Clinical Trials Logo

Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05884359
Other study ID # SEMC
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date June 1, 2023
Est. completion date June 30, 2025

Study information

Verified date November 2023
Source Steward St. Elizabeth's Medical Center of Boston, Inc.
Contact Michael Orlov, MD, PhD
Phone 617-789-3187
Email Michael.Orlov@steward.org
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This study will utilize 3D mapping as a tool to explore electro-anatomical and electrocardiographic characteristics of the Left Bundle Branch Area. We plan on prospectively reviewing the data found from 3D mapping the left bundle branch implantation cases and using the data to improve understanding of electro-anatomical characteristics of this area for a better definition of the implantation target and depth.


Description:

This is an observational study that will provide the data for further hypothesis generation and confirmation in a larger study. We will define and record electro-anatomical characteristics of the interventricular septum and surrounding areas. Several electro-anatomical characteristics will be measured during the lead placement into the Left Bundle Branch Area. Mapping will be performed with the pacing lead. We will collect electrocardiographic markers of successful and unsuccessful LBBA pacemaker implantation attempts and correlate them with electro-anatomical information.


Recruitment information / eligibility

Status Recruiting
Enrollment 30
Est. completion date June 30, 2025
Est. primary completion date December 1, 2024
Accepts healthy volunteers No
Gender All
Age group 18 Years to 88 Years
Eligibility Inclusion Criteria: - 30 consecutive patients ages 18 through 88 that undergo Left Bundle Branch area pacemaker implantation. Exclusion Criteria: - Recent MI-less than 3 months - Recent Percutaneous Coronary Revascularization-less than 2 weeks - Recent Open-Heart Procedures (CABG, Valvular procedures, etc.)-less than 1 month - Patients who are acutely ill and unstable, from the investigator's perspective, but require an urgent permanent pacemaker

Study Design


Intervention

Diagnostic Test:
3D Electroanatomical Mapping (NavX)
To utilize 3D mapping as a tool to explore electro-anatomical and electrocardiographic characteristics of the Left Bundle Branch Area. Patients will undergo placement of standard Left Bundle Area pacing leads for routine indications, during the implantation procedure electro-anatomical map of the target area and neighboring tissues will be created. Map characteristics will be analyzed and used intra-operatively to assist with lead placement along with standard pacing metrics and standard X-ray criteria. We plan on prospectively reviewing the data found from 3D mapping the left bundle branch implantation cases.

Locations

Country Name City State
United States St. Elizabeth's Medical Center Boston Massachusetts

Sponsors (1)

Lead Sponsor Collaborator
Steward St. Elizabeth's Medical Center of Boston, Inc.

Country where clinical trial is conducted

United States, 

References & Publications (3)

Orlov MV, Jahangir A, McKelvey D, Armstrong J, Maslov M, Monin AJ, Koulouridis I, Casavant D, Wylie JV. His bundle pacing insights from electroanatomical mapping: Topography and pacing targets. J Cardiovasc Electrophysiol. 2020 Oct;31(10):2737-2743. doi: — View Citation

Orlov MV, Koulouridis I, Monin AJ, Casavant D, Maslov M, Erez A, Hicks A, Aoun J, Wylie JV. Direct Visualization of the His Bundle Pacing Lead Placement by 3-Dimensional Electroanatomic Mapping: Technique, Anatomy, and Practical Considerations. Circ Arrhy — View Citation

Orlov MV, Nikolaychuk M, Koulouridis I, Goldman A, Natan S, Armstrong J, Bhattacharya A, Hicks A, King M, Wylie J. Left bundle area pacing: Guiding implant depth by ring measurements. Heart Rhythm. 2023 Jan;20(1):55-60. doi: 10.1016/j.hrthm.2022.09.013. E — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Electroanatomical characteristics of the target area for Left Bundle lead implantation Electroanatomical metrics Through study completion, an average of 1 year
See also
  Status Clinical Trial Phase
Completed NCT03614169 - Direct HIS-pacing as an Alternative to BiV-pacing in Symptomatic HFrEF Patients With True LBBB N/A
Recruiting NCT05564689 - Absolute Coronary Flow in Patients With Heart Failure With Reduced Ejection Fraction and Left Bundle Branch Block With Cardiac Resynchronization Therapy
Completed NCT03567096 - LV Only MPP With SyncAV N/A
Enrolling by invitation NCT05903313 - A Study to Evaluate Accuracy and Validity of the Chang Gung ECG Abnormality Detection Software
Completed NCT04221763 - Mechanisms and Innovations in Cardiac Resynchronisation Therapy N/A
Recruiting NCT03303612 - Clinical Monitoring Strategy Versus Electrophysiology-guided Algorithmic Approach With a New LBBB After TAVI N/A
Recruiting NCT05572957 - LBBP as Initial Therapy in Patients With Non-ischemic Heart Failure and LBBB N/A
Recruiting NCT05769036 - Conventional Biventricular Versus Left Bundle Branch Pacing on Outcomes in Heart Failure Patients N/A
Completed NCT04537455 - Non-invasive Mapping Using Ultra-high Frequency Electrocardiography N/A
Active, not recruiting NCT05572736 - Conduction System Pacing Versus Biventricular Resynchronization in Patients With Chronic Heart Failure Phase 3
Recruiting NCT03415945 - Left Ventricular Septal Pacing: Potential Application for Cardiac Resynchronization Therapy N/A
Not yet recruiting NCT06148883 - Management of Patients With New Left Bundle Branch Block After Transcatheter Aortic Valve Implantation N/A
Completed NCT02326493 - Tailor-CRT: Better Application of Cardiac Resynchronization Therapy N/A
Recruiting NCT01415024 - Resynchronization in Paced Heart Failure Patients With Implantable Cardioverter Defibrillator (ICD) Indication Phase 4
Not yet recruiting NCT04328649 - Clinical, Structural and Mechanical Features in Patients With Left Bundle Branch Block.
Not yet recruiting NCT05760924 - Left Bundle Branch Pacing on Outcomes and Ventricular Remodeling in Biventricular CRT Nonresponders N/A
Recruiting NCT05327062 - Cardiac Resynchronization Therapy Delivery Guided Non-Invasive Electrical and Venous Anatomy Assessment N/A
Completed NCT03803995 - Mapping and Pacing of the His Bundle for Heart Failure Patients With Left Bundle Branch Block N/A
Recruiting NCT05434962 - The Left Bundle Cardiac Resynchronization Therapy Trial N/A
Recruiting NCT04128384 - Infranodal Conduction Time During TAVR as Predictor of HAVB N/A