Use of "iSuite" During CMR-guided Electrophysiological Procedures
Prospective Use of Philips "iSuite" Electroanatomical Mapping System in Addition to Standard CMR-guided Electrophysiological Procedures
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Marisevi Chaldoupi
- Phone Number: +31 43 387 7223
- Email: marisevi.chaldoupi@mumc.nl
Study Contact Backup
- Name: Miranda Bijvoet
- Phone Number: +31 43 387 7223
- Email: miranda.bijvoet@mumc.nl
Study Locations
-
-
Limburg
-
Maastricht, Limburg, Netherlands, 6202 AZ
- Recruiting
- Maastricht UMC+
-
Sub-Investigator:
- K Vernooy, Prof. dr.
-
Sub-Investigator:
- G.P Bijvoet, MD
-
Sub-Investigator:
- R.J Holtackers, Ir
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Sub-Investigator:
- S.J.M. van Kuijk, MD, PhD
-
Sub-Investigator:
- J.E Wildberger, Prof. dr.
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Already scheduled by the treating electrophysiologist for CMR-EP as standard care for the treatment of a cardiac arrhythmia.
- Minimum age of 18 years old.
- Written informed consent
Exclusion Criteria:
- Participation in another investigational study that has not reached its primary endpoint.
- Contraindication for MRI such as: metallic implant, body weight > 130 kg, pregnancy, breast feeding women, known severe allergy to gadolineum contrast agents, renal failure with eGFR ≤ 30 mL/min/1,73m2.
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The feasibility of iSuite to create an electroanatomical map (EAM) of the heart during CMR-EP
Time Frame: Periprocedural
|
To establish whether the visualization by iSuite is correct we will compare the location visualized by the EAM with the reference images as produced by the default cine MRI sequences at the target ablation location just prior to the RF ablation.
The definition of correct visualization is: good agreement between the two modalities (EAM and cine MRI) based on visual assessment of the treating electrophysiologist and the supervising CMR expert.
When no consensus is reached than the visualization is coded 'incorrect'.
This outcome will be dichotomized and coded as 'correct visualization' or 'incorrect visualization'.
This categorical variable will be expressed as counts and proportion with 95% confidence interval (CI).
|
Periprocedural
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Procedural success as measured by electrical and anatomical confirmation of a complete ablation lesion at the end of the procedure:
Time Frame: Periprocedural
|
Anatomical confirmation of a complete ablation lesion is defined as a continuous line of high signal intensity at the target location on the edema and fibrosis sequences of the CMR at the end of the procedure.
This anatomical confirmation will be judged by the CMR expert that is present during the procedure and thus will not be blinded to the EP results.
Procedural success and procedural complications will be reported as count and proportion with 95% CI.
|
Periprocedural
|
|
Procedural time
Time Frame: Periprocedural
|
To investigate the procedure-by-procedure change in procedural times and total amount of CMR images needed until application of the first ablation lesion
|
Periprocedural
|
|
Complication rate
Time Frame: Periprocedural
|
To investigate the complication rate of CMR-EP with the integration of iSuite.
|
Periprocedural
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: S.M. Chaldoupi, Maastricht UMC+
- Principal Investigator: Casper Mihl, Maastricht UMC+
- Study Chair: J.E Wildberger, Prof. Dr, Maastricht UMC+
Publications and helpful links
General Publications
- Hilbert S, Sommer P, Gutberlet M, Gaspar T, Foldyna B, Piorkowski C, Weiss S, Lloyd T, Schnackenburg B, Krueger S, Fleiter C, Paetsch I, Jahnke C, Hindricks G, Grothoff M. Real-time magnetic resonance-guided ablation of typical right atrial flutter using a combination of active catheter tracking and passive catheter visualization in man: initial results from a consecutive patient series. Europace. 2016 Apr;18(4):572-7. doi: 10.1093/europace/euv249. Epub 2015 Aug 27.
- Paetsch I, Sommer P, Jahnke C, Hilbert S, Loebe S, Schoene K, Oebel S, Krueger S, Weiss S, Smink J, Lloyd T, Hindricks G. Clinical workflow and applicability of electrophysiological cardiovascular magnetic resonance-guided radiofrequency ablation of isthmus-dependent atrial flutter. Eur Heart J Cardiovasc Imaging. 2019 Feb 1;20(2):147-156. doi: 10.1093/ehjci/jey143.
- Harrison J WS, Krueger S, Koken P, O'Neill M, Schaeffter T, Razavi R. Real-time magnetic resonance-guided radiofrequency atrial ablation: visualization of lesion formation and activation mapping. Heart Rhythm. 2013;10.
- Lichter J, Kholmovski EG, Coulombe N, Ghafoori E, Kamali R, MacLeod R, Ranjan R. Real-time magnetic resonance imaging-guided cryoablation of the pulmonary veins with acute freeze-zone and chronic lesion assessment. Europace. 2019 Jan 1;21(1):154-162. doi: 10.1093/europace/euy089.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NL74812.068.20
- METC20-064 (Other Identifier: METC azM/UM)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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