Real-world experience of catheter ablation for atrial fibrillation
Official title: Real-world Experience of Catheter Ablation for the Treatment of Arrhythmias Symptomatic Using Novel CARTO Technologies: REAL Registry
Run by Heart Rhythm Clinical and Research Solutions, LLC · NCT04088071 · Data updated 2026-11-12
This study is trying to see how well catheter ablation works for treating atrial fibrillation in real-life settings and what the outcomes are for patients over time.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 20000 (estimated) |
| Sponsor | Heart Rhythm Clinical and Research Solutions, LLC Academic / other |
| Locations | 75 sites (Birmingham, Alabama and 74 other locations) |
| Status | Recruiting |
| Started | January 1, 2018 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | September 22, 2026 |
| Trial ID | NCT04088071 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this registry are adults aged 18 and older with symptomatic Paroxysmal or Persistent Atrial Fibrillation who are considered suitable for ablation.
✕Probably not a fit
Patients with long-standing persistent Atrial Fibrillation or those enrolled in other investigational trials may not benefit from this registry.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This registry aims to gather real-world clinical data on the use of radiofrequency catheter ablation technologies for treating Paroxysmal and Persistent Atrial Fibrillation. It is an observational, prospective, multi-center registry that will assess clinical outcomes such as procedural efficiency, safety, and long-term effectiveness of the ablation procedures. Patient evaluations will occur at multiple time points, including pre-ablation, during the procedure, and at follow-up intervals of 10-12 weeks, 6 months, and 1 year post-ablation. The registry will also include assessments of complications and arrhythmia recurrence.
Why it matters
Potential benefit: If successful, this registry could provide valuable insights into the effectiveness and safety of catheter ablation for patients with atrial fibrillation.
How similar studies have gone: Other studies have shown success with similar observational approaches in assessing catheter ablation outcomes, indicating that this methodology is well-established.
Who can join: the full rules
Show full inclusion / exclusion criteria
REAL AF Cohort Inclusion Criteria: * Symptomatic PAF (AF episode terminate spontaneously within 7 days) or PsAF (AF sustained beyond 7 days, but less than 365 days) subjects who, in the opinion of the investigator, are candidates for catheter ablation. * \>18 years of age. * Will be treated with Biosense Webster Inc. ablation technologies * All AF ablations performed with BWI catheters are included. This includes repeat ablations where the index procedure was performed with a non-BWI catheter. * Able and willing to participate in baseline and follow up evaluations * Willing and able to provide informed consent, if applicable. Exclusion Criteria: * Enrolled in an investigational drug or device clinical trial, or any trial that dictates the treatment plan * Long-standing persistent AF (AF greater than one year) * In the opinion of the investigator, any known contraindication to an ablation procedure CORE VA Cohort Inclusion Criteria: * Documented ventricular arrhythmia appropriate for catheter ablation. * \>18 years of age. * Will be treated with Biosense Webster Inc. ablation technologies * Able and willing to participate in baseline and follow up evaluations * Willing and able to provide informed consent, if applicable. Exclusion Criteria: * Enrolled in an investigational drug or device clinical trial, or any trial that dictates the treatment plan. * In the opinion of the investigator, any known contraindication to an ablation procedure.
