Trial Outcomes & Findings for Heart Catheterization Using Magnetic Resonance Imaging (MRI) Fluoroscopy and Passive Guidewires (NCT NCT03152773)

NCT ID: NCT03152773

Last Updated: 2026-07-15

Results Overview

Number of participants with any procedure-related adverse event during MRI-guided cardiac catheterization using passive MRI-compatible catheters and the specified guidewire under defined low-SAR conditions using Common Terminology Criteria for Adverse Events (CTCAE) grading. Events included clinically significant arrhythmia, hemodynamic instability requiring treatment, vascular injury, cardiac perforation/tamponade, device-related heating or burn, or other intervention-related complication. The CTCAE employs a 5-point scale to standardize the grading of adverse events from mild to fatal: * Grade 1 (Mild): Asymptomatic or mild symptoms; no intervention required. * Grade 2 (Moderate): Local/noninvasive intervention needed; limits instrumental ADL. * Grade 3 (Severe): Severe/medically significant; hospitalization or prolongation; limits self-care ADL. * Grade 4 (Life-threatening): Urgent intervention required. * Grade 5 (Fatal): Death related to the adverse event

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

22 participants

Primary outcome timeframe

During procedure through discharge, up to 4 hours after the procedure

Results posted on

2026-07-15

Participant Flow

Participant milestones

Participant milestones
Measure
Participants Undergoing Clinically Indicated Cardiac Catheterization
Participants undergoing clinically indicated right heart catheterization will undergo MRI-guided cardiac guidewire catheterization. The procedure will involve left and right heart guidewire catheterization using real-time MRI fluoroscopy in human research participants who are already undergoing medically necessary cardiac catheterization.
Overall Study
STARTED
22
Overall Study
COMPLETED
16
Overall Study
NOT COMPLETED
6

Reasons for withdrawal

Reasons for withdrawal
Measure
Participants Undergoing Clinically Indicated Cardiac Catheterization
Participants undergoing clinically indicated right heart catheterization will undergo MRI-guided cardiac guidewire catheterization. The procedure will involve left and right heart guidewire catheterization using real-time MRI fluoroscopy in human research participants who are already undergoing medically necessary cardiac catheterization.
Overall Study
Procedural Issue Requiring Bailout
6

Baseline Characteristics

Heart Catheterization Using Magnetic Resonance Imaging (MRI) Fluoroscopy and Passive Guidewires

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Participants Undergoing Clinically Indicated Cardiac Catheterization
n=22 Participants
Participants undergoing clinically indicated right heart catheterization will undergo MRI-guided cardiac guidewire catheterization. The procedure will involve left and right heart guidewire catheterization using real-time MRI fluoroscopy in human research participants who are already undergoing medically necessary cardiac catheterization.
Age, Categorical
<=18 years
0 Participants
n=20 Participants
Age, Categorical
Between 18 and 65 years
15 Participants
n=20 Participants
Age, Categorical
>=65 years
7 Participants
n=20 Participants
Sex: Female, Male
Female
14 Participants
n=20 Participants
Sex: Female, Male
Male
8 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
3 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
2 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
10 Participants
n=20 Participants
Race (NIH/OMB)
White
8 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants
n=20 Participants
Region of Enrollment
United States
22 participants
n=20 Participants

PRIMARY outcome

Timeframe: During procedure through discharge, up to 4 hours after the procedure

Population: 6 participants did not complete the MRI-guided catheterization due to procedural limitations

Number of participants with any procedure-related adverse event during MRI-guided cardiac catheterization using passive MRI-compatible catheters and the specified guidewire under defined low-SAR conditions using Common Terminology Criteria for Adverse Events (CTCAE) grading. Events included clinically significant arrhythmia, hemodynamic instability requiring treatment, vascular injury, cardiac perforation/tamponade, device-related heating or burn, or other intervention-related complication. The CTCAE employs a 5-point scale to standardize the grading of adverse events from mild to fatal: * Grade 1 (Mild): Asymptomatic or mild symptoms; no intervention required. * Grade 2 (Moderate): Local/noninvasive intervention needed; limits instrumental ADL. * Grade 3 (Severe): Severe/medically significant; hospitalization or prolongation; limits self-care ADL. * Grade 4 (Life-threatening): Urgent intervention required. * Grade 5 (Fatal): Death related to the adverse event

