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 type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 580 (estimated) |
| Sponsor | Medtronic Cardiac Ablation Solutions Industry-sponsored |
| Locations | 23 sites (Tampa, Florida and 22 other locations) |
| Status | Recruiting |
| Started | November 4, 2024 |
| Main results expected | April 30, 2027 |
| Study ends | April 30, 2030 |
| Registry record updated | October 28, 2026 |
| Trial ID | NCT06578104 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
- Study coordinator: Josman Suri
- Email: josman.suri@medtronic.com
- Phone: 7635050262
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
AI-based tools to help diagnose, treat and predict stroke outcomes across multiple hospitals
This study tests AI-powered tools on real-world stroke patients to see if they can improve pre-hospital triage, diagnosis, and outcome prediction while data stay securely within each hospital.
-
Left-atrial Fibrosis in Persistent Atrial Fibrillation and Its Comorbidities
This study tests how comorbid conditions like sleep apnea and primary aldosteronism relate to left-atrial fibrosis and AF recurrence in patients undergoing ablation.
-
Dual Energy ablation with SmartTouch SF catheter in persistent atrial fibrillation
This study tests a pulsed field and radiofrequency ablation system to treat persistent atrial fibrillation in adults who have not responded well to prior medications.
-
Identifying AF patients who may need more than standard ablation using Volta AF-Xplorer II
This trial tests whether AI-identified dispersion areas during AF ablation can predict recurrence after a standard pulmonary vein isolation in patients with persistent AF.
-
4D intracardiac echocardiography to guide left atrial appendage occlusion procedures
A new 4D ICE catheter is being tested alongside standard imaging to see if it can safely guide left atrial appendage occlusion procedures for adults with atrial fibrillation.
-
Thoracoscopic vs Catheter Ablation as the First Rhythm Control in Atrial Fibrillation with a Large Left Atrium
This trial tests whether thoracoscopic surgical ablation is better at keeping atrial fibrillation under control than catheter ablation in people with persistent AF and a large left atrium who have not had an ablation before.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.