Shockless Implant Evaluation
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ventricular Fibrillation
- Sponsor
- Boston Scientific Corporation
- Enrollment
- 2500
- Locations
- 85
- Primary Endpoint
- First Occurrence of the Composite of Failed First Appropriate Clinical Shock From the Implantable Cardioverter Defibrillator (ICD) or Arrhythmic Death
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This trial will assess the safety of defibrillator testing and the influence of defibrillation testing on the efficacy of clinical shocks.
The trial will test the hypothesis that implantable cardioverter defibrillator (ICD) implantation without defibrillation testing (DT) is non-inferior to implantation with testing against the composite endpoint of ineffective first appropriate clinical shock or arrhythmic death.
It will also test the hypothesis, that defibrillation testing increases the peri-operative (30 days) complication rate of ICD implantation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years
- •Patients undergoing initial implant of an ICD or CRT-D device (can be upgrade from a pacemaker)
Exclusion Criteria
- •Patients, who in the opinion of their treating physicians are ineligible for either strategy (DT or no DT)
- •Patients on active transplant list
- •Patients unwilling to provide informed consent
- •Patients not available for follow-up
- •Pregnancy or women of child bearing potential not following an effective method of contraception
- •Anticipated right sided implantation of the ICD generator
Outcomes
Primary Outcomes
First Occurrence of the Composite of Failed First Appropriate Clinical Shock From the Implantable Cardioverter Defibrillator (ICD) or Arrhythmic Death
Time Frame: Mean follow-up of 3.1 years
The number of patients having experienced either an appropriate inefficient shock and/or arrhythmic death during the follow-up time frame of 3.1 years is compared between both groups.
Secondary Outcomes
- Perioperative Complication Rate(30 days)