Where it's running
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University of Alabama at Birmingham
Birmingham, Alabama, United States Recruiting -
Grandview Medical Center
Birmingham, Alabama, United States Recruiting -
Cardiology Associates of Mobile
Mobile, Alabama, United States Recruiting -
Valley Heart Rhythm Specialists
Chandler, Arizona, United States Recruiting -
Pima Heart and Vascular
Tucson, Arizona, United States Recruiting -
Arrhythmia Research Group
Jonesboro, Arkansas, United States Recruiting
Show 44 more locations
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Keck School of Medicine
Los Angeles, California, United States Recruiting -
Community Memorial Hospital
Ventura, California, United States Recruiting -
The Medical Center of Aurora
Aurora, Colorado, United States Recruiting -
Colorado Heart and Vascular
Golden, Colorado, United States Recruiting -
South Denver Cardiology
Littleton, Colorado, United States Recruiting -
Ascension St. Vincent's
Jacksonville, Florida, United States Recruiting -
HCA Florida Mercy Hospital
Miami, Florida, United States Recruiting -
Naples Community Hospital
Naples, Florida, United States Recruiting -
Ascension Sacred Heart
Pensacola, Florida, United States Recruiting -
Sarasota Memorial Hospital
Sarasota, Florida, United States Recruiting -
Baycare Health Tampa
Tampa, Florida, United States Recruiting -
Baycare Health System
Winterhaven, Florida, United States Recruiting -
Piedmont Healthcare
Atlanta, Georgia, United States Recruiting -
Memorial Health University Medical Center
Savannah, Georgia, United States Recruiting -
Northshore University Health System
Evanston, Illinois, United States Recruiting -
Midwest Cardiovascular Institute
Naperville, Illinois, United States Recruiting -
Prairie Education and Research
Springfield, Illinois, United States Recruiting -
Ascension St. Vincent's Hospital
Indianapolis, Indiana, United States Recruiting -
University of Iowa
Iowa City, Iowa, United States Recruiting -
Norton Heart Specialists
Louisville, Kentucky, United States Recruiting -
Baptist Health Louisville
Saint Matthews, Kentucky, United States Recruiting -
Maine Medical Center
Portland, Maine, United States Recruiting -
Capitol CArdiology
Lanham, Maryland, United States Recruiting -
Brigham and Women's Hospital
Boston, Massachusetts, United States Recruiting -
Henry Ford Health
Detroit, Michigan, United States Recruiting -
Sparrow Clinical Research
Lansing, Michigan, United States Recruiting -
William Beaumont Hospital
Royal Oak, Michigan, United States Recruiting -
Michigan Heart
Ypsilanti, Michigan, United States Recruiting -
Mississippi Baptist Medical Center
Jackson, Mississippi, United States Recruiting -
University of Missouri
Columbia, Missouri, United States Recruiting -
CoxHealth
Springfield, Missouri, United States Recruiting -
Cardiovascular Associates of the Delaware Valley
Haddon Heights, New Jersey, United States Recruiting -
Lovelace Health System
Albuquerque, New Mexico, United States Recruiting -
Columbia University Medical Center / NewYork-Presbyterian Hospital (CUMC/NYPH)
New York, New York, United States Recruiting -
Nuvance Health
Poughkeepsie, New York, United States Recruiting -
Crouse Health System and Crouse Medical Practice
Syracuse, New York, United States Recruiting -
Mission Hospital
Asheville, North Carolina, United States Recruiting -
Novant Health Forsyth Medical Center
Winston-Salem, North Carolina, United States Recruiting -
University of Cincinnati
Cincinnati, Ohio, United States Recruiting -
The Christ Hospital
Cincinnati, Ohio, United States Recruiting -
Mount Carmel Columbus Cardiology Consultants
Columbus, Ohio, United States Recruiting -
Oklahoma Heart Hospital
Oklahoma City, Oklahoma, United States Recruiting -
Lancaster General Hospital
Lancaster, Pennsylvania, United States Recruiting -
University of Pennsylvania, Penn Presbyterian Medical Center
Philadelphia, Pennsylvania, United States Recruiting
+25 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: April Bond, MS
- Email: abond@hrcrs.com
- Phone: 1-901-828-5707
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Pulsed field ablation for atrial fibrillation in underrepresented minority patients
This registry will test how well Boston Scientific pulsed field ablation works and how safe it is for Black, Hispanic, Asian, and other underrepresented adults with paroxysmal or persistent atrial fibrillation.
-
FARAPULSE pulsed-field waveform treatment for paroxysmal and persistent atrial fibrillation
This will test new pulsed electrical waveforms delivered by the FARAPULSE PFA system to treat adults with paroxysmal or persistent atrial fibrillation.
-
Arrhythmia mapping with a paddle-shaped multi-electrode catheter
This test uses a new high-density multi-electrode catheter to see if it can safely map atrial and ventricular arrhythmias in adults having catheter mapping and ablation.
-
Conscious Sedation vs General Anesthesia for Pulsed Field Ablation in Paroxysmal Atrial Fibrillation
This trial tests whether local anesthesia with conscious sedation can match general anesthesia for pulsed field ablation in adults with paroxysmal atrial fibrillation.
-
Perioperative risks in adults with Brugada syndrome during anesthesia and related procedures
This registry follows adults with Brugada syndrome to see how often dangerous heart rhythms occur around anesthesia and up to 30 days after.
-
FARAFLEX Mapping and Pulsed Field Ablation for Atrial Fibrillation
This trial tests the FARAFLEX Mapping and PFA System to see if it can safely help adults with drug-refractory paroxysmal or persistent atrial fibrillation.
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.