Concomitant Left Atrial Appendage Closure and Pulsed Field Ablation-Asia (OPTION-A)
Subjects enrolled in the OPTION-A study will be clinically indicated for atrial fibrillation (AF) ablation procedure with the FARAPULSE™ PFA system and treatment with WATCHMAN LAAC Device, per physician's medical judgement and according to hospitals' standard of care during the same procedure.
調査の概要
状態
詳細な説明
The OPTION-A Study is an observational, prospective, single-arm, multi-center non-mandated post-market study. Subjects enrolled in the OPTION-A study will be clinically indicated for atrial fibrillation (AF) ablation procedure with the FARAPULSE PFA system and treatment with WATCHMAN LAAC Device, per physician's medical judgement and according to hospitals' standard of care. The objective(s) of the OPTION-A Study is to evaluate safety and effectiveness of catheter ablation with the FARAPULSE™ Pulsed Field Ablation (PFA) System and subsequent implant of Left Atrial Appendage closure (LAAC) with the WATCHMAN™ LAA Closure device in a concomitant procedure.
研究の種類
入学 (推定)
連絡先と場所
研究場所
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Singapore、シンガポール
- Asian Heart and Vascular Centre
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Kuala Lumpur、マレーシア
- Institute Jantung Negara
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Kuching、マレーシア
- Pusat Jantung Sarawak
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Beijing、中国
- Xuanwu Hospital Capital Medical University
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Beijing、中国
- Beijing Anzhen Hospital of the Capital University of Medical Sciences
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Chengdu、中国
- Huaxi Hospital of Sichuan University
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Chengdu、中国
- The First Affiliated Hospital of Chengdu Medical College
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Guangzhou、中国
- The Third Affiliated Hospital of Guangzhou Medical University
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Guangzhou、中国
- Guangdong Nanfang Hospital
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Guiyang、中国
- The Affiliated Hospital of Guizhou Medical University
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Hangzhou、中国
- Sir Run Run Shaw Hospital of Zhejiang University School of Medicine
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Jinan、中国
- QiLu Hospital of ShanDong University
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Kunming、中国
- First People's Hospital of Yunnan Province
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Nantong、中国
- Affiliated Hospital of Nantong University
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Taiyuan、中国
- Shanxi Cardiovascular Hospital
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Zhuhai、中国
- Zhuhai People's Hospital
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Zigong、中国
- Zigong First People's Hospital
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Jiangsu
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Suzhou、Jiangsu、中国
- The First Affiliated Hospital of Soochow University
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Taichung、台湾
- China Medical University Hospital
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Taichung、台湾
- Taichung Veterans General Hospital
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Taipei、台湾
- National Taiwan University Hospital
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Taipei、台湾
- Taipei Veterans General Hospital
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Fukuoka-ken、日本
- Kokura Memorial Hospital
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Kanagawa、日本
- Yokosuka Kyosai Hospital
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Kawasaki、日本
- Kawasaki Saiwai Hospital
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Meguro-ku、日本
- Toho University Ohashi Medical Center
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Osaka、日本
- Osaka Keisatsu Hospital
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Yokohama、日本
- Yokohama city minato Red Cross Hospital
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Kanagawa
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Kamakura-shi、Kanagawa、日本
- Shonan Kamakura General Hospital
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Miyagi
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Sendai、Miyagi、日本
- Sendai Kousei Hospital
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Okayama Kurashiki-shi
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Kurashiki-shi、Okayama Kurashiki-shi、日本
- Kurashiki Central Hospital
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Saitama
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Saitama、Saitama、日本
- Saitama Red Cross Hospital
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Tokyo
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Fuchu-shi、Tokyo、日本
- Sakakibara Heart Institute, Sakakibara Heart Foundation
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Hong Kong、香港
- Queen Mary Hospital
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Hong Kong、香港
- Prince of Wales Hospital
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Hong Kong、香港
- Princess Margaret Hospital
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Kowloon、香港
- Queen Elizabeth Hospital
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
サンプリング方法
調査対象母集団
Subjects enrolled in the OPTION-A study will be clinically indicated for an Atrial Fibrillation ablation procedure utilizing the FARAPULSE PFA System as well as implantation of the WATCHMAN device per physician's medical judgement, and according to the hospitals' standard of care during the same procedure. The subjects selected for participation in the study will be from the investigator's general patient population. The investigator or designee has the responsibility for screening all potential subjects and selecting those who meet study eligibility criteria.
説明
Inclusion Criteria:
- Clinically indicated for treatment with both the FARAPULSE™ PFA system and with WATCHMAN for LAAC, per physician medical judgement and as per hospitals' standard of care.
- Subjects who are willing and able to provide informed consent.
- Subjects who are willing and able to participate in all testing associated with this clinical study at an approved clinical investigational center.
- Subjects whose age is 18 years or above, or who are of legal age to give informed consent specific to state and national law.
Exclusion Criteria:
- Subjects who underwent prior AF ablation procedure.
- Subjects with atrial fibrillation that is secondary to electrolyte imbalance, thyroid disease, alcohol, or other reversible / non-cardiac causes.
- Already surgically closed or otherwise excluded LAA.
- The LAA anatomy does not accommodate a Closure Device.
- Known or suspected atrial myxoma.
- Presence of intracardiac thrombus.
- Subjects with a current interatrial baffle or patch, history of atrial septal repair or has an ASD/PFO device.
- Subjects with a presence of a mechanical valve prosthesis in any position.
- Subjects with a myocardial infarction within 30 days prior to enrollment.
- Subjects had a prior stroke (of any cause, whether ischemic or hemorrhagic) or transient ischemic attack (TIA) within the 90 days prior to enrollment.
- Any planned electrical cardioversion within 30 days following LAAC device implant.
- Subjects with a known inability to obtain vascular access.
- Subjects with any contraindication to percutaneous catheterization procedure (e.g., patient size does not accommodate required catheters, ventriculotomy or atriotomy), active conditions (e.g. infection, bleeding disorder, unstable angina) or congenital abnormalities (severe rotational anomalies of the heart or great vessels) are present*.
- Subjects with any active conditions (e.g. infection, bleeding disorder, unstable angina) are present.
- Subjects with any contraindications to short term use of anticoagulation therapy, or aspirin for conditions different from atrial fibrillation.
- Subjects who are pregnant or planning to be pregnant.
- Subjects with a life expectancy of ≤ 1 year per investigator's opinion.
- Subjects who are currently enrolled in another investigational study or registry that would directly interfere with the current study, except when the subject is participating in a mandatory governmental registry, or a purely observational registry with no associated treatments. Each instance must be reviewed by the sponsor to determine eligibility.
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 観測モデル：COHORT
- 時間の展望：PROSPECTIVE
コホートと介入
グループ/コホート |
介入・治療 |
|---|---|
|
Treatment Subjects
A subject is considered enrolled once an approved informed consent form has been signed and dated. Enrolled Subjects will undergo AF ablation procedure with the FARAPULSE PFA System, followed by WATCHMAN implant during the same procedure. |
The FARAPULSE™ PFA System consists of the FARAWAVE™ Pulsed Field Ablation Catheter, the FARASTAR™ Pulsed Field Ablation Generator, and the FARADRIVE™ Steerable Sheath. The WATCHMAN LAA Closure Technology consists of the WATCHMAN Access System (which consists of the Access Sheath and Dilator and the WATCHMAN Delivery System (which consists of the delivery catheter and the pre-loaded closure device). The WATCHMAN Access System and WATCHMAN Delivery System permit device placement in the LAA via femoral venous access and crossing the inter-atrial septum into the left atrium. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Periprocedural or procedure-related Composite Serious Adverse Events will be assessed
時間枠：30 days post index procedure
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The primary safety endpoint (PSE) is the proportion of subjects with one or more of the periprocedural device or procedure-related Composite Serious Adverse Events (CSAEs) assessed at 30 days following the Index Procedure. |
30 days post index procedure
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Acute Treatment Success will be assessed
時間枠：between index procedure and 30 days post index procedure
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The primary effectiveness endpoint (PEE) is the proportion of subjects with Acute Treatment Success assessed among those receiving ≥1 PFA application and who have a WATCHMAN attempted or implanted. |
between index procedure and 30 days post index procedure
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Device or procedure-related Composite Serious Adverse Events (CSAEs) assessed
時間枠：1 year post index procedure
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Device or procedure-related Composite Serious Adverse Events (CSAEs) assessed at 360 days following the Index Procedure |
1 year post index procedure
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。