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A Real-world Study of Cardiac Ablation for PSVT Using ST Catheter

A Real-world Study of Cardiac Ablation for Paroxysmal Supraventricular Tachycardia Using THERMOCOOL SMARTTOUCH® Diagnostic/Ablation Deflectable Tip Catheter(ST in PSVT-RWS)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04923815
Acronym
ST in PSVT-RWS
Enrollment
300
Registered
2021-06-11
Start date
2021-07-20
Completion date
2021-12-14
Last updated
2022-02-23

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

Conditions

AVRT, AVNRT

Keywords

AVRT, AVNRT

Brief summary

Paroxysmal supraventricular tachycardia known as PSVT includes atrioventricular reentrant tachycardia (AVRT) and atrioventricular nodal reentrant tachycardia (AVNRT). This study is multicenter, retrospective, cohort study. This study will collect real world data of AVNRT and AVRT cohorts retrospectively to evaluate the effectiveness and safety in real world clinical practice. 300 subjects with PSVT will be consecutively enrolled backwards since 02 Nov 2017, and at least 100 subjects for each cohort. Cohort one: AVNRT Cohort two: AVRT, including Wolff-Parkinson-White syndrome(WPW)

Interventions

DEVICETHERMOCOOL SMARTTOUCH® Diagnostic/Ablation Deflectable Tip Catheter

THERMOCOOL SMARTTOUCH® catheter is a pressure catheter irrigated with cold saline, contact force sensing catheter. When used with Carto ®3 system, this catheter can provide a real time measurement for contact force. The magnitude and direction of the contact force can be displayed visually in the form of vector arrow on the top of catheter in Carto®3 system. It can be used for electrophysiological mapping and ablation of the heart.

Sponsors

Johnson & Johnson Medical (Shanghai) Ltd.
Lead SponsorINDUSTRY

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

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

Inclusion criteria

1. Waiver of informed consent is approved by Ethics Committee, or follow methods approved by Ethics Committee to get patient's informed consent (such as get informed consent by telephone contact, etc.). 2. Patients diagnosed as atrioventricular reentrant tachycardia (AVRT), atrioventricular node reentrant tachycardia (AVNRT) after surgery/discharge, and the existing source records must include 1) at least 1 copy of preoperative ECG or intraoperative electrophysiological examination results;2) Information about the acute procedure outcome. 3. Patients were ablated by ST catheter. 4. Adult patients 18 years or older.

Exclusion criteria

1. Contraindications for the use of ST catheters, including: 1. Ventriculotomy or atriotomy was performed within 8 weeks before the procedure; 2. Presence of myxoma or intracardiac thrombus; 3. fitted with artificial valves; 4. Active systemic infection; 5. Atrial septal patch. 2. Pregnant women

Design outcomes

Primary

MeasureTime frameDescription
Acute success rate of PSVT ablation using ST CatheterIntra-procedureAcute success rate is defined as accessory pathway/slow pathway blockade immediately after ablation, and drug and/or electrophysiological stimulation no longer induces clinical arrhythmias.
Incidence of primary adverse events (PAE)From procedure to pre-discharge (an average of 2-3 days)Primary adverse events include device or procedure related death, myocardial infarction, atrioventricular block, thrombosis, stroke/cerebral vascular accidents (CVA), tamponade/perforation, transient ischemia attack (TIA), pericarditis, major vascular complications/bleeding, Adverse Event which prolonged hospitalization due to non-arrhythmic causes.

Secondary

MeasureTime frameDescription
Acute success rate of cardiac ablation for AVNRT using ST catheterIntra-proceduredefined as accessory pathway blockade, and clinical arrhythmia could not be induced by drug and/or stimulation.
Acute success rate of cardiac ablation for AVRT using ST catheterIntra-proceduredefined as slow pathway blockade, and clinical arrhythmia could not be induced by drug and/or stimulation.
The proportion of patients who did not develop PSVT recurrencefrom discharge to the follow-up visit (an average of 4-6 years)Data can be collected from hospital medical records/database and Telephone Survey Questionnaire. Recurrence of PSVT includes recurrence of PSVT identified by electrocardiogram or other cardio-electrical equipment, re-admission due to PSVT, re-procedure due to PSVT, take anti-arrhythmic drug due to PSVT, suffering typical PSVT symptoms.
Incidence of serious adverse eventsfrom discharge to the follow-up visit (an average of 4-6 years)Data can be collected from hospital medical records/database and Telephone Survey Questionnaire.

Countries

China

Outcome results

None listed

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