Use of "iSuite" During CMR-guided Electrophysiological Procedures
Prospective Use of Philips "iSuite" Electroanatomical Mapping System in Addition to Standard CMR-guided Electrophysiological Procedures
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Forventet)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Marisevi Chaldoupi
- Telefonnummer: +31 43 387 7223
- E-mail: marisevi.chaldoupi@mumc.nl
Undersøgelse Kontakt Backup
- Navn: Miranda Bijvoet
- Telefonnummer: +31 43 387 7223
- E-mail: miranda.bijvoet@mumc.nl
Studiesteder
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-
Limburg
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Maastricht, Limburg, Holland, 6202 AZ
- Rekruttering
- Maastricht UMC+
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Underforsker:
- K Vernooy, Prof. dr.
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Underforsker:
- G.P Bijvoet, MD
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Underforsker:
- R.J Holtackers, Ir
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Underforsker:
- S.J.M. van Kuijk, MD, PhD
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Underforsker:
- J.E Wildberger, Prof. dr.
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Beskrivelse
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.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
The feasibility of iSuite to create an electroanatomical map (EAM) of the heart during CMR-EP
Tidsramme: 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).
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Periprocedural
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Procedural success as measured by electrical and anatomical confirmation of a complete ablation lesion at the end of the procedure:
Tidsramme: 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.
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Periprocedural
|
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Procedural time
Tidsramme: Periprocedural
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To investigate the procedure-by-procedure change in procedural times and total amount of CMR images needed until application of the first ablation lesion
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Periprocedural
|
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Complication rate
Tidsramme: Periprocedural
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To investigate the complication rate of CMR-EP with the integration of iSuite.
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Periprocedural
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: S.M. Chaldoupi, Maastricht UMC+
- Ledende efterforsker: Casper Mihl, Maastricht UMC+
- Studiestol: J.E Wildberger, Prof. Dr, Maastricht UMC+
Publikationer og nyttige links
Generelle publikationer
- 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.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Forventet)
Primær færdiggørelse
Studieafslutning (Forventet)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- NL74812.068.20
- METC20-064 (Anden identifikator: METC azM/UM)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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