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EnSite™ HD Grid Catheter AF/AT Mapping Study

Primary Purpose

Non-paroxysmal Atrial Fibrillation, Left Atrial Tachycardia

Status
Completed
Phase
Not Applicable
Locations
International
Study Type
Interventional
Intervention
EnSite™ HD Grid Catheter mapping system
Sponsored by
Abbott Medical Devices
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Non-paroxysmal Atrial Fibrillation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Presence of non-paroxysmal atrial fibrillation (AF) or left atrial tachycardia (AT) referred for catheter ablation
  2. Age of 18 years of age or older at time of Enrollment
  3. On continuous anticoagulation (INR 2-3) for >4 weeks prior to the ablation
  4. Able and willing to provide written informed consent to participate in this clinical investigation

Exclusion Criteria:

  1. Secondary atrial fibrillation (AF)
  2. Presence of a prosthetic valve(s) or hemodynamically significant valvular heart disease as determined by Study Investigator
  3. Active systemic infection (e.g. sepsis)
  4. Presence of left atrial thrombus (i.e., positive TEE) or myxoma, or interatrial baffle or patch via the transseptal approach
  5. Contraindication to systemic anticoagulation (i.e., heparin, warfarin, or a direct thrombin inhibitor)
  6. History of cerebrovascular accidents (Stroke, TIA)
  7. Previous myocardial infarction, unstable angina pectoris or coronary artery by-pass <180 days at Enrollment or cardiovascular intervention expected in the 180 days post-Enrollment
  8. Left atrial size >55mm
  9. NYHA (New York Heart Association Classification) functional class III or IV heart failure
  10. Left ventricular ejection fraction <35%
  11. Uncontrolled Hyperthyroidism
  12. Pregnant or of childbearing potential and not using adequate contraceptive methods or nursing
  13. Participating in another clinical investigation that may confound the results of this clinical investigation
  14. Life expectancy less than 12 months, as determined by Study Investigator
  15. Severe clinical condition (e.g. active carcinoma) that, in the opinion of the Study Investigator, excludes the participation in the study

Sites / Locations

  • Royal Adelaide Hospital
  • Ashford Hospital
  • Royal Melbourne Hospital
  • Hôpital du Haut Lévêque
  • Herzzentrum Dresden GmbH Universitatsklinik
  • Queen Mary Hospital
  • San Donato Hospital

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

EnSite™ HD Grid Catheter AF/AT Mapping

Arm Description

Outcomes

Primary Outcome Measures

Number of subjects with adverse events associated with the use of the EnSite™ HD (High-Density)Grid Catheter mapping system.
To evaluate the safety of the novel EnSite™ HD Grid Catheter mapping system by collecting intra- and post-Procedure (within 48 hours from Procedure) adverse events.
Number of subjects with the electrophysiological characteristics of non-paroxysmal AF and left AT pre-catheter ablation studied using the EnSite™ HD Grid Catheter mapping system.
To identify and study the electrophysiological characteristics of non-paroxysmal AF and left AT pre-catheter ablation using a novel EnSite™ HD Grid Catheter mapping system.
Catheter performance during the mapping portion of the procedure
To assess the HD Grid Catheter mapping system for acceptable geometry creation, map repeatability and electrogram signal quality.

Secondary Outcome Measures

Full Information

First Posted
November 16, 2015
Last Updated
January 31, 2019
Sponsor
Abbott Medical Devices
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1. Study Identification

Unique Protocol Identification Number
NCT02656537
Brief Title
EnSite™ HD Grid Catheter AF/AT Mapping Study
Official Title
EnSite™ HD Grid Catheter Mapping System for Advanced High Density Three-Dimensional Mapping in Non-Paroxysmal Atrial Fibrillation and Atrial Tachycardia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2019
Overall Recruitment Status
Completed
Study Start Date
August 2015 (Actual)
Primary Completion Date
February 2018 (Actual)
Study Completion Date
August 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Medical Devices

