Heart surgery upgrade: zap away bad rhythms while implanting pump
NCT ID NCT05034432
First seen Jun 27, 2026 · Last updated Jul 15, 2026 · Updated 2 times
Summary
This study tests whether destroying small areas of heart muscle that cause dangerous rhythms (ventricular tachycardia ablation) during LVAD implant surgery can reduce the number of these rhythms after surgery. About 100 adults with advanced heart failure who are getting an LVAD will be randomly assigned to either receive the ablation during surgery or standard care. The main goal is to see if the ablation lowers the total number of dangerous heart rhythm events.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intra-operative ventricular tachycardia ablation (a procedure to destroy small areas of heart muscle that cause abnormal rhythms)
- What this could lead to
- If it works, this could reduce dangerous heart rhythms after LVAD surgery, potentially lowering hospitalizations and improving recovery.
- What could go wrong
- This is a phase 4 trial with only 100 participants, so results may not apply to everyone. The ablation itself carries risks like bleeding or damage to the heart.
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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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2022
- Expected to finish
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Jun 2027
An estimate. End dates often move.
- 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 * Presence of advanced cardiomyopathy (of all INTERMACS classification) and eligible for LVAD implant per the decision of the Heart Failure clinical team * Implanted cardioverter defibrillator (ICD) any time in past with remote monitoring or planned to undergo ICD (or ICM as an alternative, if an ICD cannot be implanted for a clinical reason) implant within the index hospitalization for LVAD implant * History of treated or monitored sustained (i.e., \>30 seconds in duration ) VT or VF episode within the past 5 years. Exclusion Criteria: * Past successful VTA ablation without recurrent VTA prior to LVAD implant (Patients who continue to experience VTA post ablation and pre LVAD implant qualify to be enrolled) * Participation in other clinical trials (observational registries are allowed with approval) * Unable or unwilling to provide informed consent
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
19 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ascension St. Vincent Indianapolis
RECRUITINGIndianapolis, Indiana, 46260, United States
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Banner University Medical Center
RECRUITINGPhoenix, Arizona, 85006, United States
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Cleveland Clinic
RECRUITINGCleveland, Ohio, 44195, United States
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Columbia University Medical Center
RECRUITINGNew York, New York, 10026, United States
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Emory University
RECRUITINGAtlanta, Georgia, 30322, United States
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Henry Ford Health
RECRUITINGDetroit, Michigan, 48202, United States
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Houston Methodist Hospital
RECRUITINGHouston, Texas, 77030, United States
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Johns Hopkins University
RECRUITINGBaltimore, Maryland, 21287, United States
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Medical University of South Carolina
RECRUITINGCharleston, South Carolina, 29425, United States
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Medstar Washington Hospital Center
RECRUITINGWashington D.C., District of Columbia, 20010, United States
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Piedmont Heart Institute
RECRUITINGAtlanta, Georgia, 30309, United States
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Tufts Medical Center
RECRUITINGBoston, Massachusetts, 02111, United States
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UCLA Cardiac Arrthmia Center
RECRUITINGLos Angeles, California, 90095, United States
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UPMC
RECRUITINGPittsburgh, Pennsylvania, 15213, United States
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Univedrsity of Louisville
RECRUITINGLouisville, Kentucky, 40202, United States
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University of California San Francisco
RECRUITINGSan Francisco, California, 94143, United States
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University of Pennsylvania
RECRUITINGPhiladelphia, Pennsylvania, 19104, United States
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University of Rochester
RECRUITINGRochester, New York, 14642, United States
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Vanderbilt University Medical Center
RECRUITINGNashville, Tennessee, 37232, United States
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Other studies related to the condition(s) this trial covers.
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