Trial Outcomes & Findings for Contrast ICE for Myocardial Scar in VT Ablations (NCT NCT03212326)

NCT ID: NCT03212326

Last Updated: 2019-06-12

Results Overview

location of left ventricular myocardial scar and abnormal electrograms

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

day 0 (intraoperative: data collected during the mapping procedure)

Results posted on

2019-06-12

Participant Flow

Patients recruited from hospital inpatient ward and from electrophysiology laboratory procedure suites. Recruitment commenced March 2013, and ended March 2016.

Participant milestones

Participant milestones
Measure
Definity
Perflutren echo contrast is infused to enhance intracardiac echo imaging recorded during catheter ablation of ventricular tachycardia. We will compare areas that appear to be myocardial scar on ultrasound with areas of abnormal electrical signals obtained by direct catheter mapping. Perflutren Lipid Microsphere Intravenous Suspension \[DEFINITY\]: Perflutren 1.3mL diluted in 50 mL is infused intravenously, and intracardiac echo imaging is recorded to analyze for areas of possible myocardial scar, which is then compared with areas of abnormal electrical signal via direct catheter mapping which is performed during ablation of ventricular tachycardia.
Overall Study
STARTED
24
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Definity
Perflutren echo contrast is infused to enhance intracardiac echo imaging recorded during catheter ablation of ventricular tachycardia. We will compare areas that appear to be myocardial scar on ultrasound with areas of abnormal electrical signals obtained by direct catheter mapping. Perflutren Lipid Microsphere Intravenous Suspension \[DEFINITY\]: Perflutren 1.3mL diluted in 50 mL is infused intravenously, and intracardiac echo imaging is recorded to analyze for areas of possible myocardial scar, which is then compared with areas of abnormal electrical signal via direct catheter mapping which is performed during ablation of ventricular tachycardia.
Overall Study
Physician Decision
4

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Definity
n=24 Participants
Perflutren echo contrast is infused to enhance intracardiac echo imaging recorded during catheter ablation of ventricular tachycardia. We will compare areas that appear to be myocardial scar on ultrasound with areas of abnormal electrical signals obtained by direct catheter mapping. Perflutren Lipid Microsphere Intravenous Suspension \[DEFINITY\]: Perflutren 1.3mL diluted in 50 mL is infused intravenously, and intracardiac echo imaging is recorded to analyze for areas of possible myocardial scar, which is then compared with areas of abnormal electrical signal via direct catheter mapping which is performed during ablation of ventricular tachycardia.
Age, Continuous
66.6 years
STANDARD_DEVIATION 10.1 • n=24 Participants
Sex: Female, Male
Female
2 Participants
n=24 Participants
Sex: Female, Male
Male
22 Participants
n=24 Participants
Region of Enrollment
United States
24 participants
n=24 Participants
left ventricular ejection fraction among subjects
25 percent
n=24 Participants
number of subjects with hypertension
10 Participants
n=24 Participants
number of subjects with implanted defibrillator
21 Participants
n=24 Participants
number of subjects with ischemic cardiomyopathy
18 Participants
n=24 Participants

PRIMARY outcome

Timeframe: day 0 (intraoperative: data collected during the mapping procedure)

Population: 3 of 24 enrolled subjects did not have voltage mapping, and 1 of 24 subjects did not have echo contrast injection; thus a total of 4 subjects did not have both echo contrast and voltage mapping in order to allow scar comparison; therefore the 20 subjects with complete echo and voltage maps were analyzed.

location of left ventricular myocardial scar and abnormal electrograms

Outcome measures

Outcome measures
Measure
Definity
n=20 Participants
Perflutren echo contrast is infused to enhance intracardiac echo imaging recorded during catheter ablation of ventricular tachycardia. We will compare areas that appear to be myocardial scar on ultrasound with areas of abnormal electrical signals obtained by direct catheter mapping. Perflutren Lipid Microsphere Intravenous Suspension \[DEFINITY\]: Perflutren 1.3mL diluted in 50 mL is infused intravenously, and intracardiac echo imaging is recorded to analyze for areas of possible myocardial scar, which is then compared with areas of abnormal electrical signal via direct catheter mapping which is performed during ablation of ventricular tachycardia.
Number of Subjects With Myocardial Scar on Echo and Voltage Maps
20 Participants

SECONDARY outcome

Timeframe: day 0 (intraoperative: data collected during the mapping procedure)

Population: 4 of 24 enrolled subjects did not inducible ventricular tachycardia; thus a total of 4 subjects did not have both scar and ventricular tachycardia mapping in order to allow scar comparison; therefore the 20 subjects with complete scar and ventricular tachycardia maps were analyzed.

If ventricular tachycardia was induced and mapped then this counts as yes

Outcome measures

Outcome measures
Measure
Definity
n=20 Participants
Perflutren echo contrast is infused to enhance intracardiac echo imaging recorded during catheter ablation of ventricular tachycardia. We will compare areas that appear to be myocardial scar on ultrasound with areas of abnormal electrical signals obtained by direct catheter mapping. Perflutren Lipid Microsphere Intravenous Suspension \[DEFINITY\]: Perflutren 1.3mL diluted in 50 mL is infused intravenously, and intracardiac echo imaging is recorded to analyze for areas of possible myocardial scar, which is then compared with areas of abnormal electrical signal via direct catheter mapping which is performed during ablation of ventricular tachycardia.
Number of Subjects With Ventricular Tachycardia Mapped
20 Participants

Adverse Events

Definity

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Christopher Liu

Weill Cornell Medical College

Phone: 212-746-2655

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60