Clinical trial Recruiting at 19 sites Observational Ages 18 and up

Observational study on the PulseSelect PFA System for treating Atrial Fibrillation

Official title: PULSED AF Post-Approval Study, an Addendum to the PulseSelect™ PFA Global Registry

Run by Medtronic Cardiac Ablation Solutions · NCT06578104 · Data updated 2026-11-12

This study is testing whether the PulseSelect PFA System can effectively treat people with recurring Atrial Fibrillation and how safe it is over three years.

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment580 (estimated)
SponsorMedtronic Cardiac Ablation Solutions
Industry-sponsored
Locations23 sites (Tampa, Florida and 22 other locations)
StatusRecruiting
StartedNovember 4, 2024
Main results expectedApril 30, 2027
Study endsApril 30, 2030
Registry record updatedOctober 28, 2026
Trial IDNCT06578104 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with recurrent symptomatic paroxysmal or persistent Atrial Fibrillation who have failed or are intolerant to at least one antiarrhythmic drug.

Probably not a fit

Patients with long-standing persistent Atrial Fibrillation, prior left atrial ablation, or those with a life expectancy of less than 36 months may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

The PULSED AF Post-Approval Study is a global, multi-center, non-randomized observational trial that aims to evaluate the effectiveness of the PulseSelect™ PFA System in treating patients with recurrent symptomatic paroxysmal or persistent Atrial Fibrillation. Participants will undergo a pulmonary vein isolation procedure and will be monitored for 36 months with scheduled visits and Holter monitoring at specific intervals. This study will gather data on patient outcomes and the safety of the PulseSelect™ PFA System as part of standard care.

Why it matters

Potential benefit: If successful, this study could provide valuable insights into the long-term effectiveness and safety of the PulseSelect™ PFA System for patients with Atrial Fibrillation.

How similar studies have gone: Other studies using similar ablation techniques have shown promising results, indicating potential for success in this observational study.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria

* A diagnosis of recurrent symptomatic paroxysmal AF or persistent AF
* Refractory to at least one Class I or III antiarrhythmic drug (i.e., not effective, not tolerated, or not desired)
* Patient is ≥ 18 years of age
* Planned pulmonary vein isolation procedure with the commercially available PulseSelect™ PFA System
* Willing and able to comply with study requirements and give informed consent (defined as legally effective, documented confirmation of a subject's voluntary agreement to participate in this clinical study) or authorization per institution and geographical requirements

Exclusion Criteria

* Long-standing persistent AF (continuous AF sustained \>12 months)
* Prior left atrial catheter or surgical ablation
* Patient with life expectancy \< 36 months
* Presence of a permanent pacemaker, biventricular pacemaker, loop recorder/insertable cardiac monitor (ICM), or any type of implantable cardiac defibrillator (with or without biventricular pacing function)
* Current or anticipated participation in any other clinical trial of a drug, device, or biologic not approved by the global study manager

Where it's running

  • Piedmont Heart Institute
    Atlanta, Georgia, United States
    Recruiting
  • Endeavor Health Swedish Hospital
    Chicago, Illinois, United States
    Recruiting
  • Pikeville Medical Center
    Whitesburg, Kentucky, United States
    Recruiting
  • Southcoast Health System
    Fall River, Massachusetts, United States
    Recruiting
  • Nebraska Medical Center
    Omaha, Nebraska, United States
    Recruiting
  • The Valley Hospital
    New York, New York, United States
    Recruiting
Show 17 more locations
  • Northwell Health Lenox Hill Hospital
    New York, New York, United States
    Recruiting
  • Duke University Medical Center (DUMC)
    Durham, North Carolina, United States
    Recruiting
  • Bethesda North Hospital
    Cincinnati, Ohio, United States
    Recruiting
  • Mount Carmel Grove City Medical Center
    Grove City, Ohio, United States
    Recruiting
  • Doylestown Health Cardiology a division of Doylestown Health Physicians
    Doylestown, Pennsylvania, United States
    Recruiting
  • AnMed Health Center
    Anderson, South Carolina, United States
    Recruiting
  • Medical University of South Carolina (MUSC)
    Charleston, South Carolina, United States
    Recruiting
  • University of Virginia Medical Center
    Charlottesville, Virginia, United States
    Recruiting
  • Confluence Health Hospital Central Campus
    Wenatchee, Washington, United States
    Recruiting
  • London Health Sciences Centre - University Campus
    London, Ontario, Canada
    Recruiting
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario, Canada
    Recruiting
  • Montreal Heart Institute
    Montreal, Quebec, Canada
    Recruiting
  • Keimyung University Dongsan Hospital
    Daegu, South Korea
    Recruiting
  • University of South Florida Health (USF)
    Tampa, Florida, United States
    Terminated
  • Beaumont Health System
    Royal Oak, Michigan, United States
    Withdrawn
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio, United States
    Terminated
  • Texas Health Research & Education Institute
    Dallas, Texas, United States
    Active not recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.