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Localization of Anatomical Structures Involved in Nodal Tachycardias by High Density Mapping. (KOCH-MAPPING)

Primary Purpose

Atrioventricular Nodal Reentry Tachycardia, Supraventricular Tachycardia

Status
Recruiting
Phase
Not Applicable
Locations
France
Study Type
Interventional
Intervention
high resolution cartography
Sponsored by
University Hospital, Toulouse
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Atrioventricular Nodal Reentry Tachycardia focused on measuring Voltage mapping, Atrioventricular node mapping

Eligibility Criteria

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

Inclusion Criteria:

Group 1: Patients without heart disease presenting with reciprocal tachycardia by intra-nodal reentry.

Group 2: Control subjects, without nodal tachycardia, without heart disease, and admitted for ablation of atrial fibrillation or ventricular extrasystoles on a healthy heart and with a 3D system.

Exclusion Criteria:

  • Presence of underlying structural heart disease or history of atrial ablation or atrial tachycardia
  • Minor or protected patient
  • Patient under guardianship, curatorship or safeguard of justice

Sites / Locations

  • CHU de ToulouseRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Group 1

Group 2

Arm Description

Tachycardia

Without tachycardia

Outcomes

Primary Outcome Measures

Determine the precise location of the AV node
Determine the precise location of the AV node with off-line additional filter changes and additional techniques (conduction velocities, isochrones and dV/dt).

Secondary Outcome Measures

Full Information

First Posted
March 4, 2022
Last Updated
July 21, 2023
Sponsor
University Hospital, Toulouse
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1. Study Identification

Unique Protocol Identification Number
NCT05296954
Brief Title
Localization of Anatomical Structures Involved in Nodal Tachycardias by High Density Mapping.
Acronym
KOCH-MAPPING
Official Title
Localization of Anatomical Structures Involved in Nodal Tachycardias by High Density Mapping. Feasibility Study.
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 4, 2022 (Actual)
Primary Completion Date
February 1, 2024 (Anticipated)
Study Completion Date
February 1, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University Hospital, Toulouse

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The aim of the present work is to analyze the capacity of high resolution mapping systems to determine the precise location of the AV node and peri-nodal slow-conducting pathways, using standard recording parameters, but also off-line additional filter changes and additional techniques (conduction velocities, isochrones and dV/dt). The investigative team plan a prospective monocentric study. Detailed high resolution mapping of the Koch triangle and neighboring areas will be collected through the RHYTHMIA HDx 3D electro-anatomical mapping system and the multipolar ORION catheter. This sample will consist of 2 groups of patients: the first will include patients referred for AVNRT ablation and the second will include control patients (without AVNRT), referred for another indication requiring similar mapping system. If visualized, position of the slow pathway and AV node will be compared with the ablation areas, which will be set conventionally under fluoroscopy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atrioventricular Nodal Reentry Tachycardia, Supraventricular Tachycardia
Keywords
Voltage mapping, Atrioventricular node mapping

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
20 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Group 1
Arm Type
Experimental
Arm Description
Tachycardia
Arm Title
Group 2
Arm Type
Active Comparator
Arm Description
Without tachycardia
Intervention Type
Procedure
Intervention Name(s)
high resolution cartography
Intervention Description
High-resolution electro-anatomical mapping will be performed in each group with the RHYTHMIA HDx system to obtain an activation and voltage map of the Koch triangle and surrounding areas.
Primary Outcome Measure Information:
Title
Determine the precise location of the AV node
Description
Determine the precise location of the AV node with off-line additional filter changes and additional techniques (conduction velocities, isochrones and dV/dt).
Time Frame
7 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Group 1: Patients without heart disease presenting with reciprocal tachycardia by intra-nodal reentry. Group 2: Control subjects, without nodal tachycardia, without heart disease, and admitted for ablation of atrial fibrillation or ventricular extrasystoles on a healthy heart and with a 3D system. Exclusion Criteria: Presence of underlying structural heart disease or history of atrial ablation or atrial tachycardia Minor or protected patient Patient under guardianship, curatorship or safeguard of justice
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Philippe MAURY, MD
Phone
5 61 32 33 16
Ext
+33
Email
maury.p@chu-toulouse.fr
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Philippe MAURY, MD
Organizational Affiliation
University Hospital, Toulouse
Official's Role
Principal Investigator
Facility Information:
Facility Name
CHU de Toulouse
City
Toulouse
Country
France
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Philippe MAURY
Phone
0561323470
Email
maury.p@chu-toulouse.fr

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Localization of Anatomical Structures Involved in Nodal Tachycardias by High Density Mapping.

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