Medtronic Terminate AF Study for Atrial Fibrillation

This study is testing the safety and effectiveness of two medical devices, the Cardioblate iRF and CryoFlex, for treating persistent or longstanding persistent atrial fibrillation (AF). AF is an irregular and often rapid heart rate that can cause symptoms like palpitations, fatigue, and shortness of breath. You may be able to join if you have non-paroxysmal AF and are already scheduled for open-heart surgery, such as bypass surgery or valve repair. The study will look at how many serious problems happen within 30 days of the procedure and if your AF is gone between 6 and 12 months after the procedure. This study is currently unclear on its recruitment status and plans to enroll up to 160 participants.

Study design
This is a single-arm study, meaning all participants will receive the treatment being tested. Up to 160 people will take part in this study across various centers in the United States.
What's involved
Participants will undergo a surgical ablation procedure using the Cardioblate iRF and CryoFlex devices during their planned open-heart surgery. You will be followed and assessed for 12 months after the procedure.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed and assessed for 12 months after the procedure.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT03546374

Medtronic Terminate AF Study

Recruiting
NAAges 18+InterventionalTreatment
Medtronic Cardiac Surgery
~160 participants
Updated 2026-05-14 on ClinicalTrials.gov
What's tested:Surgical AblationCardioblate and Cryoflex hand held devices

At a glance

Recruiting sites
7 of 15 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Composite acute major adverse event rate
Measured over 30-days post-procedure or hospital discharge (whichever is longer)
+1 more outcome measured
Persistent Atrial Fibrillation
Longstanding Persistent Atrial Fibrillation

NCT03546374

Where you'd take part

This study runs at 15 sites. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Allegheny General Hospital

    Pittsburgh, Pennsylvaniastudy coordinator listed

    Recruiting

  • Corewell Health

    Grand Rapids, Michiganstudy coordinator listed

    Recruiting

  • Massachusetts General Hospital

    Boston, Massachusettsstudy coordinator listed

    Recruiting

  • St Vincent Heart Center of Indiana

    Indianapolis, Indianastudy coordinator listed

    Recruiting

  • Swedish Medical Center

    Seattle, Washingtonstudy coordinator listed

    Recruiting

  • Virginia Mason Heart Institute

    Seattle, Washingtonstudy coordinator listed

    Recruiting

  • Washington University School of Medicine

    St Louis, Missouristudy coordinator listed

    Recruiting

  • Adventist Health St. Helena

    St. Helena, Californiano site contact published

    Withdrawn

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Ralph J Damiano, MD · PRINCIPAL_INVESTIGATOR · Washington University School of Medicine

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Eligibility criteria

Inclusion

History of non-paroxysmal AF (persistent or longstanding persistent)
Concomitant indication for non-emergent open-heart surgery, eg,
Able to take the anticoagulant warfarin or novel oral anticoagulants (NOAC)

Exclusion

Wolff-Parkinson-White syndrome
New York Heart Association (NYHA) Class = IV
Left Ventricular Ejection Fraction ≤ 30%
Need for emergent cardiac surgery (ie, cardiogenic shock) or redo open heart surgery
Previous AF ablation, atrioventricular (AV) -nodal ablation, or surgical Maze procedure
Contraindication for anticoagulation therapy
Left atrial diameter \> 6.0 cm
Preoperative need for an intra-aortic balloon pump or intravenous inotropes
Renal failure requiring dialysis or hepatic failure
Life expectancy of less than 1 year
Predicted risk of operative mortality \>10% as assessed by STS Risk Calculator
Pregnancy or desire to be pregnant within 12 months of the study treatment
Current diagnosis of active systemic infection
Active endocarditis
Documented MI 30 days prior to study enrollment
Current or planned participation in an investigational or observational drug or device trial related to the treatment of atrial arrhythmias
  • Composite acute major adverse event rate30-days post-procedure or hospital discharge (whichever is longer)

    Composite acute major adverse event rate including: Atrial tears, Esophageal injury, Excessive bleeding, Mediastinitis, Myocardial infarction (MI), Pulmonary embolism, Peripheral arterial embolism, Stroke, Transient ischemic attacks (TIA), Death.

  • Freedom from Atrial Fibrillation (AF)/Atrial Flutter (AFL)/Atrial Tachycardia (AT)6-months post-procedure to 12-months post-procedure

    Freedom from AF/AFL/AT of 30 seconds or greater duration on Holter, and 10 seconds on 12-lead ECG after removal from antiarrhythmic drug (AAD) therapy.