Venous Ethanol for Ventricular Tachycardia

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18-85
SponsorThe Methodist Hospital Research Institute

About this trial

Comparative effectiveness randomized clinical trial, comparing endocardial radiofrequency ablation alone vs radiofrequency ablation combined with venous ethanol in patients with ischemic ventricular tachycardia -Venous Ethanol for Left Ventricular Ischemic Ventricular Tachycardia -VELVET clinical trial

Eligibility criteria

Qualifiers

Male and female, ages of 18 and 85 years and with a prior ICD implant

Diagnosed with ischemic cardiomyopathy: Prior myocardial infarction (pathological Q waves or imaging evidence of regional myocardial akinesis/thinning in the absence of a non-ischemic cause)

One of the following VT events (within last 6 months): a) ≥3 episodes of VT treated with anti-tachycardia pacing (ATP) or anti-arrhythmic drugs; b) ≥1 appropriate ICD shocks; c) ≥3 VT episodes within 24 hr; d) sustained VT below detection rate of the ICD documented by EKG/cardiac monitor

Patients deemed candidates for RF ablation of VT

Disqualifiers

Serum creatinine >1.5 mg/dL, or creatinine clearance <30 ml/min

Left ventricular (LV) ejection fraction ≤10%

Mobile LV thrombus on echocardiography

Absence of vascular access to the LV

Trial design

Treatments tested in this trial

  • Venous ethanol
  • Catheter ablation

Treatment groups

156 Participants
are divided into 2 treatment groups