Status:

NOT_YET_RECRUITING

VINTAGE (Ventricular Intramyocardial Navigation for Tachycardia Ablation Guided by Electrograms) Using Commercial Off-The-Shelf (COTS) Catheters

Lead Sponsor:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Ventricular Arrhythmia

Eligibility:

All Genders

21-100 years

Phase:

NA

Brief Summary

Background: Ventricular arrhythmia is an abnormal pulse rhythm that starts in the lower part of the heart (ventricles). Treatment includes ablation; ablation uses heat to destroy small portions of th...

Detailed Description

Ventricular arrhythmias cause heart damage or death. Ventricular arrhythmias usually arise from small zones of the heart that contribute a short circuit or errant stimulus. Ventricular arrhythmias may...

Eligibility Criteria

Inclusion

  • INCLUSION CRITERIA:
  • Candidates must meet all of the following criteria:
  • Age \>= 21 years
  • Undergoing planned repeat radiofrequency catheter ablation for ventricular arrhythmias (Having failed a previous attempt at catheter ablation and at least one antiarrhythmic drug for ventricular arrhythmias)
  • Ventricular arrhythmia COHORT 1:
  • Monomorphic ventricular tachycardia
  • Has an implanted cardioverter defibrillator (ICD)
  • Hospital admission for ventricular tachycardia since most recent ablation attempt
  • Ventricular arrhythmia COHORT 2:
  • -Monomorphic (unifocal), frequent, premature ventricular contraction, \>=15% burden
  • Naive pericardium (no prior cardiac surgery)
  • Either of
  • Symptomatic (intolerable palpitation, syncope, fatigue, dyspnea, heart failure, hospital admission for ventricular arrhythmia, appropriate ICD discharge, appropriate antitachycardia pacing), OR
  • Left ventricular ejection fraction \< 0.50
  • Willing to return for all scheduled follow-up activities, and eligible or able to undergo required protocol and testing
  • EXCLUSION CRITERIA:
  • Does not consent to participate, or unable to consent to participate
  • Left ventricular ejection fraction \< 0.20
  • Hemodynamic instability or emergency procedure
  • Requires planned temporary mechanical circulatory device (such as percutaneous left ventricular assist device or intraaortic balloon counterpulsation pump)
  • Pregnant
  • eGFR \< 30 mL/min/1.73m\^2 or end-stage renal failure requiring renal replacement therapy
  • Survival despite successful procedure expected \< 6 mo

Exclusion

    Key Trial Info

    Start Date :

    January 14 2026

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    July 1 2027

    Estimated Enrollment :

    30 Patients enrolled

    Trial Details

    Trial ID

    NCT06940752

    Start Date

    January 14 2026

    End Date

    July 1 2027

    Last Update

    January 9 2026

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    Emory University

    Atlanta, Georgia, United States, 30322-1102