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

RecruitingPhase 4

Prophylactic Intra-Operative Ventricular Arrhythmia Ablation in High-Risk LVAD Candidates (PIVATAL)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* 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.

Exclusion Criteria:

* 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

About the study

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

What is being tested

Sponsor: University of Rochester · Participants: 100 · Started: May 27, 2022

Contact the study team

Official record on ClinicalTrials.gov — NCT05034432

Locations in the U.S.

ArizonaBanner University Medical Center, Phoenix
CaliforniaUCLA Cardiac Arrthmia Center, Los Angeles
University of California San Francisco, San Francisco
District of ColumbiaMedstar Washington Hospital Center, Washington D.C.
GeorgiaEmory University, Atlanta
Piedmont Heart Institute, Atlanta
IndianaAscension St. Vincent Indianapolis, Indianapolis
KentuckyUnivedrsity of Louisville, Louisville
MarylandJohns Hopkins University, Baltimore
MassachusettsTufts Medical Center, Boston
MichiganHenry Ford Health, Detroit
New YorkColumbia University Medical Center, New York
University of Rochester, Rochester
OhioCleveland Clinic, Cleveland
PennsylvaniaUniversity of Pennsylvania, Philadelphia
UPMC, Pittsburgh
South CarolinaMedical University of South Carolina, Charleston
TennesseeVanderbilt University Medical Center, Nashville
TexasHouston Methodist Hospital, Houston

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.