New heart catheter zaps away irregular rhythms without heat or cold
NCT ID NCT06056557
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tested a new catheter system that uses pulsed field energy to treat atrial fibrillation and related arrhythmias. In 141 patients, doctors used the VARIPULSE catheter with a 3D mapping system to destroy the heart tissue causing the irregular rhythm. The goal was to see if the procedure is safe and effective at stopping the abnormal signals.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- VARIPULSE catheter ablation device
- What this could lead to
- If successful, this could offer a safer and more precise way to treat atrial fibrillation using pulsed field energy instead of heat or cold.
- What could go wrong
- This is a small, completed study without a control group, so results may not apply to all patients. The procedure still carries risks like any heart ablation.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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141 people
The number who actually took part.
- Started
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Sep 2023
- Finished
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Apr 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age 18 or older. * Diagnosed with atrial fibrillation or atrial atypical atrial flutter (typical flutter may also be ablated provided that the typical flutter occurs in addition to atrial fibrillation or atypical flutter; that is, typical flutter as the sole arrhythmia should not undergo PFA). * Previous surgical or catheter ablation for atrial fibrillation is allowed * Planned for a catheter ablation procedure * Able and willing to provide written consent and comply with all testing and follow-up requirements * Have in place or are planned to receive an implantable loop recorder, pacemaker or defibrillator capable of recording atrial rhythm Exclusion Criteria: * Documented "active" left atrial thrombus * Conditions that preclude the introduction and manipulation of intracardiac catheters: eg, active intracardiac thrombus, myxoma, tumor, a prohibitive interatrial baffle or patch, etc.) * Previous PCI/MI within the past 1 month * Active systemic infection or sepsis * Uncontrolled heart failure - New York Heart Association (NYHA) function class IV. * History of blood clotting, bleeding abnormalities or contraindication to anticoagulation. * Significant congenital anomaly or medical problem that in the opinion of the investigator would preclude enrollment. * Women who are pregnant, lactating, or who are of childbearing age and plan on becoming pregnant during this trial. * Life expectancy or other disease processes likely to limit survival to less than 12 months. * Currently enrolled in an investigational study evaluating another device, biologic, or drug, that would interfere with this trial.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Icahn School of Medicine at Mount Sinai
New York, New York, 10029, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- What happens to AF patients who skip the big study?
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