October 14, 2022 — Biosense Webster, Inc., part of Johnson & Johnson MedTech†, today announced the European launch of the HELIOSTAR Balloon Ablation Catheter – the first radiofrequency balloon ablation catheter. The HELIOSTAR Balloon Ablation Catheter is indicated for use in catheter-based cardiac electrophysiological mapping (stimulating and recording) of the atria and, when used with a compatible multi-channel RF generator, for cardiac ablation.
Europe is home to more than 11 million people living with atrial fibrillation (AF); 2 by 2030, the number of people with AF is expected to increase by up to 70%.3 In Europe, catheter ablation is a recommended first-line treatment option‡4 and is associated with a significant improvement in quality of life and significant reductions in AF burden and AF-related complications.5,6,7
The HELIOSTAR Balloon Ablation Catheter is fully integrated with the CARTO 3 System, a 3D mapping solution. The HELIOSTAR Balloon Ablation Catheter has a compliant balloon that can conform to varied pulmonary vein anatomy8,§ and provides the ability to achieve single-shot pulmonary vein isolation (PVI) in 12 seconds.1 Use of the HELIOSTAR Balloon Ablation Catheter, with the LASSOSTAR™ Catheter and CARTO 3 System, may reduce fluoroscopy time and exposure,9,10,11,** potentially benefitting both the patient and physician. Shorter procedure time may require less anesthesia and radiation and may result in less facility time. These time savings may also enable more procedures per day, facilitating patient access.12,13 The HELIOSTAR™ Balloon Ablation Catheter is not commercially available in the United States.
"The HELIOSTAR catheter is an effective and efficient technology, enabling great results in less procedure time, which has many benefits to both my patients, myself and my staff," said Prof. Gian Battista Chierchia, Full Professor in Cardiology, HRMC, Brussels, Belgium, CMO Electrophysiology Frontiers.* "The high single-shot isolation success rate is particularly valuable when it comes to procedural efficiency, and at my institution we've been able to reproducibly perform procedures in 15 - 20 minutes."
The HELIOSTAR Balloon Ablation catheter features ten gold-plated, irrigated electrodes and the amount of power delivered to each electrode can be customized based on anatomical location and known tissue thickness.8,12,16,†† HELIOSTAR™ is the only multi-electrode single-shot balloon with the flexibility to perform both circumferential and segmental ablation, enabling personalized PV ablation.8 The amount of power delivered to each electrode can be controlled independently1 and the catheter can deliver titrated radiofrequency energy for a customizable workflow.14
"The HELIOSTAR catheter is an exciting addition to my set of tools for delivering customizable, efficient and effective cardiac ablations. I have performed more than 120 cases with this tool at my institution to date, with an average left atrial procedure time of 35 minutes," said Prof. Tillman Dahme, Ulm University Medical Center – Department of Medicine II (Cardiology, Angiology, Pneumology, Critical Care Medicine), Germany.* "As AF prevalence continues to rise and impact more people in Europe and around the world, I am always looking for novel solutions like this to help me deliver better and more personalized treatments for my patients."
In a multicenter single-arm study, SHINE, the HELIOSTAR Balloon Ablation Catheter was an effective treatment for paroxysmal atrial fibrillation (AF)10 and isolated targeted pulmonary veins (PV) in 98.8% of patients without the need for focal touch-up.10,‡‡ Average time to isolation of each pulmonary vein was 9-12 seconds.10,§§ In addition, the RADIANCE study demonstrated 86% freedom from documented atrial arrhythmia at 12 months.15,*** In September 2021, the first post-approval procedures were successfully performed with the HELIOSTAR Balloon Ablation Catheter at sites across Europe.
"Our goal at Biosense Webster is to utilize the latest science and technology to help electrophysiologists deliver the best possible outcomes for their patients," said Michael Bodner, Ph.D., Worldwide President, Biosense Webster Inc. "The launch of the HELIOSTAR Balloon Ablation Catheter in Europe is an exciting milestone as we work together with the EP community to advance safe, effective and efficient treatment solutions for patients suffering from atrial fibrillation."
The HELIOSTAR Balloon Ablation Catheter is CE Mark approved and now available across Europe.
For more information: www.biosensewebster.com
† The Johnson & Johnson MedTech Companies comprise the surgery, orthopaedics, vision and interventional solutions businesses within Johnson & Johnson's MedTech segment.
* Drs. Chierchia and Dahme are compensated by and presenting on behalf of Biosense Webster, and must present information in accordance with applicable regulatory requirements.
