OPTION-EMEA Clinical Trial

NCT ID: NCT07349121

Last Updated: 2026-01-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

500 participants

Study Classification

INTERVENTIONAL

Study Start Date

2026-04-30

Study Completion Date

2028-12-31

Brief Summary

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The OPTION-EMEA post-market study is intended to gather real world clinical data for patients undergoing AF ablation with the FARAPULSE™ Pulsed Field Ablation (PFA) System and subsequent left atrial appendage closure (LAAC) with a WATCHMAN FLX™ Pro or WATCHMAN FLX device during one interventional case.

The study will include patients that are clinically indicated for atrial fibrillation (AF) ablation using the FARAPULSE PFA System and for left atrial appendage closure (LAAC) treatment using a WATCHMAN FLX Pro or WATCHMAN FLX device as part of the patient's standard of care determined by their doctor's medical judgement.

Detailed Description

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Conditions

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Atrial Fibrillation (AF) Stroke Prevention in Patients With Atrial Fibrillation Left Atrial Appendage Closure Pulsed Field Ablation Atrial Fibrillation Ablation Procedure Concomitant Procedures

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Single arm study

Subjects who meet eligibility criteria will undergo AF ablation and left atrial appendage closure using the FARAPULSE PFA system and WATCHMAN FLX Pro or WATCHMAN FLX during one interventional case.

Group Type OTHER

Concomitant pulsed field ablation (PFA) and left atrial appendage closure (LAAC) during one interventional case

Intervention Type DEVICE

left atrial appendage closure

Concomitant Pulsed Field Ablation and Left Atrial Appendage Closure

Intervention Type PROCEDURE

FARAPULSE PFA and WATCHMAN FLX Pro or WATCHMAN FLX in one interventional case.

Interventions

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Concomitant pulsed field ablation (PFA) and left atrial appendage closure (LAAC) during one interventional case

left atrial appendage closure

Intervention Type DEVICE

Concomitant Pulsed Field Ablation and Left Atrial Appendage Closure

FARAPULSE PFA and WATCHMAN FLX Pro or WATCHMAN FLX in one interventional case.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Clinically indicated for treatment with both the FARAPULSE™ PFA system and with WATCHMAN FLX™ Pro or WATCHMAN FLX™ for LAAC, per physician medical judgement and as per hospitals' standard of care.
2. Subjects who are willing and able to provide informed consent.
3. Subjects who are willing and able to participate in all testing associated with this clinical study at an approved investigational center.
4. 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

1. Subjects who underwent prior AF ablation procedure.
2. Subjects with atrial fibrillation that is secondary to electrolyte imbalance, thyroid disease, alcohol, or other reversible / non-cardiac causes.
3. Already surgically closed or otherwise excluded LAA.
4. The LAA anatomy does not accommodate a Closure Device.
5. Known or suspected atrial myxoma.
6. Presence of intracardiac thrombus\*.
7. Subjects with a current interatrial baffle or patch, history of atrial septal repair or has an atrial septal defect (ASD) / patent foramen ovale (PFO) device.
8. Subjects with a presence of a mechanical valve prosthesis in any position.
9. Subjects with a myocardial infarction within 90 days prior to enrollment.
10. Subjects had a prior stroke (of any cause, whether ischemic or hemorrhagic) or transient ischemic attack (TIA) within 90 days prior to enrollment.
11. Any planned electrical cardioversion within 30 days following LAAC device implant.
12. Subjects with a known inability to obtain vascular access.
13. Subjects with any contraindication to percutaneous catheterization procedure (e.g., patient size does not accommodate required catheters, ventriculotomy or atriotomy) or congenital abnormalities (severe rotational anomalies of the heart or great vessels) are present.
14. Subjects with any active conditions (e.g. infection, bleeding disorder, unstable angina).
15. Subjects with any contraindications to short term use of anticoagulation therapy for conditions different from atrial fibrillation.
16. Subjects who are pregnant or planning to be pregnant.
17. Subjects with a life expectancy of ≤ 1 year per investigator's opinion.
18. 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Boston Scientific Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Central Contacts

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Katherine A Beattie, Sr. Clinical Trial Manager, RN

Role: CONTACT

+1 612 819 4540

Other Identifiers

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S2605

Identifier Type: -

Identifier Source: org_study_id

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