- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04000412
A Novel Myocardial Impedance Mapping System for Ablation of Post-infarction Ventricular Arrhytmias in Humans
June 26, 2019 updated by: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Precise identification of the infarct scar is essential for successful catheter ablation of ventricular arrhythmias in patients with chronic myocardial infarction.
Voltage mapping of endocardial electrograms is currently used to delineate the necrotic scar but this is influenced by the direction of the activation wave front and is not sensitive enough to differentiate distinct degrees of transmural injury in the scar.
Mapping of local myocardial electrical impedance may overcome these limitations.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
Clinical series: Patients with chronic infarction undergoing catheter ablation of ventricular arrhythmias will be submitted to mapping of both voltage and tissue impedance.
Likewise, the accuracy of the two maps identifying the extent and transmurality of the infarction will be assesssed by gadolinium imaging.
The impedance system is already constructed and certified for clinical research use.
Study Type
Observational
Enrollment (Anticipated)
25
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Juan Cinca Cuscullola, Professor
- Phone Number: +34935537058
- Email: jcinca@santpau.cat
Study Locations
-
-
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Barcelona, Spain, 08026
- Recruiting
- Hospital de la Santa Creu i Sant Pau
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
N/A
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients with chronic myocardial infarction undergoing ablation of ventricular arrhythmias.
Description
Inclusion Criteria:
- More than 18 yearts
- Chronic myocardial infarction
- Undergoing ventricular ablation of ventricular arrhythmias
Exclusion Criteria:
- patients with device not suitable for cardiac magnetic ressonance (CMR)
- pregnacy
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
CASE GROUP
patients with chronic infarction undergoing catheter ablation of ventricular arrhythmias
|
Patients will be submitted to mapping of both voltage and tissue impedance.
The accuracy of the two maps identifying the extent and transmurality of the infarction will be assesssed by gadolinium imaging.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparative detection of infarct scar by voltage mapping
Time Frame: 3 hours
|
Voltage will be measured at different sites of the infarct scar and healthy tissue.
|
3 hours
|
Comparative detection of infarct scar by impedance mapping
Time Frame: 3 hours
|
myocardial local impedance will be measured at different sites of the infarct scar and healthy tissue.
|
3 hours
|
Comparative detection of infarct scar by gadolinium enhanced MR imaging
Time Frame: 30 minutes
|
Intensity of gadolinium will be measured at different sites of the infarct scar and healthy tissue.
|
30 minutes
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Amoros-Figueras G, Jorge E, Alonso-Martin C, Traver D, Ballesta M, Bragos R, Rosell-Ferrer J, Cinca J. Endocardial infarct scar recognition by myocardial electrical impedance is not influenced by changes in cardiac activation sequence. Heart Rhythm. 2018 Apr;15(4):589-596. doi: 10.1016/j.hrthm.2017.11.031. Epub 2017 Dec 27.
- Jorge E, Amoros-Figueras G, Garcia-Sanchez T, Bragos R, Rosell-Ferrer J, Cinca J. Early detection of acute transmural myocardial ischemia by the phasic systolic-diastolic changes of local tissue electrical impedance. Am J Physiol Heart Circ Physiol. 2016 Feb 1;310(3):H436-43. doi: 10.1152/ajpheart.00754.2015. Epub 2015 Nov 25.
- Amoros-Figueras G, Jorge E, Garcia-Sanchez T, Bragos R, Rosell-Ferrer J, Cinca J. Recognition of Fibrotic Infarct Density by the Pattern of Local Systolic-Diastolic Myocardial Electrical Impedance. Front Physiol. 2016 Aug 31;7:389. doi: 10.3389/fphys.2016.00389. eCollection 2016.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
March 19, 2019
Primary Completion (ANTICIPATED)
February 4, 2022
Study Completion (ANTICIPATED)
February 25, 2022
Study Registration Dates
First Submitted
June 17, 2019
First Submitted That Met QC Criteria
June 26, 2019
First Posted (ACTUAL)
June 27, 2019
Study Record Updates
Last Update Posted (ACTUAL)
June 27, 2019
Last Update Submitted That Met QC Criteria
June 26, 2019
Last Verified
June 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IIBSP-IMS-2015-90
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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