‡ Recommended first-line treatment for patients with symptomatic Paroxysmal AF episodes or persistent AF without major risk factors for AF recurrence, of as an alternative to AAD class I or III, considering patient choice, benefit, and risk.
§ In a multicenter, single-arm study SHINE (n = 95), 100% of the targeted PVs were electrically isolated and no additional ablation with a focal ablation catheter was necessary.
** In a multicenter single-arm study, SHINE (n=95), fluoroscopy time was 10.9 ± 9.1 minutes in per-protocol population while in a multicenter single-arm study RADIANCE (n=40), fluoroscopy time was 17.4 ± 10.1 minutes without using LASSOSTAR™ Diagnostic Catheter.
†† Tissue thickness is known per anatomical location or measured via intracardiac echocardiography.
‡‡ This data is based on 7 operators. PV isolation is defined as sustained PV entrance block on adenosine/isoproterenol challenge.
§§ In a multi-center single-arm study (SHINE, n=95), pure single shot isolation was achieved by one initial RF application (regardless of the duration of ablation). Time to isolation (mean ± SD, sec) was 9.0 ± 6.46 (LIPV), 12.0 ± 11.58, (LSPV), 9.1 ± 4.95 (RIPV), 8.9 ± 6.22 (RSPV).
*** 86.4% (32/37) includes those both on/off AAD; 75.7% (28/37) off AAD. Based on n=37/39 pts, observational study.
1 Almorad, A. et al (2021). The optimized clinical workflow for pulmonary vein isolation with the radiofrequency balloon. Journal of interventional cardiac electrophysiology, 10.1007/s10840-021-01094-9. Advance online publication.
2 Global Burden of Disease Collaborative Network (2016) Global Burden of Disease Study 2016 (GBD 2016) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2017. Accessed 2018-04-20.
3 Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S (2014) Epidemiology of atrial fibrillation: European perspective. Clin Epidemiol. 6: 213-220.
4 Hindricks G et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J. 2021 Feb 1;42(5):373-498.
5 Walfridsson, Håkan, et al. "Radiofrequency ablation as initial therapy in paroxysmal atrial fibrillation: results on health-related quality of life and symptom burden. The MANTRA-PAF trial." EP Europace. 17.2 (2015): 215-221.
6 Blomström-Lundqvist, Carina, et al. "Effect of catheter ablation vs antiarrhythmic medication on quality of life in patients with atrial fibrillation: the CAPTAF randomized clinical trial." JAMA. 321.11 (2019): 1059-1068.
7 Journal of Nursing: June 2019 - Volume 119 - Issue 6 - p 18 doi:10.1097/01.NAJ.0000559795.09114.0b.
8 SHINE Study Clinical Study Report (BWI_2017_01 12M Final Results). December 20, 2019.
9 Calkins et al, 2017HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation, Europace (2018) 20, e1–e160.
10 Schilling, R., Dhillon, G., Tondo, C., et al. Safety, Effectiveness, and Quality of Life Following Pulmonary Vein Isolation with a Multi-Electrode Radiofrequency Balloon Catheter in Paroxysmal Atrial Fibrillation: One Year Outcomes from SHINE. Europace (2021) 23, 851-860.
11 RADIANCE Multi-Electrode Radiofrequency Balloon Catheter for the Treatment of Drug Refractory Symptomatic Paroxysmal Atrial Fibrillation (HELI-169). June 6, 2018.
12 Klein G, Lickfett L, Schreieck J, Deneke T, Wieczorek M et al. (2015) Comparison of 'anatomically designed' and 'point-by-point' catheter ablations for human atrial fibrillation in terms of procedure timing and costs in German hospitals. Europace. 17 (7): 1030-1037.
13 Yildiz M, Yilmaz Ak H, Oksen D, Oral S. Anesthetic Management In Electrophysiology Laboratory: A Multidisciplinary Review. J Atr Fibrillation. 2018;10(5):1775. Published 2018 Feb 28. doi:10.4022/jafib.1775.
14 Reddy, V. Y. et al (2019). Pulmonary Vein Isolation With a Novel Multielectrode Radiofrequency Balloon Catheter That Allows Directionally Tailored Energy Delivery: Short-Term Outcomes From a Multicenter First-in-Human Study (RADIANCE). Circulation. Arrhythmia and electrophysiology, 12(12), e007541.
15 Dhillon, G., Schilling, R. et al. Use of a Multi-Electrode Radiofrequency Balloon Catheter to Achieve Pulmonary Vein Isolation in Patients with Paroxysmal Atrial Fibrillation: Twelve-month outcomes of the RADIANCE Study. Journal of Electrophysiology, April 2020. doi: 10.1111/jce.14476.