FARAPULSE™
Pulsed Field Ablation System
| *Caution: Investigational Device. Limited by Federal (or US) law to investigational use only. Not available for sale. |
ADVENT Trial Study
Purpose
Procedure
Feasibility data
- In 3 multicenter studies (IMPULSE, PEFCAT and PEFCAT II), PAF patients underwent PVI using a basket and flower PFA catheter.
- Invasive remapping was performed at 2 to 3 months, and reconnected PVs were reisolated with PFA or radiofrequency ablation. After a 90-day blanking period, arrhythmia recurrence was assessed over 1-year follow-up.
- In 121 patients, acute PVI was achieved in 100% of PVs with PFA alone.
- PV remapping, performed in 110 patients at 93.0 ± 30.1 days, demonstrated durable PVI in 84.8% of PVs (64.5% of patients), and 96.0% of PVs (84.1% of patients) treated with the optimized biphasic energy PFA waveform.
- The 1-year Kaplan-Meier estimates for freedom from any atrial arrhythmia for the entire cohort and for the optimized biphasic energy PFA waveform cohort were 78.5 + 3.8% and 84.5 + 5.4%, respectively.
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Purpose: This is a prospective, adaptive, multi-center, randomized safety and effectiveness pivotal study comparing the FARAPULSE Pulsed Field Ablation System with standard of care ablation with force-sensing RF catheters and cryoballoon catheters indicated for the treatment of PAF.
Discover how PFA is shaping the future of cardiac ablation for paroxysmal AF.
ADVENT Trial Feasibility Data
- In 3 multicenter studies (IMPULSE, PEFCAT and PEFCAT II), PAF patients underwent PVI using a basket and flower PFA catheter.
- Invasive remapping was performed at 2 to 3 months, and reconnected PVs were reisolated with PFA or radiofrequency ablation. After a 90-day blanking period, arrhythmia recurrence was assessed over 1-year follow-up.
- In 121 patients, acute PVI was achieved in 100% of PVs with PFA alone.
- PV remapping, performed in 110 patients at 93.0 ± 30.1 days, demonstrated durable PVI in 84.8% of PVs (64.5% of patients), and 96.0% of PVs (84.1% of patients) treated with the optimized biphasic energy PFA waveform.
- The 1-year Kaplan-Meier estimates for freedom from any atrial arrhythmia for the entire cohort and for the optimized biphasic energy PFA waveform cohort were 78.5 + 3.8% and 84.5 + 5.4%, respectively.
ADVANTAGE AF Trial Feasibility Study
- In PersAFOne, persistent AF patients underwent PVI and LA posterior wall ablation (LAPW) using a basket and flower PFA catheter.
- In 25 patients, acute PVI was achieved in 100% of PVs, and in 24 patients, 100% of LAPWs with PFA alone with the basket and flower PFA catheter.
- PV remapping, performed in 22 patients at an average of 82 days, demonstrated durable PVI in 96% of PVs (86% of patients), and 100% of LAPWs (21 of 21)
- The 1-year Kaplan-Meier estimate for freedom from any atrial arrhythmia was 92.5 + 5.4%.
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