Outcome measures

Outcome measures
Measure
Participants Undergoing Clinically Indicated Cardiac Catheterization
n=16 Participants
Participants undergoing clinically indicated right heart catheterization will undergo MRI-guided cardiac guidewire catheterization. The procedure will involve left and right heart guidewire catheterization using real-time MRI fluoroscopy in human research participants who are already undergoing medically necessary cardiac catheterization.
Number of Participants With Procedure-Related Adverse Events During Low-SAR MRI-Guided Catheterization
Grade 1
1 Participants
Number of Participants With Procedure-Related Adverse Events During Low-SAR MRI-Guided Catheterization
Grade 2
1 Participants
Number of Participants With Procedure-Related Adverse Events During Low-SAR MRI-Guided Catheterization
Grade 3
0 Participants
Number of Participants With Procedure-Related Adverse Events During Low-SAR MRI-Guided Catheterization
Grade 4
0 Participants
Number of Participants With Procedure-Related Adverse Events During Low-SAR MRI-Guided Catheterization
Grade 5
0 Participants
Number of Participants With Procedure-Related Adverse Events During Low-SAR MRI-Guided Catheterization
No Procedure-Related Adverse Event
14 Participants

SECONDARY outcome

Timeframe: From start of MRI-guided catheterization through completion of the procedure

Population: 6 participants did not complete the MRI-guided catheterization due to procedural limitations

Life-threatening hemodynamic instability was defined as instability requiring defibrillation, cardioversion, emergency pacing, or pericardiocentesis for cardiac tamponade. Adverse events were graded using Common Terminology Criteria for Adverse Events (CTCAE). The CTCAE employs a 5-point scale to standardize the grading of adverse events from mild to fatal: * Grade 1 (Mild): Asymptomatic or mild symptoms; no intervention required. * Grade 2 (Moderate): Local/noninvasive intervention needed; limits instrumental ADL. * Grade 3 (Severe): Severe/medically significant; hospitalization or prolongation; limits self-care ADL. * Grade 4 (Life-threatening): Urgent intervention required. * Grade 5 (Fatal): Death related to the adverse event

Outcome measures

Outcome measures
Measure
Participants Undergoing Clinically Indicated Cardiac Catheterization
n=16 Participants
Participants undergoing clinically indicated right heart catheterization will undergo MRI-guided cardiac guidewire catheterization. The procedure will involve left and right heart guidewire catheterization using real-time MRI fluoroscopy in human research participants who are already undergoing medically necessary cardiac catheterization.
Number of Participants Who Completed the MRI-guided Portion of Cardiac Catheterization Without Life-threatening Hemodynamic Instability
16 Participants

Adverse Events

Participants Undergoing Clinically Indicated Cardiac Catheterization

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Participants Undergoing Clinically Indicated Cardiac Catheterization
n=22 participants at risk
Participants undergoing clinically indicated right heart catheterization will undergo MRI-guided cardiac guidewire catheterization. The procedure will involve left and right heart guidewire catheterization using real-time MRI fluoroscopy in human research participants who are already undergoing medically necessary cardiac catheterization.
General disorders
Mild Groin Pain
4.5%
1/22 • Number of events 1 • During procedure through discharge, up to 4 hours after the procedure
Musculoskeletal and connective tissue disorders
Back Pain
4.5%
1/22 • Number of events 1 • During procedure through discharge, up to 4 hours after the procedure

Additional Information

Dr. Robert Lederman, Principal Investigator

National Heart, Lung, and Blood Institute (NHLBI)

Phone: 301.402.6769

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place