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Dynamic Substrate Mapping (DSM) for Ischemic VT

Clinical Feasibility of Using Dynamic Substrate Mapping to Guide Ablation of Ischemic Ventricular Tachycardia

Status
Terminated
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00558857
Acronym
DSM
Enrollment
5
Registered
2007-11-15
Start date
2007-07-31
Completion date
2009-04-30
Last updated
2019-02-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ischemic Ventricular Tachycardia

Brief summary

This is a prospective, non-randomized study to determine the feasibility of using a new technique called Dynamic Substrate Mapping (DSM) to help guide the treatment of ischemic ventricular tachycardia (IVT). We hypothesize that DSM will lead to simpler, more effective ablation of IVT. Results from this study will be used to determine if further clinical investigation is warranted.

Interventions

DEVICEDynamic Substrate Mapping-guided ablation

Radiofrequency ablation

Sponsors

Abbott Medical Devices
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Have an ICD or CRT-D device * Had at least 3 documented device therapies to treat VT over last 3 months * Clinical VT is confirmed or suspected to be of ischemic origin * Scheduled for VT ablation procedure * LVEF \> or = 20%

Exclusion criteria

* Inadequate AAD washout (amiodarone should be maintained at current dose) * Unstable angina * Active ischemia * Cardiac surgery within prior 2 months * Evidence of infection * Prosthetic mitral or aortic valve or mitral/aortic valvular heart disease requiring surgical intervention * History of embolic event * Myocardial infarction within prior 6 weeks * Enrolled in another study * Recurrent sepsis or otherwise not a candidate for catheterization * Hypercoagulable state or inability to tolerate heparin therapy during procedure * Has had an atriotomy or ventriculotomy within prior 4 months * Life expectancy \< 6 months * Class IV NYHA classification

Design outcomes

Primary

MeasureTime frame
Incidence of serious adverse events (SAEs)30 days

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026