CClinicalTrials.gg
CompletedNCT02028143ICEUpdated Apr 24, 2018

ICE: Intracardiac Ultrasound Within the Left Atrium During Radiofrequency Ablation of Nonvalvular Atrial Fibrillation

An interventional study of Biosense Webster irrigated tip catheter and Biosense Webster irrigated tip catheter in Atrial Fibrillation, sponsored by Gregory Jones. Completed at 1 site in United States. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2018-04-24.

Sponsored by Gregory Jones · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Imaging Real Time within the Left atrial chamber Enhances safety and efficacy of Radiofrequency Ablation of Atrial Fibrillation

Read the detailed description

Atrial fibrillation is the most common rhythm disturbance affecting the human population.

  1. Its prevalence increases with age and can be found in >8% of humans over the age of eighty;
  2. Radiofrequency ablation for drug refractory nonvalvular atrial fibrillation has become a common therapy available to patients. It has been shown to be both efficacious and cost effective;
  3. The standard approach to atrial fibrillation involves electrical isolation of the pulmonary veins (PVI) from the rest of the atrium chamber. This involves moving a 3.5mm tip ablation catheter point to point around the PV structures until an encircling ablation line is formed. This can be made difficult by not knowing if the tip is in good contact with the atrial tissue. In addition the esophagus is a posterior lying structure and injury to the esophagus by ablating the overlying tissue has been reported, at times fatal;
  4. Currently, intracardiac imaging of the left atrium has FDA approval in the right atrial chamber. This leads to difficulty in visualizing tip tissue interface, and important left sided structures such as carina, ligaments, and esophagus. By placing the tip of the ICE catheter in the left atrium, enhanced visualization of the tip tissue interface may lead to more effective ablation points, fewer needed ablation points, and enhanced safety by avoiding placement over adjacent noncardiac structures.
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Conditions studied

  • Atrial Fibrillation

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Keywords

  • Atrial Fibrillation
03

In context

Atrial Fibrillation

3,870 studies on the registry are indexed under Atrial Fibrillation; 923 are open to participants now.

This study's enrollment of 20 is below the median of 144 across 2,380 interventional studies indexed under Atrial Fibrillation.

Browse Atrial Fibrillation studies →

Lead sponsor

This is the only study on the registry with Gregory Jones as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age 18 to 80 years
  • Recommended for radiofrequency ablation of nonvalvular atrial fibrillation

Exclusion criteria

Exclusion Criteria:

  • none
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
20 participants (actual)

Study arms

  • Experimental
    Study arm

    The study arm group will have the ICE catheter placed through one of two existing 8F sheaths already in the left atrium. The ICE catheter will be exchanged in the sheath utilizing the lasso multipolar mapping catheter during left pulmonary vein ablation lines. During exchange, suction and irrigation techniques will be utilized to avoid any air or thrombus embolization. All patients will have standard anticoagulation during the procedure with heparin infusion adjusted to an activated clotting time (ACT) of 350-400. The left sided ICE catheter will be adjusted to visualize left sided structures, ablation tip and tissue interface, and adjacent noncardiac structures such as the esophagus during radiofrequency ablation of the left pulmonary vein system.

    Device: Biosense Webster irrigated tip catheter · Procedure: ICE catheter placed through one of two existing 8F sheaths

  • Active comparator
    Control arm

    The control arm group will receive standard pulmonary vein isolation (PVI) procedure utilizing intracardiac guided ultrasound (ICE) placed within the right atrium via the femoral vein.

    Device: Biosense Webster irrigated tip catheter · Procedure: Pulmonary vein isolation

Interventions

  • DeviceBiosense Webster irrigated tip catheter

    The second group (study group) will have the ICE catheter placed through one of two existing 8F sheaths already in the left atrium. The ICE catheter will be exchanged in the sheath utilizing the lasso multipolar mapping catheter during left pulmonary vein ablation lines. During exchange, suction and irrigation techniques will be utilized to avoid any air or thrombus embolization. All patients will have standard anticoagulation during the procedure with heparin infusion adjusted to an activated clotting time (ACT) of 350-400. The left sided ICE catheter will be adjusted to visualize left sided structures, ablation tip and tissue interface, and adjacent noncardiac structures such as the esophagus during radiofrequency ablation of the left pulmonary vein system.

    Also known as: 3.5mm Biosense Webster irrigated tip catheter.

  • DeviceBiosense Webster irrigated tip catheter

    Group 1 will receive standard pulmonary vein isolation (PVI) procedure utilizing intracardiac guided ultrasound (ICE) placed within the right atrium via the femoral vein.

    Also known as: 3.5mm Biosense Webster irrigated tip catheter.

  • ProcedurePulmonary vein isolation
  • ProcedureICE catheter placed through one of two existing 8F sheaths
06

What researchers measure

Primary outcomes

  1. number of lesions requiring ablation to obtain Electrical Isolation PV System

    to assess the number of lesions requiring ablation to obtain Electrical Isolation PV system

    Time frame: during procedure

Secondary outcomes

  1. to assess number of lesions to obtain Electrical Isolation PV system

    Evaluate the time required to obtain electrical isolation of PV system

    Time frame: during procedure

Other outcomes

  1. Safety-Cardiac perforation, emboli, fistula formation

    evaluate the use of ultrasound catheter for adverse events such as cardiac perforation, emboli or fistula formation

    Time frame: during procedure

07

Study locations

1 site
  • Wellmont CVA Heart Institute
    Kingsport, Tennessee 37660, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 24, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02028143
Lead sponsor
Gregory Jones
Collaborators
Biosense Webster, Inc.
Responsible party
Gregory Jones (Gregory Jones, MD, FACC, Wellmont CVA Heart Institute) — Sponsor-investigator
First posted
Jan 7, 2014
Start date
Nov 2013
Primary completion
Jan 2015
Completion
Jan 2016
Last update
Apr 24, 2018

Study contacts

Gregory Jones, MD
principal investigator · Wellmont CVA Heart Institute

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2018. You cannot join it, but the record below documents what was studied.

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