed at specified timepoints.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Serious Non-primary Adverse Events Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation Procedure0 - 7 Days0 Participants
Radiofrequency (RF) AblationNumber of Participants With Serious Non-primary Adverse Events Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation Procedure8 - 30 Days0 Participants
Radiofrequency (RF) AblationNumber of Participants With Serious Non-primary Adverse Events Within 7 Days (Early Onset), 8-30 Days (Peri-procedural) and Greater Than or Equal to (>=) 31 Days (Late Onset) of Initial Ablation Procedure>= 31 Days1 Participants
Secondary

Number of Participants With Symptomatic and Asymptomatic Cerebral Emboli

Number of participants with symptomatic and asymptomatic cerebral emboli was reported

Time frame: Up to 405 Days

Population: The safety population was defined to consist of all enrolled participants who have undergone insertion of the study catheter.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Radiofrequency (RF) AblationNumber of Participants With Symptomatic and Asymptomatic Cerebral EmboliSymptomatic0 Participants
Radiofrequency (RF) AblationNumber of Participants With Symptomatic and Asymptomatic Cerebral EmboliAsymptomatic4 Participants
Secondary

Percentage of Participants With Freedom From Documented, AF, AT, or Atypical (Left Side) AFL Episodes or Documented Symptomatic AF/AT/AFL

Twelve-month Arrythmia recurrence is defined as a documented symptomatic or asymptomatic episode \>30 seconds on an arrhythmia monitoring device between day 91 to 365 post the index procedure.

Time frame: Up to 12 Months

Population: PP analysis set included participants who comply with the following criteria: a). were enrolled and met all eligibility criteria; b). had undergone RF ablation with study catheters; c) were treated for the study-related arrhythmia. Here 'N' (number of participants analyzed) signifies the number of participants analyzed in this outcome measure.

ArmMeasureGroupValue (NUMBER)
Radiofrequency (RF) AblationPercentage of Participants With Freedom From Documented, AF, AT, or Atypical (Left Side) AFL Episodes or Documented Symptomatic AF/AT/AFLDocumented AF/AT/AFL65.8 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With Freedom From Documented, AF, AT, or Atypical (Left Side) AFL Episodes or Documented Symptomatic AF/AT/AFLDocumented Symptomatic AF/AT/AFL72.2 Percentage of participants
Secondary

Percentage of Participants With Freedom From Documented Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atypical (Left Side) Atrial Flutter (AFL) Episodes or Documented Symptomatic AF/AT/AFL

Percentage of participants with six-month arrythmia recurrence \[defined as freedom from documented symptomatic or asymptomatic atrial fibrillation (AF), atrial tachycardia (AT), or atypical (left side) atrial flutter (AFL) episodes (episodes \>30 seconds on arrhythmia monitoring device from Day 91 to 180 post the index procedure)\] was reported.

Time frame: Up to 6 Months

Population: PP analysis set included participants who comply with the following criteria: a). were enrolled and met all eligibility criteria; b). had undergone RF ablation with study catheters; c) were treated for the study-related arrhythmia. Here 'N' (number of participants analyzed) signifies the number of participants analyzed in this outcome measure.

ArmMeasureGroupValue (NUMBER)
Radiofrequency (RF) AblationPercentage of Participants With Freedom From Documented Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atypical (Left Side) Atrial Flutter (AFL) Episodes or Documented Symptomatic AF/AT/AFLDocumented AF/AT/AFL76.2 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With Freedom From Documented Atrial Fibrillation (AF), Atrial Tachycardia (AT), or Atypical (Left Side) Atrial Flutter (AFL) Episodes or Documented Symptomatic AF/AT/AFLDocumented Symptomatic AF/AT/AFL81.0 Percentage of participants
Secondary

Percentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by Participants

Percentage of participants with PVI touch-up by balloon and/or focal catheter among all targeted veins and by participants was reported. Most of the participants were ablated by Balloon catheter only while one participant was ablated with both Balloon and Focal catheters.

Time frame: Up to 405 Days

Population: PP analysis set included participants who were enrolled and met all eligibility criteria; had undergone RF ablation with study catheters; and were treated for the study-related arrhythmia. Here 'n' (number analyzed) signifies number of pulmonary veins (PV) in all evaluable participants analyzed at specified category.

ArmMeasureGroupValue (NUMBER)
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon and Focal Catheter Ablation: LPV-common0.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon Catheter Ablation: Left Superior Pulmonary Vein (LSPV)100.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon Catheter Ablation: Left Inferior Pulmonary Vein (LIPV)100.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon Catheter Ablation: Right Superior Pulmonary Vein (RSPV)100.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon Catheter Ablation: Right Inferior Pulmonary Vein (RIPV)98.8 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon Catheter Ablation: Right Middle Pulmonary Vein (RMPV)100.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon Catheter Ablation: Left Pulmonary Vein (LPV)-common100.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon and Focal Catheter Ablation: LSPV0.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon and Focal Catheter Ablation: LIPV0.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon and Focal Catheter Ablation: RSPV0.0 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon and Focal Catheter Ablation: RIPV1 Percentage of participants
Radiofrequency (RF) AblationPercentage of Participants With PVI Touch-up by Balloon and/or Focal Catheter Among All Targeted Veins and by ParticipantsBalloon and Focal Catheter Ablation: RMPV0.0 Percentage of participants
Secondary

Percentage of Participants With Use of Focal Catheter Ablation for Non-PV Triggers

Percentage of participants with use of focal catheter ablation for non-PV triggers was reported.

Time frame: Up to 405 Days

Population: PP analysis set included participants who comply with the following criteria: a). were enrolled and met all eligibility criteria; b). had undergone RF ablation with study catheters; c) were treated for the study-related arrhythmia.

ArmMeasureValue (NUMBER)
Radiofrequency (RF) AblationPercentage of Participants With Use of Focal Catheter Ablation for Non-PV Triggers3.5 Percentage of participants

Source: ClinicalTrials.gov · Data processed: Feb 16, 2026