- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05159180
Development of a New Impedance Mapping System for Ablation of Atrial Arrhythmias in Patients
December 17, 2021 updated by: Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Desarrollo de un Nuevo Sistema de Mapeo de Impedancia Para la ablación de Las Arritmias Auriculares en Pacientes
Precise identification of the atrial fibrosis is essential for successful catheter ablation of atrial arrhythmias in patients with atrial fibrillation.
Voltage mapping of endocardial electrograms is currently used to delineate the anatomical substrate, but this is influenced by the direction of the activation wave front and is limited by the patient-specific thresholds.
Mapping of local myocardial electrical impedance may overcome these limitations.
Study Overview
Status
Recruiting
Intervention / Treatment
Detailed Description
Clinical series: Patients with atrial arrythmias undergoing catheter ablation of these will be submitted to mapping of both voltage and tissue impedance.
Likewise, the accuracy of the two maps identifying the extent of the substrate will be assesssed by gadolinium imaging.
The impedance system is already constructed and certified for clinical research use.
Study Type
Observational
Enrollment (Anticipated)
15
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: Jose M Guerra, MD, PhD
- Phone Number: +34935537058
- Email: jguerra@santpau.cat
Study Contact Backup
- Name: Gerard Amorós, MSc, PhD
- Email: gamorosf@santpau.cat
Study Locations
-
-
-
Barcelona, Spain, 08026
- Recruiting
- Hospital de la Santa Creu i Sant Pau
-
-
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 to 85 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Sampling Method
Non-Probability Sample
Study Population
Patients with atrial arrhythmias undergoing catheter ablation
Description
Inclusion Criteria:
- Age between 18 and 85 years.
- That they understand and sign the informed consent.
- That they do not present any contraindication.- Pass the exploration and tests prior to bioimpedance measurements.
Exclusion Criteria:
- Age outside the range described in the inclusion criteria.
- Subjects who present any type of complication during the procedure.
- Pregnancy.
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
- Observational Models: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
patients with atrial arrhythmias undergoing catheter ablation of these
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.
|
Patients will be submitted to mapping of both voltage and tissue impedance.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Comparative detection of atrial scar by voltage mapping
Time Frame: 30 minutes
|
Voltage will be measured at different sites of the atrial scar and healthy tissue.
|
30 minutes
|
Comparative detection of atrial scar by impedance mapping
Time Frame: 30 minutes
|
Myocardial local impedance spectroscopy will be measured at different sites of the atrial scar and healthy tissue.
|
30 minutes
|
Comparative detection of atrial 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, 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.
- 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.
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 (Anticipated)
December 13, 2021
Primary Completion (Anticipated)
July 31, 2022
Study Completion (Anticipated)
December 31, 2022
Study Registration Dates
First Submitted
December 3, 2021
First Submitted That Met QC Criteria
December 3, 2021
First Posted (Actual)
December 16, 2021
Study Record Updates
Last Update Posted (Actual)
December 20, 2021
Last Update Submitted That Met QC Criteria
December 17, 2021
Last Verified
December 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- IIBSP-IMS-2021-74
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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