Atrial Flutter Clinical Trial
Official title:
Radio Frequency Ablation for Atrial Flutter With Magnetic Resonance Guidance and Tracking: Pilot Study Using a Combination Imricor and Philips Interventional System
The Radio Frequency Ablation for Atrial Flutter with Magnetic Resonance Guidance and Tracking Pilot Study (hereafter referred to as "pilot study") is a prospective, non- randomized, single-center, pilot study. The purpose of this clinical study is to evaluate the safety and performance of the Imricor Medical Systems, Inc. (Imricor) Vision Ablation Catheter when used with related accessories for the treatment of type I atrial flutter. The Vision Ablation Catheter and its accessories have been designed for use under fluoroscopic or magnetic resonance guidance.
An objective of the study is to perform the entire ablation procedure from subject
preparation through confirmation of bidirectional conduction block entirely under magnetic
resonance guidance. However, at the investigator's discretion, the preparation of the subject
may occur in a conventional electrophysiology laboratory followed by transferring the patient
to the magnetic resonance suite for the ablation procedure. Additionally, if bidirectional
conduction block is not achieved within 90 minutes from the initial catheter placement, the
subject may be transferred from the magnetic resonance suite to a conventional
electrophysiology lab to complete the procedure. Clinical success is bidirectional conduction
block regardless of the environment within which the ablation occurs.
The study will be conducted at a single center, Herzzentrum Leipzig University Hospital, in
Germany, and a maximum of 30 subjects meeting inclusion/exclusion criteria will participate
in the study. This study requires the use of investigational products from two independent
manufacturers: Imricor and Philips. Imricor has developed the ablation catheter with related
accessories, introducers, and recording system. Philips has developed an image guidance and
mapping system that is compatible with the Imricor products. The Vision Ablation Catheter
will be used in conjunction with the following investigational products: Vision Ablation
Catheter Cable Set (accessory sterile cable), Vision Hemostasis Introducer, Vision
Dual-Deflect Sheath, Horizon recording system, and the interventional MRI Suite (iSuite)
image guidance and mapping system. With the exception of iSuite, which is manufactured by
Philips, Imricor will provide all investigational devices used in the study. Each procedure
will utilize the following two single-use products: two Vision Ablation Catheters and an
accessory Catheter Cable set. At the discretion of the investigator, Vision Hemostasis
Introducers may be used for femoral access and a Vision Dual- Deflect Sheath and may be used
in conjunction with the Vision Ablation Catheter Cable Set. Ablation for the treatment of
arrhythmia is an inherently complex procedure. Use of the investigational products listed
above under magnetic resonance guidance is a new approach to performing the interventional
electrophysiology procedure. The study population will consist of adult patients requiring
ablation for type I atrial flutter.
Study subjects will require a follow-up visit or telephone call at 7 days post procedure.
Accordingly, the expected total study duration is approximately six months with study start
planned for October 2014.
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