scar related ventricular tachycardia dutch: ventrikel tachycardie
Conditions
Interventions
One group undergoes endo/epicardial ablation and the other group has endocardial ablation only as a first approach.
Sponsors
ErasmusMC
Eligibility
Inclusion criteria
Inclusion criteria: 1. clinical indication for ablation of a monomorphic ventricular tachycardia referred to one of the participating ablation centers 2. history of ischemic heart disease 3. ICD carrier or ICD implantation planned after the ablation 4. informed written consent
Exclusion criteria
Exclusion criteria: 1. current unstable angina as defined by current european guidelines 2. AMI < 30 days or in case of incessant VT < 14 days 3. absence of visualisation of the coronary anatomy (coronary angiogram /CT-angiogram) 4. significant coronary stenosis approachable and clinically relevant for intervention 5. presence of a mobile left ventricle thrombus seen on (contrast) echocardiograpy or MRI 6. previous pericarditis 7. presence of mitral/aortic mechanical valves prosthesis; previous coronary artery bypass graft; any other thoracic surgery that could cause pericardial adhesions 8. previous thoracic radiation therapy 9. contra-indication for general anaesthesia 10. age below 18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The main study endpoint is the difference in recurrences of ventricular tachycardia on follow-up - clinical or on ICD interrogation - between the two ablation groups | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary endpoints are procedure success and safety | — |
Contacts
Public ContactAstrid Hendriks
Erasmus MC - Postbus 2040
Outcome results
None listed