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1.
Suitable candidate for intracardiac mapping and ablation of arrhythmias
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2.
Above 18 years of age or of legal age to give informed consent specific to state and national law
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3.
Subjects with a history of documented symptomatic, persistent, or long-standing persistent AF ≤36 mo
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4.
Subject agrees to comply with study procedures and be available (geographically stable) for follow-up visits for at least 12 mo
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5.
Treatment of AF with ablation therapy presenting with recurrent symptoms of AF (not applicable to de novo subjects)
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1.
LA diameter >5.5 cm
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2.
LVEF <35%
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3.
Presence of intramural thrombus, tumor, or abnormality that precludes vascular access, catheter introduction, or manipulation
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4.
Coagulopathy, bleeding diathesis, or suspected procoagulant state
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5.
Known allergies or intolerance to anticoagulant and antiplatelet therapies to be used in conjunction with the study or contrast sensitivity that cannot be adequately pretreated prior to the ablation procedure
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6.
Positive pregnancy test results for female patients of childbearing potential or breastfeeding
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7.
Acute or chronic medical condition that in the judgment of the investigator would increase risk to the patient or deem the patient inappropriate to participate in the study
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8.
Mitral valve stenosis and/or severe mitral regurgitation
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9.
Valvular AF
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10.
Prosthetic valves
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11.
NYHA functional class IV
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12.
History of MI within 3 mo prior to procedure
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13.
ASD or LAA closure device
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14.
AF from a reversible cause (eg, surgery, hyperthyroidism, sarcoidosis, or pericarditis)
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15.
Life expectancy <12 mo based on medical history or the medical judgment of the investigator
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16.
Presence of any transvenous pacing, ICD, or CRT leads
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