CT-Guided heart ablation may speed up treatment for dangerous heart rhythm
NCT ID NCT05225935
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether using a CT scan before heart ablation can make the procedure faster and safer for people with ventricular tachycardia, a fast heart rhythm that can be life-threatening. 119 adults who had a prior heart attack and an implanted defibrillator were randomly assigned to standard ablation or a CT-guided approach. The main goal was to see if the CT-guided method shortened procedure time, with secondary checks on safety and effectiveness.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- catheter ablation procedure guided by CT scan imaging
- What this could lead to
- If successful, this approach could make heart ablation faster and more precise, reducing procedure time and possibly improving safety for patients with ventricular tachycardia.
- What could go wrong
- This is a completed study with 119 participants, so results are limited in size. The benefit may not apply to all patients, and there are standard risks of ablation like bleeding or heart rhythm issues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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119 people
The number who actually took part.
- Started
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Jun 2022
- Finished
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Dec 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age ≥ 18 years, * Indication for catheter ablation intervention with planned preoperative cardiac CT scan * Prior myocardial infarction (using the international definition of MI: Q waves or imaging evidence of regional myocardial akinesis/thinning in the absence of a non- ischemic cause with documentation of prior ischemic injury), * Presence of an implantable cardioverter defibrillator, or planned ID implantation before discharge, and * One of the following monomorphic VT events within last 6 months: * A: ≥3 episodes of VT treated with antitachycardia pacing (ATP), * B: ≥1 appropriate ICD shocks, * C: sustained VT below detection rate of the ICD documented by ECG or any cardiac monitor * D: Sustained VT recorded on 12 leads ECG in the absence of ICD * Highly effective contraception for women of childbearing potential, maintained during research procedures * Signed informed consent , * Affiliated to or beneficiary of a health insurance Exclusion Criteria: * Unable to understand the nature, risks, significance and implications of the clinical investigation or unwilling to provide written informed consent, * Active ischemia (acute thrombus diagnosed by coronary angiography, or dynamic ST segment changes demonstrated on ECG) or another reversible cause of VT (e.g. drug-induced arrhythmia), had recent acute coronary syndrome within 30 days thought to be due to acute coronary arterial thrombosis, or have CCS functional class IV angina. Note that biomarker level elevation alone after ventricular arrhythmias does not denote acute coronary syndrome or active ischemia, * Are known to have protruding left ventricular thrombus or mechanical aortic and mitral valves, * Have had a prior catheter ablation procedure for VT, * Presenting arrhythmia: polymorphic VT or ventricular fibrillation (VF), * Renal failure (Creatinine clearance \<30 mL/min), have NYHA Functional class IV heart failure, or a systemic illness likely to limit survival to \<1 year, * Women who are pregnant, lactating, or who are planning to become pregnant during the anticipated study period, * Patient under legal protection
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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APHP Salpétrière
Paris, France
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Asklepios Klinik St. Georg Hamburg
Hamburg, Germany
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CHU de Bordeaux
Pessac, France
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CHU de Clermont-Ferrand
Clermont-Ferrand, France
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CHU de Limoges
Limoges, France
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CHU de Toulouse
Toulouse, France
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Deutsches Herzzentrum München
München, Germany
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Evangelisches Krankenhaus Düsseldorf
Düsseldorf, Germany
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Inselspital, Universitätsspital Bern
Bern, Switzerland
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Medical University of Graz
Graz, Austria
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Public Hospital Elisabethinen Linz
Linz, Austria
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Rhön-Klinikum AG
Bad Neustadt an der Saale, Germany
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Universitätsklinikum Schleswig-Holstein
Lübeck, Schleswig-Holstein, 23538, Germany
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Vaudois University Hospital, Lausanne
Lausanne, Switzerland
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new electric pulse technique tame Post-Heart-Attack heart rhythms faster?
- Can a higher dose of heart radiation stop dangerous rhythms?
- Can two advanced heart maps guide a more precise fix for dangerous arrhythmias?
- Could a short course of steroids calm a dangerous heart rhythm?
- CT scan roadmap may improve heart ablation success
- 4,000 heart patients to be tracked after ablation procedure