NCT02761343

Brief Summary

This study will evaluate the feasibility of visualization and characterization of arrhythmia ablation lesions by MRI immediately following standard ablation techniques. The appearance of the ablation lesion will be correlated with clinical outcomes and risk of arrhythmia recurrence.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
16

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Apr 2014

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2014

Completed
2.1 years until next milestone

First Submitted

Initial submission to the registry

April 25, 2016

Completed
9 days until next milestone

First Posted

Study publicly available on registry

May 4, 2016

Completed
3.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 18, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 18, 2020

Completed
Last Updated

January 21, 2020

Status Verified

January 1, 2020

Enrollment Period

5.8 years

First QC Date

April 25, 2016

Last Update Submit

January 17, 2020

Conditions

Keywords

cardiac arrhythmiacardiac ablationcongenital cardiac diseasecardiac ablation lesions under Magnetic Resonance imaging

Outcome Measures

Primary Outcomes (1)

  • The number of participants following ablation procedure who: a). have an arrythmia reoccurrence, b). require a repeat ablation procedure, and c). require treatment for arrhythmia management

    Post ablation up to 5 years

Secondary Outcomes (2)

  • To measure the size of the ablation lesion on cardiac MR imaging

    At the end of each ablation procedure through study completion, up to 5 years.

  • The number of post ablation MR images with a visible lesion.

    At the end of each ablation procedure through study completion, up to 5 years.

Study Arms (1)

MRI scan

OTHER

Post ablation MRI scan will be performed for all subjects who are clinically stable.

Other: MRI scan

Interventions

Following the clinically indicated cardiac ablation procedure, a post ablation MRI scan will be performed.

MRI scan

Eligibility Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Written informed consent from any patient willing to participate who is undergoing an electrophysiology study with potential for arrhythmia ablation
  • Written informed assent, if applicable

You may not qualify if:

  • Women who are pregnant
  • Women who are nursing and who do not plan to discard breast milk for 24 hours
  • Patients with a contraindication to MRI scanning will be excluded. These contraindications include patients with the following devices:
  • Central nervous system aneurysm clips
  • Implanted neural stimulator
  • Implanted cardiac pacemaker or defibrillator which are not MR safe or MR conditional according to the manufacturer
  • Cochlear implant
  • Ocular foreign body (e.g. metal shavings)
  • Implanted Insulin pump
  • Metal shrapnel or bullet.
  • Any intracardiac or intravascular device that is not MR safe or MR conditional according to the manufacturer based on both material and timing of device placement

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Children's National Health System

Washington D.C., District of Columbia, 20010, United States

Location

Related Publications (40)

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    PMID: 22898002BACKGROUND
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    PMID: 16412863BACKGROUND
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    PMID: 10931812BACKGROUND
  • Ranjan R, Kholmovski EG, Blauer J, Vijayakumar S, Volland NA, Salama ME, Parker DL, MacLeod R, Marrouche NF. Identification and acute targeting of gaps in atrial ablation lesion sets using a real-time magnetic resonance imaging system. Circ Arrhythm Electrophysiol. 2012 Dec;5(6):1130-5. doi: 10.1161/CIRCEP.112.973164. Epub 2012 Oct 15.

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  • Ranjan R, Kato R, Zviman MM, Dickfeld TM, Roguin A, Berger RD, Tomaselli GF, Halperin HR. Gaps in the ablation line as a potential cause of recovery from electrical isolation and their visualization using MRI. Circ Arrhythm Electrophysiol. 2011 Jun;4(3):279-86. doi: 10.1161/CIRCEP.110.960567. Epub 2011 Apr 14.

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MeSH Terms

Conditions

Tachycardia, VentricularArrhythmias, Cardiac

Interventions

Magnetic Resonance Spectroscopy

Condition Hierarchy (Ancestors)

TachycardiaHeart DiseasesCardiovascular DiseasesCardiac Conduction System DiseasePathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Spectrum AnalysisChemistry Techniques, AnalyticalInvestigative Techniques

Study Officials

  • Charles Berul, MD

    Children's National Research Institute

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
DIAGNOSTIC
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
MD

Study Record Dates

First Submitted

April 25, 2016

First Posted

May 4, 2016

Study Start

April 1, 2014

Primary Completion

January 18, 2020

Study Completion

January 18, 2020

Last Updated

January 21, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will not share

Locations