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Dynamic Substrate Mapping (DSM) for Ischemic VT

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Abbott

Status and phase

Terminated
Phase 1

Conditions

Ischemic Ventricular Tachycardia

Treatments

Device: Dynamic Substrate Mapping-guided ablation

Study type

Interventional

Funder types

Industry

Identifiers

Details and patient eligibility

About

This is a prospective, non-randomized study to determine the feasibility of using a new technique called Dynamic Substrate Mapping (DSM) to help guide the treatment of ischemic ventricular tachycardia (IVT). We hypothesize that DSM will lead to simpler, more effective ablation of IVT. Results from this study will be used to determine if further clinical investigation is warranted.

Enrollment

5 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Have an ICD or CRT-D device
  • Had at least 3 documented device therapies to treat VT over last 3 months
  • Clinical VT is confirmed or suspected to be of ischemic origin
  • Scheduled for VT ablation procedure
  • LVEF > or = 20%

Exclusion criteria

  • Inadequate AAD washout (amiodarone should be maintained at current dose)
  • Unstable angina
  • Active ischemia
  • Cardiac surgery within prior 2 months
  • Evidence of infection
  • Prosthetic mitral or aortic valve or mitral/aortic valvular heart disease requiring surgical intervention
  • History of embolic event
  • Myocardial infarction within prior 6 weeks
  • Enrolled in another study
  • Recurrent sepsis or otherwise not a candidate for catheterization
  • Hypercoagulable state or inability to tolerate heparin therapy during procedure
  • Has had an atriotomy or ventriculotomy within prior 4 months
  • Life expectancy < 6 months
  • Class IV NYHA classification

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Single Group Assignment

Masking

None (Open label)

5 participants in 1 patient group

DSM
Active Comparator group
Description:
Treatment using DSM to guide ablation
Treatment:
Device: Dynamic Substrate Mapping-guided ablation

Trial contacts and locations

3

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Data sourced from clinicaltrials.gov

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