Vascade MVP vascular closure system gains same-day discharge labelling for AF ablation

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Vascade

Haemonetics Corporation has announced that the Vascade MVP venous vascular closure system is has received a US Food and Drug (FDA) indication for same-day discharge following atrial fibrillation (AF) ablation.

The same-day discharge labelling was granted following the conclusion of the first two registries in the AMBULATE Same-Day Discharge (SDD) clinical study series, which evaluated the safety and efficacy of using Vascade MVP to facilitate same-day discharge of AF ablation patients. As of July 2021, Cardiva Medical, a manufacturer of vascular closure systems acquired by Haemonetics earlier this year, has completed three of its four planned registries in the AMBULATE Same-Day Discharge clinical study series.

The first study was a multicentre retrospective study that enrolled 497 subjects across four US centres, and the second study was a prospective, multicentre, single-arm study, referred to as SDD #1. SDD #1 enrolled 151 paroxysmal AF patients at eight US centres under the direction of 27 investigators. The most recent study, AMBULATE Same-Day discharge #2, was a multicentre, prospective, single-arm study that enrolled 203 persistent AF patients at 13 US centres under the direction of 37 investigators. The studies demonstrated the following:

Retrospective Study—99.4% of subjects treated for AF with venous closure using the Vascade MVP were sent home the same day without additional intervention post-discharge.

SDD #1—98.6% of subjects treated for paroxysmal AF with venous closure using the Vascade MVP were sent home the same day without additional intervention post-discharge.

SDD #2—99.5% of subjects treated for persistent AF with venous closure using the Vascade MVP were sent home the same day without additional intervention post-discharge.

Vascular access safety in all three studies was similar to that in the AMBULATE pivotal study, i.e. zero major access site-related complications. Same-Day Discharge #3, an all-comers study for patients undergoing AF ablation with venous closure using Vascade MVP, will begin enrolment in 2022. It is planned to be a multicentre prospective registry of 300 subjects.

“By using Vascade MVP following AF ablation, the AMBULATE SDD clinical study investigators achieved reproducible, consistent and durable vascular closure, facilitating same-day discharge,” said Zayd A Eldadah, principal investigator and director of cardiac electrophysiology at the MedStar Health System, based in the Baltimore–Washington region (USA).

Vascade MVP is the only marketed vascular closure system proven and labelled specifically for procedures requiring multiple access site venous closure with standard 6–12 French inner diameter (15 French maximum outer diameter) sheaths used in cardiac electrophysiology procedures. In previous studies, Vascade MVP has been proven to enable earlier ambulation, earlier discharge eligibility and higher patient satisfaction.

According to Chris Simon, Haemonetics’ president and CEO, “COVID has accelerated the need to enhance safety and efficacy to optimise the patient experience in meaningful ways. Vascade MVP earning the first and only indication for same-day discharge for AF ablation patients speaks to our industry leadership and continued commitment to improving the standards of care.”


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