Key trials exploring the role of FARAPULSE PFA
ADVANTAGE25,26
Prospective Multi-Centre Single-Arm Trial on Drug-Refractory, Symptomatic Persistent AF Patients
515 patients
ADVANTAGE21,22
Prospective Multi-Centre Single-Arm Trial on Drug-Refractory, Symptomatic Persistent AF Patients (2 Phases):
Patients #
515 across two phases:
- 260 Phase I
- 255 phase II
Patient Population
Persistent AF (PVI + PWA)
Location
International (49 sites)
Study Goal & Design
Goal:
- Phase I: IDE study to establish the safety and effectiveness of PVI+PWA using FARAWAVE
- Phase II: IDE study to establish:
- Safety and effectiveness of PVI+PWA using FARAWAVE catheter
- Safety and effectiveness of CTI ablation using FARAPOINT focal-linear PFA catheter
Design:
- Multicentre
- Prospective
- Single-arm
- Open-label
- Monitoring with ICM (Phase 2)
Key findings
- Primary safety and efficacy endpoints were met
- No reports of:
- Stroke
- PV stenosis
- Oesophageal fistula
- Pericardial tamponade
- Major vascular access complication
- Primary safety event rate 2.4%
- Primary effectiveness event-free rate at 12 months comparable to paroxysmal AF reported outcomes (73.4%)*
- 96.4% of patients treated with CTI line ablation with FARAPOINT had no recurrence of AFL
AF: Atrial fibrillation; AFL: Atrial flutter; CTI: Cavotricuspid isthmus; ICM: Implantable cardiac monitor; PAF: Persistent atrial fibrillation; PFA: Pulsed field ablation; PV: Pulmonary vein; PVI: Pulmonary vein isolation; PWA: Posterior wall ablation.
*Results from different clinical investigations are not directly comparable. Information provided for educational purposes only.
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