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
In this clinical investigation, the safety, feasibility and performance of the novel EnSite™ HD Grid Catheter mapping system for advanced high-density three-dimensional mapping will be studied in patients undergoing catheter ablation procedures for the treatment of non-paroxysmal atrial fibrillation (AF) or left atrial tachycardia (AT).
Detailed Description
Catheter ablation for non-paroxysmal AF is more complex as triggers, if present at all, are not immediately apparent, but the abnormal atrial substrates are the likely predominant mechanisms. Additional catheter ablation strategies targeting for atrial substrate modification have been introduced. The common strategies involve either application of empirical linear lesion sets in the atrial areas or ablation of atrial areas with complex fractionated atrial electrograms in addition to pulmonary vein isolation. Nevertheless, the corresponding success rates in long-term sinus rhythm maintenance are modest. Non-paroxysmal AF and left AT are characterized by fast and regular atrial activities, complex fractionated atrial electrograms, consistent direction of wave front propagation, and low peak-to-peak voltage. Advanced high-density three-dimensional catheter mapping strategies to target the evaluation of these characteristics and mechanisms responsible for the AF and left AT, identification of atrial areas with low peak-to-peak voltages and determination of the "critical" atrial targets for catheter ablation during the procedures would be essential. In this clinical investigation, the safety, feasibility and performance of the novel EnSite™ HD Grid Catheter mapping system for advanced high-density three-dimensional mapping will be studied in patients undergoing catheter ablation procedures for the treatment of non-paroxysmal AF or left AT.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-paroxysmal Atrial Fibrillation, Left Atrial Tachycardia

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
82 (Actual)

8. Arms, Groups, and Interventions

Arm Title
EnSite™ HD Grid Catheter AF/AT Mapping
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
EnSite™ HD Grid Catheter mapping system
Primary Outcome Measure Information:
Title
Number of subjects with adverse events associated with the use of the EnSite™ HD (High-Density)Grid Catheter mapping system.
Description
To evaluate the safety of the novel EnSite™ HD Grid Catheter mapping system by collecting intra- and post-Procedure (within 48 hours from Procedure) adverse events.
Time Frame
Within 48 hours from Procedure
Title
Number of subjects with the electrophysiological characteristics of non-paroxysmal AF and left AT pre-catheter ablation studied using the EnSite™ HD Grid Catheter mapping system.
Description
To identify and study the electrophysiological characteristics of non-paroxysmal AF and left AT pre-catheter ablation using a novel EnSite™ HD Grid Catheter mapping system.
Time Frame
During Procedure
Title
Catheter performance during the mapping portion of the procedure
Description
To assess the HD Grid Catheter mapping system for acceptable geometry creation, map repeatability and electrogram signal quality.
Time Frame
During Procedure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Presence of non-paroxysmal atrial fibrillation (AF) or left atrial tachycardia (AT) referred for catheter ablation Age of 18 years of age or older at time of Enrollment On continuous anticoagulation (INR 2-3) for >4 weeks prior to the ablation Able and willing to provide written informed consent to participate in this clinical investigation Exclusion Criteria: Secondary atrial fibrillation (AF) Presence of a prosthetic valve(s) or hemodynamically significant valvular heart disease as determined by Study Investigator Active systemic infection (e.g. sepsis) Presence of left atrial thrombus (i.e., positive TEE) or myxoma, or interatrial baffle or patch via the transseptal approach Contraindication to systemic anticoagulation (i.e., heparin, warfarin, or a direct thrombin inhibitor) History of cerebrovascular accidents (Stroke, TIA) Previous myocardial infarction, unstable angina pectoris or coronary artery by-pass <180 days at Enrollment or cardiovascular intervention expected in the 180 days post-Enrollment Left atrial size >55mm NYHA (New York Heart Association Classification) functional class III or IV heart failure Left ventricular ejection fraction <35% Uncontrolled Hyperthyroidism Pregnant or of childbearing potential and not using adequate contraceptive methods or nursing Participating in another clinical investigation that may confound the results of this clinical investigation Life expectancy less than 12 months, as determined by Study Investigator Severe clinical condition (e.g. active carcinoma) that, in the opinion of the Study Investigator, excludes the participation in the study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Carlo Pappone, MD, PhD
Organizational Affiliation
San Donato Hospital, Italy
Official's Role
Principal Investigator
Facility Information:
Facility Name
Royal Adelaide Hospital
City
Adelaide
Country
Australia
Facility Name
Ashford Hospital
City
Ashford
ZIP/Postal Code
5035
Country
Australia
Facility Name
Royal Melbourne Hospital
City
Parkville
ZIP/Postal Code
3050
Country
Australia
Facility Name
Hôpital du Haut Lévêque
City
Pessac
ZIP/Postal Code
33604
Country
France
Facility Name
Herzzentrum Dresden GmbH Universitatsklinik
City
Dresden
ZIP/Postal Code
01307
Country
Germany
Facility Name
Queen Mary Hospital
City
Hong Kong
Country
Hong Kong
Facility Name
San Donato Hospital
City
Milan
Country
Italy

12. IPD Sharing Statement

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EnSite™ HD Grid Catheter AF/AT Mapping Study

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