Magnetically Navigated vs. Manually Guided Radiofrequency in Atrioventricular-Node-Reentry-Tachycardia (MAGMA-AVNRT)
Recruitment status was Recruiting
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Purpose
The MAGMA-AVNRT study compares two different methods of handling the ablation catheters for av-node-reentry-tachycardia with regard to x-ray dose, safety and success: manually guided vs magnetically navigated RF-catheter.
| Condition | Intervention | Phase |
|---|---|---|
|
Atrioventricular Nodal Reentry Tachycardia Radiofrequency Ablation |
Procedure: RF-ablation |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Randomized Comparison Between Magnetically Navigated vs Manually Guided Radiofrequency in AV-Node-Reentry-Tachycardia |
- Total x-ray time and dose for patient [ Time Frame: electrophysiological examination ] [ Designated as safety issue: No ]
- X-ray time and dose for physician [ Time Frame: electrophysiological study ] [ Designated as safety issue: Yes ]
- Safety of ablation (AV-Block, perforation) [ Time Frame: end of electrophysiological study ] [ Designated as safety issue: Yes ]
- short-term and long-term-success [ Time Frame: end of procedure and 6 months after procedure ] [ Designated as safety issue: No ]
- number of RF-application [ Time Frame: procedure ] [ Designated as safety issue: No ]
- Duration of electrophysiological study (ablation included) [ Time Frame: procedure ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 300 |
| Study Start Date: | April 2009 |
| Estimated Study Completion Date: | February 2011 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Manually guided
Treatment with manually guided RF-catheter
|
Procedure: RF-ablation
4mm-tip catheter manually guided vs magneticallly navigated
|
|
Experimental: Magnetically navigated
Treatment with magnetically navigated RF-catheter.
|
Procedure: RF-ablation
4mm-tip catheter manually guided vs magneticallly navigated
|
Detailed Description:
AV-node reentry tachycardia can be treated by radiofrequency ablation or modulation of the slow pathway of the av node. The success rate is 90 to 95%.
There are different options to navigate the ablation catheter: manually guided vs magnetically guided.
For magnetic guidance two magnets are positioned beneath the patient. A mangetic field is induced and a catheter with a ferromagnetic tip can be navigated from outside with a joystick by modifying the vectors of the magnetic field.
We hypothesized that a magnetic guidance of the RF-ablation catheter results in lower x-ray time and dose for the patient and the physician with comparable safety und success rates.
Eligibility| Ages Eligible for Study: | 18 Years to 70 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- 18 to 70 years old
- suspected AV-node-reentry-tachycardia
- written informed consent
Exclusion Criteria:
- pregnancy
- contraindication against electrophysiological study or ablation
- congenital heart disease or other anatomical abnormalities
- previous surgical procedure involving atrium except aorto-coronary bypass grafts
- psychiatric disease that makes a completion of study improbable
- severe comorbidities with a life expectancy less than 6 months
Contacts and Locations| Contact: Clemens Jilek, MD | +49 89 1218 ext 2020 | jilek@dhm.mhn.de |
| Norway | |
| University Hospital Bergen | Recruiting |
| Bergen, Norway, 5021 | |
| Contact: Peter Schuster, MD Peter.Schuster@med.uib.no | |
| Principal Investigator: Peter Schuster, MD | |
| Study Chair: | Gabi Hessling, MD | Deutsches Herzzentrum München |
| Study Chair: | Peter Schuster, MD | University of Bergen |
| Study Chair: | Isabel Deisenhofer, MD | Deutsches Herzzentrum München |
More Information
No publications provided
| Responsible Party: | Gabi Hessling MD, Deutsches Herzzentrum Muenchen |
| ClinicalTrials.gov Identifier: | NCT00875914 History of Changes |
| Other Study ID Numbers: | GE IDE No. C00909 |
| Study First Received: | April 3, 2009 |
| Last Updated: | May 18, 2009 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Deutsches Herzzentrum Muenchen:
|
AV-node reentry tachycardia radiofrequency ablation magnetic navigation system |
Additional relevant MeSH terms:
|
Tachycardia Tachycardia, Atrioventricular Nodal Reentry Arrhythmias, Cardiac Heart Diseases |
Cardiovascular Diseases Pathologic Processes Tachycardia, Reciprocating |
ClinicalTrials.gov processed this record on May 21, 2013