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Active, not recruiting Not applicable

Intracardiac Echocardiography-Guided Catheter Ablation for Premature Ventricular Contractions Originating From the Papillary Muscles

NCT06898281 · tracked via the Priya Life Science China tracker
Phase
Not applicable
Started
2025-03-23
Last updated
2025-04-24

Condition(s) studied

Premature Ventricular Contractions

Investigational drug(s) / intervention(s)

intracardiac echocardiography (ICE)-guided catheter ablationPressure-sensing catheter ablation alone

intracardiac echocardiography (ICE)-guided catheter ablation: Intracardiac echocardiography (ICE)-guided catheter ablation.

Pressure-sensing catheter ablation alone: Pressure-sensing catheter ablation alone

Study summary

This randomized, prospective, parallel, single-blind, multicenter clinical trial investigates the efficacy and safety of intracardiac echocardiography (ICE)-guided catheter ablation versus pressure-sensing catheter ablation alone in reducing PVC recurrence among patients with confirmed papillary muscle-originating premature ventricular contractions (PVCs). Participants were randomly allocated to either the ICE-guided intervention group or the conventional ablation control group following definitive diagnosis.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Patients aged ≥18 years. * Diagnosed with premature ventricular contractions (PVCs) originating from the papillary muscles. * Symptoms refractory to antiarrhythmic drug therapy. * Patients must be capable and willing to provide written informed consent for study participation. Exclusion Criteria: * History of cardiac surgery or any prior cardiac interventional procedures. * Ischemic heart disease, dilated cardiomyopathy, or hypertrophic cardiomyopathy. * Severe hepatic or renal dysfunction: AST/ALT \>3× upper limit of normal (ULN); Serum creatinine (SCr) \>3.5 mg/dl or creatinine clearance (Ccr) \<30 ml/min. * Prior ablation for papillary muscle PVCs. * Life expectancy \<1 year. * Pregnancy or lactation.

Primary outcome measure(s)

  • Freedom from VC recurrence — Patients were followed up at 3 months postoperatively to assess recurrence.
    Freedom from VC recurrence (defined as a ≥80% reduction in VC burden, calculated as \[number of VCs per 24 hours / total number of heartbeats per 24 hours\] × 100%).

Trial sites (1)

FacilityCityRegionStatus
Shanghai Chest Hospital Shanghai Xuhui

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06898281 on ClinicalTrials.gov ↗ ← All trials in China