Intracardiac CrYoablation for AtrioVentricular Nodal Reentrant Tachycardia

NCT ID: NCT01426425

Last Updated: 2025-02-13

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

572 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2016-09-30

Brief Summary

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ICY-AVNRT (Intracardiac CrYoablation for AtrioVentricular Nodal Reentrant Tachycardia) is a prospective multi-center, nonrandomized, single arm, controlled, unblinded, investigational clinical study. The purpose of this clinical study is to demonstrate the safety and effectiveness of the Freezor® Xtra Cardiac CryoAblation Catheter for the cryoablation of the conducting tissues of the heart in the treatment of patients with atrioventricular nodal reentrant tachycardia (AVNRT) using an endocardial approach.

Detailed Description

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Conditions

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AtrioVentricular Nodal Reentrant Tachycardia Supraventricular Tachycardia Heart Disease

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cryoablation

Subjects diagnosed with atrioventricular nodal reentrant tachycardia and treated by cryoablation with Freezor Xtra.

Group Type EXPERIMENTAL

Freezor Xtra Cryoablation Catheter

Intervention Type DEVICE

Freezor® Xtra Cardiac CryoAblation applied for cryoablation of the conducting tissues of the heart in the treatment of patients with atrioventricular nodal reentrant tachycardia using an endocardial approach.

Interventions

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Freezor Xtra Cryoablation Catheter

Freezor® Xtra Cardiac CryoAblation applied for cryoablation of the conducting tissues of the heart in the treatment of patients with atrioventricular nodal reentrant tachycardia using an endocardial approach.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Supraventricular tachycardia (SVT) compatible with atrioventricular nodal reentrant tachycardia (AVNRT), documented by ECG, TTM, Holter or event monitor


* Subject must have one electrophysiology study documented inducible sustained (greater than or equal to 15 seconds) supraventricular tachycardia that is classified as AVNRT.

Exclusion Criteria

* History of sustained (≥30 seconds) of ventricular tachycardia
* Atrial tachycardia or other arrhythmia that could be confused with AVNRT
* Reversible cause of SVT
* History of previous AVNRT ablation
* Therapy with amiodarone within last 90 days
* Unstable angina/myocardial infarction/open heart surgery in past 60 days
* New York Heart Association (NYHA) Classification III or IV currently or within the past 90 days
* Implantable cardiac rhythm device
* Atrioventricular block (first degree (PR interval ≥ 220ms), second degree, or third degree) or left bundle branch block
* Stroke or transient ischemic attack within the past 180 days
* Life expectancy less than 12 months
* Female known to be pregnant
* Unable/unwilling to give informed consent
* Unable/unwilling to comply with follow-up visits and study requirements
* Less than 18 years of age
* Active systemic infection
* Cryoglobulinemia
* Other conditions where the manipulation of the catheter would be unsafe (for example, intracardiac mural thrombus)
* Participating in a concurrent clinical study that may confound the results of this study


* Presence of a second inducible arrhythmia that could be confused with AVNRT during follow-up or will likely result in ablation within the next 6 months
* Presence of inducible sustained ventricular tachycardia or fibrillation
* Presence of an accessory pathway
* Presence of abnormal conduction or refractoriness parameters of the atrioventricular conduction system.
* Indication for a pacemaker, defibrillator or cardiac resynchronization therapy (CRT)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medtronic Cardiac Ablation Solutions

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter Wells, M.D.

Role: PRINCIPAL_INVESTIGATOR

Baylor Univ Medical Ctr Dallas, TX.

Locations

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Banner Good Samaritan Medical Center

Phoenix, Arizona, United States

Site Status

Pacific Heart Institute

Santa Monica, California, United States

Site Status

Stanford Hospital and Clinics

Stanford, California, United States

Site Status

Baptist Hospital of Miami

Miami, Florida, United States

Site Status

Orlando Regional Medical Center

Orlando, Florida, United States

Site Status

Piedmont Heart Institute

Atlanta, Georgia, United States

Site Status

Advocate Christ Medical Center

Oak Lawn, Illinois, United States

Site Status

Iowa Heart Center

Des Moines, Iowa, United States

Site Status

University of Michigan Medical Center

Ann Arbor, Michigan, United States

Site Status

Park Nicollet Institute

Saint Louis Park, Minnesota, United States

Site Status

Healtheast St. Joseph's Hospital

Saint Paul, Minnesota, United States

Site Status

Southside Hospital

Bay Shore, New York, United States

Site Status

University of Rochester Medical Center

Rochester, New York, United States

Site Status

Montefiore Medical Center

The Bronx, New York, United States

Site Status

Sanger Heart and Vascular Institute

Charlotte, North Carolina, United States

Site Status

Cleveland Clinic

Cleveland, Ohio, United States

Site Status

Miami Valley Cardiologists

Dayton, Ohio, United States

Site Status

Sacred Heart Medical Center

Springfield, Oregon, United States

Site Status

Capital Cardiovascular Associates

Camp Hill, Pennsylvania, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Geisinger Wyoming Valley Medical Center

Wilkes-Barre, Pennsylvania, United States

Site Status

Wellmont Cardiovascular Heart Institute

Kingsport, Tennessee, United States

Site Status

Baylor Heart and Vascular Hospital

Dallas, Texas, United States

Site Status

St. Luke's Episcopal

Houston, Texas, United States

Site Status

Baylor Research Institute

Plano, Texas, United States

Site Status

Virginia Heart

Falls Church, Virginia, United States

Site Status

Royal Alexandra Hospital

Edmonton, Alberta, Canada

Site Status

Victoria Cardiac Arrhythmia Trials, Inc.

Victoria, British Columbia, Canada

Site Status

London Health Sciences Centre

London, Ontario, Canada

Site Status

Montreal Heart Institute

Montreal, Quebec, Canada

Site Status

Hopital du Sacre Coeur de Montreal

Montreal, Quebec, Canada

Site Status

McGill University Health Centre

Montreal, Quebec, Canada

Site Status

Centre Hospitalier Universitaire de Sherbrooke

Sherbrooke, Quebec, Canada

Site Status

Prairie CardioVascular Research Network

Regina, Saskatchewan, Canada

Site Status

Countries

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United States Canada

References

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Wells P, Dubuc M, Klein GJ, Dan D, Roux JF, Lockwood E, Sturmer M, Dunbar D, Novak P, Rao A, Peterson BJ, Kueffer F, Ellenbogen KA; ICY-AVNRT Investigators. Intracardiac ablation for atrioventricular nodal reentry tachycardia using a 6 mm distal electrode cryoablation catheter: Prospective, multicenter, North American study (ICY-AVNRT STUDY). J Cardiovasc Electrophysiol. 2018 Jan;29(1):167-176. doi: 10.1111/jce.13367. Epub 2017 Nov 10.

Reference Type DERIVED
PMID: 29044787 (View on PubMed)

Other Identifiers

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ICY-AVNRT

Identifier Type: -

Identifier Source: org_study_id

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