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Clinical Trial Details — Status: Enrolling by invitation

Administrative data

NCT number NCT03903107
Other study ID # 18090701
Secondary ID
Status Enrolling by invitation
Phase N/A
First received
Last updated
Start date October 26, 2020
Est. completion date September 2024

Study information

Verified date July 2023
Source Rush University Medical Center
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this study is to assess the feasibility, accuracy and safety of performing fluoroless (or low fluoro) conduction system pacing utilizing electro-anatomic mapping (EAM) with the CARTO 3 mapping system (Biosense Webster Inc, Irvine, CA) in comparison to a group of patients undergoing conventional conduction system pacing (CSP) Implants.


Description:

The goal of this study is to assess the feasibility, accuracy and safety of performing fluoroless (or low fluoro) conduction system pacing utilizing electro-anatomic mapping (EAM) with the CARTO 3 mapping system (Biosense Webster Inc, Irvine, CA) in comparison to a group of patients undergoing conventional conduction system pacing (CSP) Implants. In this study, we plan to randomize patients to fluoroscopy guided CSP vs 3D mapping guided CSP implants with low/zero fluoroscopy. The study with assess if 3D EAM guided implants can be performed successfully and without any significant increase in device implant related complications.


Recruitment information / eligibility

Status Enrolling by invitation
Enrollment 20
Est. completion date September 2024
Est. primary completion date June 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Age > 18 years - Indication for Permanent Pacemaker implantation or implantation of Cardiac Resynchronization Therapy Device Exclusion Criteria: - Existing cardiac device including Pacemaker or Cardiac Resynchronization Therapy device - Inability of patient capacity to provide consent for themselves either due to medical or psychiatric comorbidity - Pregnancy - Difficulty with follow-up

Study Design


Intervention

Procedure:
Conventional fluoroscopy guided Conduction System Pacing(CSP)
conventional standard approach Conduction System Pacing(CSP) using fluoroscopy
Electroanatomic Mapping (Fluoroless) guided Conduction System Pacing(CSP)
Conduction System Pacing(CSP) using electroanatomic mapping system with no or minimal fluoroscopy

Locations

Country Name City State
United States Rush University Medical Center Chicago Illinois

Sponsors (1)

Lead Sponsor Collaborator
Rush University Medical Center

Country where clinical trial is conducted

United States, 

References & Publications (1)

Sharma PS, Huang HD, Trohman RG, Naperkowski A, Ellenbogen KA, Vijayaraman P. Low Fluoroscopy Permanent His Bundle Pacing Using Electroanatomic Mapping: A Feasibility Study. Circ Arrhythm Electrophysiol. 2019 Feb;12(2):e006967. doi: 10.1161/CIRCEP.118.006 — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Success of achieving CSP Feasibility of achieving a successful CSP implant at the His Bundle or Left Bundle branch with low or zero Fluoroscopy. This will result in low to no fluoroscopy exposure for both the subject and the operator, as well as shorter procedure times.This will be documented during procedure. Intra-procedure
Secondary Total radiation exposure time during procedure Total radiation exposure during procedure time will be documented at the total time the patient is exposed to fluoroscopy during the procedure. This will will be tracked and documented as total fluoroscopy duration, His lead Fluoroscopy duration and DAP. The total amounts of procedural fluoroscopy exposure will be compared between the two treatment arms. Intra-procedure
Secondary Procedure-related complications The study team will review medical history of enrolled subjects for any adverse event experienced post-procedurally. All adverse events will be reviewed by PI for determination as to whether "procedure-related" or not. 30 days post procedure
Secondary Need for His Lead revisions The study team will track the device follow-up data for a duration of 3 months post device implant. Any patients with > 2V increase in His Lead capture threshold from baseline and need for ventricular pacing will undergo a lead revision. for a period of 6 months post procedure
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