Can a chest scan shortcut dangerous heart rhythm surgery?
NCT ID NCT07759427
First seen Aug 12, 2026 · Last updated Aug 13, 2026 · Updated 1 time
Summary
This trial tests whether a non-invasive mapping system called VIVO can help doctors locate the source of a dangerous heart rhythm called ventricular tachycardia (VT) before an invasive procedure. Patients with structural heart disease who need catheter ablation will be randomly assigned to receive either standard ablation or VIVO-guided ablation. The goal is to see if VIVO reduces procedure time and improves efficiency, while also assessing safety and patient outcomes.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- VIVO-assisted mapping, a non-invasive cardiac mapping technology used to guide catheter ablation for ventricular tachycardia
- What this could lead to
- If successful, this approach could make VT ablation faster, safer, and more efficient, potentially improving outcomes for patients with structural heart disease.
- What could go wrong
- The trial is relatively small and early, and the benefit may not be confirmed. The procedure still involves invasive ablation, which carries risks like bleeding or heart damage.
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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About 110 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Feb 2028
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: * ≥18 years old * Patient with the following: * Evidence of post-myocardial infarction\* structural heart disease. * Cardiac CT and/or cardiac MRI scan performed within 6 months. * ICD/CRTD implantation. * Device therapy for VT: at least 1 appropriate ICD shock or 3 ATP episodes within a 6-month period. * Suitable candidate for VT ablation as per NHS standard of care. * Patient agrees to comply with study procedures and be available for routine follow up visits for at least 6 months after enrolment. Exclusion Criteria: * Lacks capacity to provide informed consent. * Presence of intramural thrombus, tumour or abnormality that precludes vascular access, catheter introduction or manipulations. * Coagulopathy, bleeding diathesis or suspected pro-coagulant state. * Sepsis, active systemic infection or fever (\>100.5 F/38 C) within a week prior to the ablation procedure. * Renal failure requiring dialysis or renal compromise that in the investigator's judgement would increase risk to the patient or deem the patient inappropriate to participate in the study. * Known allergies or intolerance to AADs to be used to treat PVCs. * Known allergy for contrast. * Female patients who are pregnant or breast feeding. * Enrolment in a concurrent interventional clinical study that in the judgement of the investigator would increase risk to the patient or deem them inappropriate to participate in this study. * Other conditions that may prevent patients from adhering to the study protocol, in the opinion of the investigator.
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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
3 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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Royal Sussex County Hospital
NOT_YET_RECRUITINGBrighton, BN2 1ES, United Kingdom
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The James Cook University Hospital
RECRUITINGMiddlesbrough, TS4 3B, United Kingdom
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University Hospitals Coventry and Warwickshire
RECRUITINGCoventry, CV2 2DX, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- The heart rhythm threat hiding in heart attack wards
- Mapping the Heart's hidden short circuits: a new ablation strategy for dangerous rhythms
- AI may spot deadly heart rhythms before they strike
- Can we predict dangerous heart ablation risks?
- Weight-Loss drug tirzepatide may help keep heart rhythm steady after ablation
- New heart ablation technique could tame dangerous rhythms in adults born with heart defects