Horizon 360

Horizon 360 Protocol for the Treatment of Paroxysmal Atrial Fibrillation With the Sphere-360™ Catheter and Affera™ Mapping and Ablation System

Objective

The purpose of the study is to provide data demonstrating the safety and effectiveness of the Sphere-360 Catheter and Affera Mapping and Ablation System for treating paroxysmal atrial Fibrillation (PAF).

Eligibility

Key Inclusion Criteria:

  • A diagnosis of recurrent symptomatic PAF, which is defined as continuous AF episode lasting longer than 30 seconds but terminates spontaneously or with intervention within 7 days of onset, documented by the following:
    • A physician's note indicating at least 2 symptomatic PAF episodes occurring within 6 months prior to enrollment; and
    • At least 1 electrocardiographically documented episode within 12 months prior to enrollment
  • Adults who are ≥18 and ≤80 years of age on the day of enrollment.
  • Willing and able to comply with all baseline and follow-up evaluations for the full length of the study. 

Key Exclusion Criteria:

  • Continuous AF lasting more than 7 days
  • Prior Catheter or Surgical Ablation
  • AF that required three or more distinct cardioversions in the preceding 12 months
  • LA anteroposterior >5.0cm (by MRI, CT, or TTE)
  • Patient who is not on OAC therapy for at least 3 weeks prior to the ablation procedure
  • Presence of any PPM, BIV PPM, ILR, ICM, or any type of implantable cardiac defibrillator
  • Prior valvular (surgical or percutaneous) procedure or Moderate to severe aortic or mitral valve disease
  • EF <40%

NCT ID

NCT07308847