Key trials exploring the role of FARAPULSE PFA
Large real-world registries (MANIFEST-17K and MANIFEST-US) with approx 50,000 patients show consistently <1% major adverse event rate
Out of all PFA registry data to date, 90% occurs from FARAWAVETM 1
MANIFEST-17K24
Real-World Safety Registry
17,642 patients
MANIFEST-US
Real-World Safety Registry
41,968 patients
MANIFEST-17K24
Real-World Safety Registry
Patients #
17,642
Patient Population
Paroxysmal and persistent AF (PVI)
Location
International (106 centres)
Study Goal & Design
Goal: Confirm the safety of the FARAPULSE system in real world patients
Design:
• Retrospective Observation Study
Key findings
- Low rate of PF-related major AEs of <1%
- 0.12% stroke rate
- No thermal effect issue
- No oesophageal events
- No PV stenosis
- No persistent phrenic nerve injury
AE: Adverse event; AF: Atrial fibrillation; FIH: First in human; PFA: Pulsed field ablation; PV: Pulmonary vein; PVI: Pulmonary vein isolation
MANIFEST-US1
Real-World Safety Registry
Patients #
41,968
Patient Population
Paroxysmal and persistent AF (PVI)
Location
United States (102 centres)
Study Goal & Design
Goal: Confirm favorable safety profile of the FARAPULSE system in real world patients
Design:
• Retrospective Observation Study
Key findings
- 0.63% major adverse event rate
- 0.1% stroke rate
- No reported AE fistulas
- No PV stenosis
- No persistent phrenic nerve injury
AE: Adverse event; AF: Atrial fibrillation; FIH: First in human; PFA: Pulsed field ablation; PV: Pulmonary vein; PVI: Pulmonary vein isolation
REFERENCES:
1. Turagam MK et al. Multicenter Study on the Safety of Pulsed Field Ablation in Over 40,000 Patients: MANIFEST-US, JACC, 2025, ISSN 0735-1097, https://doi.org/10.1016/j.jacc.2025.10.051.
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