Liver Cirrhosis Clinical Trial
Official title:
The Use of Fibroscan to Assess Liver Fibrosis in Patients With Cardiac Pacemakers and/or Implantable Cardioverter-Defibrillators
This study is designed to determine if the Fibroscan (Echosens, Paris), a non-invasive, ultrasound-based device used to estimate fibrosis in patients with chronic liver disease, interferes with implanted cardiac pacemaker and/or implantable cardioverter-defibrillators. Recruitment consists of a total of 200 outpatients undergoing routine pacemaker interrogation at a teaching-hospital pacemaker clinic.
Assessment of liver fibrosis in patients with chronic liver diseases provides staging and
prognostic information critical in establishing treatment priorities. The gold standard
evaluation of liver fibrosis is hampered by the invasive nature of liver biopsies. FibroScan
is a non-invasive alternative that has been extensively validated in chronic hepatitis C,
chronic hepatitis B, alcoholic liver disease, and non- alcoholic fatty liver disease
patients.
To avoid unknown risks of potential interaction, the manufacturer have advised against the
use of the device in patients with active implantable medical device including cardiac
pacemaker and/or implantable cardioverter-defibrillators(ICD). Review of the literature
showed that these two population have been specifically excluded in all previously reported
studies.
At the time of writing, no specific reports have demonstrated either safety or potential
harm of the FibroScan in patients with pacemaker/ICD. Given the proven benefit of the
FibroScan in chronic liver disease and the current policy of excluding patients with
pacemaker/ICD in clinical practice, this study aims to formally evaluate the safe use of the
FibroScan in this population within the controlled environment of a pacemaker lab.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
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