Pulsed Field Ablation for Post-Infarction Ventricular Tachycardia

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPasquale Santangeli

About this trial

ASCEND is a randomized controlled open-label pilot study evaluating the safety and effectiveness of pulsed field ablation (PFA) with the novel FARAPOINT catheter compared to the standard radiofrequency (RFA) ablation with ThermoCool ST/FlexAbility SE/ThermoCool ST SF/TactiFlex SE of ventricular tachycardia (VT) in the patients with ischemic cardiomyopathy and implantable cardioverter-defibrillator (ICD). The study hypothesis is that the PFA ablation is more efficient compared to the RFA technique but retains a comparable safety profile.

Eligibility criteria

Qualifiers

Age ≥18 years.

Ischemic heart disease with prior myocardial infarction.

Left ventricular ejection fraction ≥20% estimated by transthoracic echocardiography (TTE) within 90 days prior to enrollment.

≥2documented episodes in patients with implantable cardioverter defibrillators (ICD)

Disqualifiers

Unable to provide informed consent.

Idiopathic VT.

Mobile LV thrombus.

Acute coronary syndrome within the preceding 2 months (if incessant VT ≥1 month before enrollment).

Trial design

Treatments tested in this trial

  • RFA Ablation
  • PFA Ablation

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Pasquale Santangeli

Lead sponsor

The Cleveland Clinic

Sponsor institution

Boston Scientific Corporation

Collaborator