RecruitingNot ApplicableNCT06529978

Endocardial Mapping With the CoreMap EP Mapping System

Endocardial Mapping With the CoreMap Electrophysiology Mapping System for Persistent Atrial Fibrillation Protocol


Sponsor

CoreMap Inc.

Enrollment

245 participants

Start Date

Jul 25, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This is a global, multi-site, prospective, feasibility study.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria6

  • Subject has persistent or long-standing persistent AF, at the discretion of the investigator (Phase 1 \& 2)
  • Subject has PerAF with no history of prior AF ablation therapy (Phase 3)
  • Subject is 18 to 80 years of age
  • Subject has presence of AF-related symptoms and is scheduled for clinically indicated standard of care AF ablation to manage PerAF (Phase 2 or 3) or long-standing PerAF (Phase 2)
  • Subject is able to provide written informed consent
  • Subject is able and willing to complete all study procedures

Exclusion Criteria34

  • Any of the following within three months of enrollment:
  • Myocardial infarction (MI)
  • Any surgical or percutaneous cardiac procedure including coronary intervention and cardiac ablation
  • Confirmed thrombus on imaging
  • Any of the following within six months of enrollment:
  • Cardiac surgery including coronary artery bypass grafting, ventriculotomy, atriotomy
  • Thromboembolic event (stroke)
  • Any of the following cardiac conditions:
  • New York Heart Association (NYHA) IV
  • Left ventricular ejection fraction (LVEF) \< 30%
  • Left atrial diameter \>55mm (anterioposterior) (Phase 3)
  • Carotid stenting or endarterectomy
  • Atrial or ventricular septal closure or left atrial appendage closure
  • Implanted permanent pacemaker, biventricular pacemaker, or any type of implantable cardiac defibrillator; loop recorders are permitted.
  • Presence of intramural thrombus, tumor (including atrial myxoma), or other abnormality that precludes vascular access, catheter introduction, or manipulation
  • Unstable angina
  • Prior mitral or tricuspid valve surgery, repair, prosthetic or mechanical valve
  • Moderate to severe mitral valve stenosis or other severe valvular disease
  • Any blood clotting or bleeding abnormalities
  • Contraindication to systemic anticoagulation
  • AF secondary to electrolyte imbalance, acute alcohol intoxication, or reversible or non-cardiac cause
  • Body mass index (BMI) \> 40 kg/m2
  • Severe pulmonary disease, pulmonary hypertension, or any chronic respiratory condition
  • Renal failure requiring dialysis or transplant
  • Acute illness, active systemic infection, or sepsis
  • Active drug or alcohol dependency
  • Hypertrophic cardiomyopathy or cardiac amyloidosis
  • Cor pulmonale
  • Any contra-indication that may extend procedure time, at the discretion of the operator
  • Any woman known to be pregnant or breastfeeding, or any woman of childbearing potential who is not on a reliable form of birth regulation method or abstinence
  • Subject considered part of vulnerable population
  • Life expectancy less than one year
  • Employee of the study site or Sponsor
  • Subjects who are currently enrolled in another study that would directly interfere with this study

Interventions

DEVICECoreMap EP Mapping System Mapping

Endocardial mapping to collect and analyze high fidelity endocardial EGMs in patients with persistent and long-standing persistent AF.

DEVICECoreMap EP Mapping System Map-Guided Ablation

Initial development and evaluation of a map-guided tailored ablation strategy and to demonstrate safety and chronic efficacy of the CoreMap EP Mapping System.


Locations(3)

NCH Downtown Baker Hospital

Naples, Florida, United States

University of Vermont Medical Center

Burlington, Vermont, United States

Na Homolce Hospital

Praha Klanovice, Czechia

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NCT06529978


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