Evaluation of Left Ventricular (LV) Lead Positioning Using MediGuide
Completed
- Conditions
- Heart Failure
- Registration Number
- NCT01917266
- Lead Sponsor
- Abbott Medical Devices
- Brief Summary
The purpose of this study is to evaluate Cardiac Resynchronization Therapy(CRT) response in subjects with concordant versus discordant left ventricular (LV) lead position as compared to the site of latest mechanical activation.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
Inclusion Criteria
- Be scheduled to undergo implant of a Cardiac Resynchronization Therapy (CRT) system with approved standard indication per accepted guidelines as a new implant or an upgrade from an existing Implantable Cardioverter Defibrillator (ICD) or pacemaker with no prior left ventricular lead placement
- Be in sinus rhythm at the time of enrollment
- Have the ability to provide informed consent for study participation and be willing and able to comply with the Clinical Investigational Plan described evaluations
Exclusion Criteria
- Have persistent or permanent atrial fibrillation
- Be in New York Heart Association (NYHA) IV functional class
- Have prior left ventricular (LV) lead implant
- Be pacemaker-dependent
- Have a recent myocardial infarction within 40 days prior to enrollment
- Have undergone cardiac bypass surgery or coronary revascularization procedure within 3 months prior to enrollment or be scheduled for such procedures in the following 7 months
- Have had a recent Cerebrovascular accident (CVA) or transient ischemic attack (TIA) within 3 months prior to enrollment
- Have had intravenous inotropic support in the last 30 days
- Exhibit Cheyne-Stokes respiration
- Be less than 18 years of age
- Be pregnant or planning to become pregnant during the duration of the investigation
- Be currently participating in any other clinical investigation
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Percent of patients with the left ventricle (LV) lead implanted at the site of latest mechanical activation This outcome measure will be assessed after an off-line analysis immediately after implant
- Secondary Outcome Measures
Name Time Method Response to Cardiac Resynchronization Therapy (CRT) as defined by percent change in end-systolic volume (ESV) at 6-month follow-up relative to baseline. 6 months after implant
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What molecular mechanisms underlie CRT response in heart failure patients with different LV lead positions?
How does MediGuide-guided LV lead positioning compare to standard-of-care CRT in terms of clinical outcomes?
Which biomarkers are associated with optimal LV lead positioning for CRT in NCT01917266?
What adverse events are reported in CRT trials using MediGuide technology and how are they managed?
Are there alternative technologies or devices to MediGuide for improving CRT efficacy in heart failure?
Trial Locations
- Locations (1)
Herzzentrum Leipzig GmbH
🇩🇪Leipzig, Germany
Herzzentrum Leipzig GmbH🇩🇪Leipzig, Germany