This sub-study is a prospective/retrospective, non-randomized, observational, comparative cohorts study, embedded in and expanding on the infrastructure of a real-world AF ablation registry DISRUPT-AF (NCT06335082).
The prospective arm of the sub-study is intended to enroll 120 subjects indicated for PFA and Watchman in up to 20 US sites within the framework of the DISRUPT-AF registry. Subjects will be screened for eligibility to participate in concomitant PFA ablation for AF and LAAC by Watchman FLX Pro device in a single procedure. Both PVI and LAAC procedures are performed per SOC. In general, percutaneous catheterization will be initially established using FARADRIVE™ steerable sheath for ablation treatment of AF using the FARAWAVE Catheter per instruction for use (IFU) of the device and operator's standard practice. AF ablation will include PVI. Additional right or left atrial ablations are per investigators' discretions. After AF ablation, the FARAWAVE Catheter will be withdrawn. The FARADRIVE™ steerable sheath will be replaced with Watchman FLX deployment sheath. Deployment of Watchman FLX Pro device to LAA to achieve LAAC will follow the standard practice of the care and IFU of the device. Patients will be followed up at 45-90 days for LAAC implant assessment and at 3, 6, and 12 months for arrhythmia recurrence assessment
Study Type
OBSERVATIONAL
Enrollment
120
Patients eligible for the main DISRUPT-AF Registry with a planned concomitant LAAC procedure using the Watchman FLX™ Pro device.
Arrhythmia Institute at Grandview
Birmingham, Alabama, United States
RECRUITINGArrhythmia Center of South Florida
Delray Beach, Florida, United States
RECRUITINGThe occurrence of events between the time of implant and within 7 days following the procedure
AF ablation safety will be compared between the concomitant procedures and standalone AF ablation cohort. and LAAC procedure safety will be compared between the concomitant procedures and standalone LAAC cohort.
Time frame: 12 months
LAAC success and late-onset safety
45-90 days leaks around LAAC device, 45-90 days device-related thrombus and
Time frame: 12 months
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Ascension St. Vincent's Jacksonville
Jacksonville, Florida, United States
NOT_YET_RECRUITINGHCA Research Institute- Mercy Hospital
Miami, Florida, United States
RECRUITINGAscension St Vincent -Indianapolis Ascension Health
Indianapolis, Indiana, United States
RECRUITINGUniversity of Iowa Hospitals and Clinics
Iowa City, Iowa, United States
RECRUITINGNorton Heart & Vascular Institute
Louisville, Kentucky, United States
NOT_YET_RECRUITINGAllegheny General Hospital
Pittsburgh, Pennsylvania, United States
RECRUITINGTexas Cardiac Arrhythmia Research Foundation
Austin, Texas, United States
RECRUITINGSt, Mark's Hospital
Salt Lake City, Utah, United States
RECRUITING...and 1 more locations