The PIVATAL Study -Study of Ventricular Arrhythmia (VTA) Ablation in Left Ventricular Assist Device (LVAD) Patients

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Rochester

About this trial

To investigate the effect of VTA ablation at the time of LVAD implant to see if it can reduce the incidence of VTA after surgery

Eligibility criteria

Qualifiers

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.

Disqualifiers

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

Trial design

Treatments tested in this trial

  • Intra-Op Prophylactic VT ablation
  • Conventional Management

Treatment groups

100 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of Rochester

Lead sponsor

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator