Ventricular Tachycardia Clinical Trial
Official title:
"Ventricular Tachycardia Ablation Registry". Italian Registry of Substrate Mapping and VT Ablation With the Precision Mapping System and Flexability Catheter.
Catheter ablation of Ventricular Tachycardias is a well-established approach in clinical
practice in patients with Implantable Cardioverter Defibrillator (ICD) implanted. Previous
studies have shown a significant reduction in appropriate shocks (~ 20%) and a significant
reduction in hospitalizations for cardiovascular reasons (~ 12%) in patients with ischemic
heart disease treated with ablation. Recent works have also shown the effectiveness of the
ablation procedure using as procedural target the reduction of late potentials. However,
actually it is necessary to have an homogenize and accepted mapping scheme in Sinus Rhythm to
ablate Ventricular Tachycardias related to scar substrate in patients with:
- Previous MI
- Previous myocarditis
- Arrhythmogenic Right Ventricular Dysplasia (ARVD)
- Idiopathic Dilated Cardiomyopathy (IDCM)
Scope of the registry is to collect data during cardiac mapping in Sinus Rhythm in patients
indicated for Ventricular Tachycardia ablation, that will be performed per clinical practice,
by using the St. Jude Medical EnSiteTM PrecisionTM mapping system.
The objective of the present registry is: to assess the acute and long-term efficacy of the
strategy of substrate abolition (abolishment of complex and late potentials) guided by
electroanatomic mapping with Precision software.
This is an Italian multicenter, observational, prospective and retrospective registry.
Data will be collected during enrollment/baseline, procedure, pre-discharge and during the
follow-up visits according to the standard practice of participating centers, with mandatory
visits at 6 and 12 months. Data can also be collected retrospectively, prior informed consent
of the patient.
The planned enrollment duration is approximately 24 months.
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