New Balloon-Based ablation device tested in Real-World AFib patients
NCT ID NCT07181590
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study is tracking 300 people with paroxysmal or persistent atrial fibrillation (AFib) who are treated with the Volt PFA System, a balloon-based device that uses pulsed field ablation to correct irregular heart rhythms. Researchers are monitoring safety—looking for serious side effects within 7 days—and effectiveness, such as freedom from AFib recurrence over 12 months. The goal is to see how well the device works in real-world settings, not just in controlled trials.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Pulsed Field Ablation using the Volt PFA System
- What this could lead to
- If successful, this could confirm that the Volt PFA System is a safe and effective option for treating atrial fibrillation in everyday medical practice.
- What could go wrong
- This is an observational study, not a controlled trial, so results may be less definitive. Risks include serious complications like heart damage or stroke, though the study aims to measure how often these occur.
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
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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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About 300 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Aug 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
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.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Documented symptomatic PAF or PersAF. Documentation requirements are as follows: Paroxysmal: * Physician's note indicating recurrent self-terminating AF AND * One electrocardiographically documented PAF episode within 12 months prior to enrollment. Persistent: Continuous AF sustained beyond 7 days and less than 1 year that is documented by * Physician's note, AND either * 24-hour Holter within 360 days prior to enrollment, showing continuous AF, OR * Two electrocardiograms (from any form of rhythm monitoring) showing continuous AF: * That are taken at least 7 days apart but less than 12 months apart * If electrograms are more than 12 months apart, there must be one or more Sinus Rhythm recordings in between or within 12 months prior to consent/enrollment * The most recent electrocardiogram must be within 180 days of enrollment. NOTE: Documented evidence of the AF episode must either be continuous AF on a 12-lead ECG or include at least 30 seconds of AF from another ECG device. 2. Plans to undergo a de novo ablation procedure with the Volt PFA Catheter due to symptomatic PAF or PersAF and is refractory, intolerant, or contraindicated to at least one Class I-IV AAD medication 3. At least 18 years of age 4. Able and willing to comply with all trial requirements including pre-procedure, post- procedure, and follow-up testing and requirements 5. Informed of the nature of the trial, agreed to its provisions, and has provided written informed consent as approved by the Institutional Review Board/Ethics Committee (IRB/EC) of the respective clinical trial site. Exclusion Criteria 1. Arrhythmia due to reversible causes including thyroid disorders, acute alcohol intoxication, electrolyte imbalance, severe untreated sleep apnea, and other major surgical procedures in the preceding 90 days 2. Known presence of cardiac thrombus 3. Known Left ventricular ejection fraction \< 35% as assessed with echocardiography within 360 days of index procedure 4. New York Heart Association (NYHA) class III or IV heart failure 5. Pregnant, nursing, or planning to become pregnant during the clinical investigation follow-up period 6. Patients who have had a ventriculotomy or atriotomy within the preceding 30 days of procedure 7. Myocardial infarction (MI), acute coronary syndrome, percutaneous coronary intervention (PCI), or valve or coronary bypass grafting surgery within preceding 90 days 8. Unstable angina 9. Stroke or TIA (transient ischemic attack) within the last 90 days 10. Heart disease in which corrective surgery is anticipated within 180 days after procedure 11. History of blood clotting or bleeding abnormalities including thrombocytosis, thrombocytopenia, bleeding diathesis, or suspected anti-coagulant state 12. Contraindication to long term anti-thromboembolic therapy 13. Patient unable to receive heparin or an acceptable alternative to achieve adequate anticoagulation 14. Previous left atrial surgical or left atrial catheter ablation procedure (including LAA closure device) 15. Severe mitral regurgitation (regurgitant volume ≥ 60 mL/beat, regurgitant fraction ≥ 50%, and/or effective regurgitant orifice area ≥ 0.40cm2). 16. Previous tricuspid or mitral valve replacement or repair 17. Patients with prosthetic valves 18. Patients with a myxoma 19. Patients with an interatrial baffle or patch as the transseptal puncture could persist and produce an iatrogenic atrial shunt 20. Stent, constriction, or stenosis in a pulmonary vein 21. Rheumatic heart disease 22. Hypertrophic cardiomyopathy 23. Diagnosed with amyloidosis or atrial amyloidosis 24. Active systemic infection 25. Renal failure requiring dialysis 26. Severe pulmonary disease (e.g., restrictive pulmonary disease, constrictive or chronic obstructive pulmonary disease) or any other disease or malfunction of the lungs or respiratory system that produces severe chronic symptoms 27. Presence of an implanted LAA closure device 28. Patient is currently participating in another clinical study that may confound the results of this of this post market evaluation; for example, enrolled in another study with an active treatment arm 29. Unlikely to survive the protocol follow up period of 12 months 30. Presence of other medical, anatomic, comorbid, social, or psychological conditions that, in the investigator's opinion, could limit the subject's ability to participate in the clinical investigation or to comply with follow-up requirements, or impact the scientific soundness of the clinical investigation results. 31. Individuals without legal authority 32. Individuals unable to read or write
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
22 sites in 12 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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AZ Sint Jan
RECRUITINGBruges, 8000, Belgium
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Asklepios Klinik St. Georg
RECRUITINGHamburg, 20099, Germany
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Az. Osp.Universitaria Osp.Riuniti Umberto I-Lancisi-Salesi
RECRUITINGAncona, 60126, Italy
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Centro Cardiologico Monzino
RECRUITINGMilan, 20138, Italy
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Clinique Pasteur Toulouse
RECRUITINGToulouse, 31076, France
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Herz-und Diabetes Zentrum NRW
RECRUITINGBad Oeynhausen, 32545, Germany
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Hopital Haut Leveque
RECRUITINGPessac, 33600, France
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Hospital Universitari i Politècnic La Fe
RECRUITINGValencia, 46026, Spain
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Hospital Universitario A Coruña
RECRUITINGA Coruña, 15006, Spain
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Hospital Universitario Doce de Octubre
RECRUITINGMadrid, 28041, Spain
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Hôpital Pitié Salpetrière
RECRUITINGParis, 75013, France
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Karolinska University Hospital Huddinge
RECRUITINGStockholm, 14186, Sweden
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Mater Private Hospital
RECRUITINGDublin, DUBLIN 7, Ireland
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Medizinische Einrichtungen der Universität zu Köln
RECRUITINGCologne, 50937, Germany
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National Institute of Cardiology Warsaw
RECRUITINGWarsaw, 04-628, Poland
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Ordensklinikum Linz Elisabethinen
RECRUITINGLinz, 4020, Austria
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Rigshospitalet
RECRUITINGCopenhagen, 2100, Denmark
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St. Antonius Ziekenhuis
RECRUITINGNieuwegein, 3435 CM, Netherlands
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TUM Klinikum - Deutsches Herzzentrum München
RECRUITINGMünchen, 80636, Germany
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ULS de Lisboa Ocidental
RECRUITINGLisbon, 2799-523, Portugal
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UZ Brussel
RECRUITINGBrussels, 1090, Belgium
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Universitair Medisch Centrum Groningen
NOT_YET_RECRUITINGGroningen, 9713 GZ, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Two ways to quiet a racing heart: trial pits hybrid ablation against standard catheter treatment
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- Two ways to catch a hidden heart rhythm after stroke
- Can an implanted heart monitor catch hidden irregular heartbeats after stroke?