European Multicenter Study Radiofrequency (RF) Versus Cryo in Atrioventricular Nodal Reentry Tachycardia (AVNRT)
Study Details
Study Description
Brief Summary
In this randomized study, two energy sources for the ablation of AV nodal reentry tachycardia are compared: The standard technique of radiofrequency energy delivery is compared with the new approach of cryo-energy application.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Detailed Description
The ablation of AV nodal reentry tachycardia with radiofrequency (RF) energy delivering catheters is a standard procedure and in experienced EP laboratories, the safety and efficacy of this approach is very high.
However, the potential complication of higher degree AV conduction block, requiring in some instances implantation of a pacemaker, is a major drawback of this approach.
We want to compare in this randomized study the safety and efficacy of standard RF ablation with the cryo-ablation technique. This relatively new technique is thought to offer more safety concerning higher degree AV conduction block.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: 1 RF ablation/modulation of the slow pathway in AV nodal reentrant tachycardia |
Procedure: RF-ablation
RF ablation/modulation of the slow pathway in AV nodal reentrant tachycardia
|
Experimental: 2 cryo energy ablation/modulation of the slow pathway in AV nodal reentrant tachycardia |
Procedure: cryo ablation
Cryo ablation/modulation of the slow pathway in AV nodal reentrant tachycardia
|
Outcome Measures
Primary Outcome Measures
- Combined endpoint of safety and efficacy of cryo ablation compared with RF ablation for procedure and 6 months follow-up data. [6 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Age between 18 and 80 years old
-
Clinical diagnosis of AVNRT (ECG/patients history)
-
Electrophysiologically confirmed (invasively assessed) diagnosis of AVNRT
-
Written informed consent
Exclusion Criteria:
-
Prior ablation for AVNRT
-
Congenital heart disease interfering with the ablation method
-
Prior cardiac surgery
-
Medical or psychiatric disorder interfering with study protocol or data acquisition
-
Exclusion of the patient by the study investigator
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Kerckhoffklinik GmbH EPU | Bad Nauheim | Germany | 61231 | |
2 | Charite Berlin Virchow - Klinikum Med. Klinik | Berlin | Germany | 13353 | |
3 | Universitaetsklinikum Bonn Med. Klinik II | Bonn | Germany | 53105 | |
4 | Evangelisches Krankenhaus Duesseldorf Kardiologie | Duesseldorf | Germany | 40217 | |
5 | Universitaetsklinikum Giessen EPU | Giessen | Germany | 35392 | |
6 | Klinikum Luedenscheid Kardiologie | Luedenscheid | Germany | 58515 | |
7 | Klinikum der Stadt Mannheim Med. Klinik I | Mannheim | Germany | 68167 | |
8 | Deutsches Herzzentrum Muenchen | Munich | Germany | 80636 | |
9 | Universitaetsklinikum Tuebingen Med. Klinik/Abt.III | Tuebingen | Germany | 72076 | |
10 | Universitaetsklinikum Ulm Innere Med. II | Ulm | Germany | 89075 |
Sponsors and Collaborators
- Deutsches Herzzentrum Muenchen
- CryoCath Technologies Inc.
Investigators
- Study Chair: Claus Schmitt, MD, Deutsches Herzzentrum Muenchen
- Principal Investigator: Bernhard Zrenner, MD, Deutsches Herzzentrum Muenchen
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- GE IDE No. C00403