Evidence map›Paper›PMID 38582974›Full record

Trial reportEuropace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology2024

Cryocure-VT: the safety and effectiveness of ultra-low-temperature cryoablation of monomorphic ventricular tachycardia in patients with ischaemic and non-ischaemic cardiomyopathies.

Atul Verma, Vidal Essebag, Petr Neuzil, Katia Dyrda, Jippe Balt, Borislav Dinov, Angeliki Darma, Arash Arya, Frederic Sacher, Vivek Y Reddy and 3 more

Registry-linked trialOpen access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04893317 (Cryoablation for Monomorphic Ventricular Tachycardia), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04893317 nacompletednot on this map

Cryoablation for Monomorphic Ventricular Tachycardia

TypeinterventionalSponsorAdagio MedicalRan2021 to 2024Enrolled64ConditionsMonomorphic Ventricular TachycardiaArmsAblation in the ventricles with the Adagio Medical VT Cryoablation System
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Heterogeneity of outcomes reporting in catheter ablation trials for ventricular tachycardia: a systematic review.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Advancements in mapping, cardiac imaging, and ablation techniques for the management of ventricular tachycardias.Journal of interventional cardiac electrophysiology : an international journal of arrhythmias and pacing · 2026
    Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Epicardial ventricular arrhythmia ablation: a clinical consensus statement of the European Heart Rhythm Association of the European Society of Cardiology and the Heart Rhythm Society, the Asian Pacific Heart Rhythm Society, the Latin American Heart Rhythm Society, and the Canadian Heart Rhythm Society.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Article
  13. Review
  14. Review
  15. Bipolar radiofrequency ablation of refractory ventricular arrhythmias: results from a multicentre network.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2024
    Article
  16. Review
  17. Letter from the Editor in Chief.The Journal of innovations in cardiac rhythm management · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 7 countries.

Atul VermaDivision of Cardiology, McGill University Health Centre, D13.173, 1650 Cedar Avenue, Montreal, QC H3G 1A4, Canada.ORCID 0000-0002-1020-9727
Vidal EssebagDivision of Cardiology, McGill University Health Centre, D13.173, 1650 Cedar Avenue, Montreal, QC H3G 1A4, Canada.ORCID 0000-0003-0107-5197
Petr NeuzilDepartment of Cardiology, Na Homolce Hospital, Prague, Czech Republic.ORCID 0000-0003-4334-8165
Katia DyrdaDepartment of Medicine, Montreal Heart Institute, Montreal, QC, Canada.ORCID 0000-0002-0171-9311
Jippe BaltDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.ORCID 0000-0002-7880-3730
Borislav DinovDepartment of Electrophysiology, Leipzig Heart Center, Leipzig, Germany.ORCID 0000-0003-1104-8491
Angeliki DarmaDepartment of Electrophysiology, Leipzig Heart Center, Leipzig, Germany.ORCID 0000-0003-4756-2775
Arash AryaDepartment for Internal Medicine, University Hospital Halle, Halle, Germany.ORCID 0009-0005-7610-9314
Frederic SacherBordeaux University Hospital, IHU LIRYC, University of Bordeaux, Bordeaux, France.ORCID 0000-0001-8348-9320
Vivek Y ReddyDepartment of Cardiology, Na Homolce Hospital, Prague, Czech Republic.ORCID 0000-0002-5638-4993
Lucas BoersmaDepartment of Cardiology, St. Antonius Hospital, Nieuwegein, The Netherlands.ORCID 0000-0003-4591-4220
Ilya GrigorovAdagio Medical, Inc., Laguna Hills, CA, USA.
Tom De PotterCardiovascular Center, OLV Hospital, Moorselbaan 164, 9300 Aalst, Belgium.ORCID 0000-0003-1424-114X
Leipzig Heart Institute · DEMcGill University Health Centre · CASt. Antonius Ziekenhuis · NLAdagio Health · USMontreal Heart Institute · CAMount Sinai Hospital · USNa Homolce Hospital · CZOnze Lieve Vrouwziekenhuis Hospital · BEUniversité de Bordeaux · FRUniversity Hospital in Halle · DE

Funding

Adagio Medical Inc
6 · The paper itself

Abstract

aimsThe ultra-low-temperature cryoablation (ULTC) ablation system using -196°C N2 cryogen has been reported to create lesions with freeze duration-dependent depth titratable to over 10 mm with minimum attenuation by scar. Cryocure-VT (NCT04893317) was a first-in-human clinical trial evaluating the safety and efficacy of a novel, purpose-built ULTC catheter in endocardial ablation of scar-dependent ventricular tachycardias (VTs). METHODS AND

resultsThis prospective, multi-centre study enrolled patients referred for de novo or second ablations of recurrent monomorphic VT of both ischaemic and non-ischaemic aetiologies. Primary safety and efficacy endpoints of the study were freedom from device- or procedure-related major adverse events (MAEs) up to 30 days post-ablation, acute non-inducibility of clinical VTs at the end of the procedure, and freedom from sustained VT or implantable defibrillator intervention at 6 months. Ultra-low-temperature cryoablation was performed in 64 patients (age 67 ± 11 years, 78% ischaemic, ejection fraction = 35 ± 10%) at 9 centres. The primary acute effectiveness endpoint was achieved in 94% (51/54) of patients in whom post-ablation induction was attempted. There were no protocol-defined MAEs; four procedure-related serious adverse events resolved without clinical sequelae. At 6-month follow-up, 38 patients (60.3%) remained VT-free, and freedom from defibrillator shock was 81.0%, with no significant difference between ischaemic and non-ischaemic cohorts. In 47 patients with defibrillator for at least 6 months prior to the ablation, the VT burden was reduced from median of 4, inter-quartile range (IQR, 1-9) to 0, IQR (0-2).

conclusionIn this first-in-human multi-centre experience, endocardial ULTC ablation of monomorphic VT appears safe and effective in patients with both ischaemic-cardiomyopathy and non-ischaemic-cardiomyopathy. CLINICAL

trial registrationNCT04893317.

Indexed as

CardiomyopathiesCatheter AblationCryosurgeryTachycardia, VentricularAgedCicatrixHumansMiddle AgedProspective StudiesTemperatureTreatment OutcomeAblationClinical trialCryoablationOutcomesUltra-lowVentricular tachycardia

Identifiers

PMID38582974
PMCPMC10998960
OpenAlexW4394064433

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.