A Study of the TactiFlex SE Catheter and Volt PFA Generator in Subjects With PAF:
Completed · Not applicable
Conditions studied: Atrial Fibrillation (AF), Atrial Arrhythmia, Paroxysmal AF, Drug Refractory Paroxysmal Atrial Fibrillation
In brief
The objective of this clinical study is to demonstrate that ablation with the TactiFlex SE Ablation catheter, in conjunction with a compatible pulsed field ablation (PFA) and/or radio frequency (RF) generator, is safe and effective for the treatment of symptomatic, recurrent, drug refractory paroxysmal atrial fibrillation (PAF).
Key facts
- Study ID
- NCT06676072
- Run by
- Abbott Medical Devices
- People needed
- 188
- Starts
- 2024-11-22
- Expected to finish
- 2026-04-13
- Last updated by the study team
- 2026-06-01
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Documented symptomatic paroxysmal atrial fibrillation (PAF). Documentation requirements are as follows:
- Physician's note indicating recurrent self-terminating AF with ≥ 2 episodes of PAF within the 6 months prior to enrollment AND
- One electrocardiographically documented PAF episode within 12 months prior to enrollment.
- NOTE: Documented evidence of the AF episode must either be continuous AF on a 12-lead ECG or include at least 30 seconds of continuous AF from another ECG device.
- Plans to undergo a catheter ablation procedure due to symptomatic PAF and is refractory, intolerant, or contraindicated to at least one Class I-IV AAD medication
- At least 18 years of age
- Able and willing to comply with all trial requirements including pre- procedure, post-procedure, and follow-up testing and requirements
- Informed of the nature of the trial, agreed to its provisions, and has provided written informed consent as approved by the Institutional Review Board/Ethics Committee (IRB/EC) of the respective clinical trial site.
You may not qualify if…
- Previously diagnosed persistent or long-standing persistent atrial fibrillation (Continuous AF greater than 1 year in duration)
- Arrhythmia due to reversible causes including thyroid disorders, acute alcohol intoxication, electrolyte imbalance, severe untreated sleep apnea, and other major surgical procedures in the preceding 90 days
- Known presence of cardiac thrombus
- Left atrial diameter (LAD) > or equal to 5.0 cm (anteroposterior diameter) within 180 days prior to the index procedure
- Left ventricular ejection fraction (LVEF) < or equal to 35% as assessed with echocardiography or computerized tomography (CT) within 180 days prior to the index procedure
- New York Heart Association (NYHA) class III or IV heart failure
- Body mass index > or equal to 40 kg/m2
- Pregnant or nursing
- Patients who have had a ventriculotomy or atriotomy within the preceding 28 days of procedure
- Myocardial infarction (MI), acute coronary syndrome, percutaneous coronary intervention (PCI), or valve or coronary bypass grafting surgery within preceding 90 days
- Stroke or TIA (transient ischemic attack) within the last 90 days
- Heart disease in which corrective surgery is anticipated within 180 days after procedure
- History of blood clotting or bleeding abnormalities including thrombocytosis, thrombocytopenia, bleeding diathesis, or suspected anti- coagulant state
- Contraindication to long-term anti-thromboembolic therapy
- Patient unable to receive heparin or an acceptable alternative to achieve adequate anticoagulation
- Known sensitivity to contrast media (if needed during the procedure) that cannot be controlled with pre-medication
- Previous left atrial surgical or left atrial catheter ablation procedure (including left atrial appendage (LAA) closure device)
- Plans to have an LAA closure device implanted during the follow-up period
- Presence of any condition that precludes appropriate vascular access
- Severe mitral regurgitation (regurgitant volume ≥ 60 mL/beat, regurgitant fraction ≥ 50%, and/or effective regurgitant orifice area ≥ 0.40cm2)
- Previous tricuspid or mitral valve replacement or repair
- Patients with prosthetic valves
- Patients with a myxoma
- Patients with an interatrial baffle or patch as the transseptal puncture could persist and produce an iatrogenic atrial shunt
- Stent, constriction, or stenosis in a pulmonary vein
Where it is running
- HonorHealth — Scottsdale, Arizona, United States
- Arkansas Heart Hospital — Little Rock, Arkansas, United States
- Stanford University Medical Center — Stanford, California, United States
- South Denver Cardiology Associates PC — Littleton, Colorado, United States
- HCA Florida Mercy Hospital — Miami, Florida, United States
- AdventHealth Orlando — Orlando, Florida, United States
- Tallahassee Research Institute — Tallahassee, Florida, United States
- Piedmont Athens Regional Medical Center — Athens, Georgia, United States
- Loyola University Medical Center — Maywood, Illinois, United States
- Kansas City Cardiac Arrhythmia Research Foundation — Overland Park, Kansas, United States
- Beth Israel Deaconess Medical Center — Boston, Massachusetts, United States
- University of Michigan Medical Center — Ann Arbor, Michigan, United States
- Henry Ford Providence Southfield Hospital — Southfield, Michigan, United States
- Mayo Clinic — Rochester, Minnesota, United States
- The Heart Rhythm Center of MS — Gulfport, Mississippi, United States
- Bryan Heart Medical Center — Lincoln, Nebraska, United States
- NYU Langone Health — New York, New York, United States
- New York Presbyterian Hospital/Cornell University — New York, New York, United States
- Duke University Medical Center — Durham, North Carolina, United States
- The Cleveland Clinic Foundation — Cleveland, Ohio, United States
- Hospital of the University of Pennsylvania — Philadelphia, Pennsylvania, United States
- Tristar Centennial Medical Center — Nashville, Tennessee, United States
- Vanderbilt Heart & Vascular Institute — Nashville, Tennessee, United States
- Texas Cardiac Arrhythmia — Austin, Texas, United States
- Ocelot Medical Research Group — Dallas, Texas, United States
Full record on ClinicalTrials.gov
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