Evaluation of the Success Rate and the Clinical Evolution of a Ventricular Lead Implanted in the Septum Versus the Right Ventricular Apex.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ventricular Tachycardia
- Sponsor
- Boston Scientific Corporation
- Enrollment
- 215
- Locations
- 18
- Primary Endpoint
- Implant Success Rate at Septal Site
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
The purpose of this study is to determine the safety and efficacy of the implant of a ICD lead of defibrillation in the septum of the right ventricle
Detailed Description
The rate of success at implant and the positive clinical outcomes for the patients implanted with a lead of defibrillation at the septal site would make it possible to recommend this site as a "new standard" for implant of the defibrillation lead in the RV for ICD.
Investigators
Eligibility Criteria
Inclusion Criteria
- •ICD indication according to current Guidelines
Exclusion Criteria
- •Indication for cardiac resynchronisation therapy, absence of spontaneous ventricular rhythm, pacemaker dependency
Outcomes
Primary Outcomes
Implant Success Rate at Septal Site
Time Frame: At implant
Success of implant procedure: 1. implanted at the randomized site; 2. With electric criteria satisfied: pacing threshold \< 1.5V, intrinsic amplitude \>3 mV, impedance between 450 and 1800 Ω, shock impedance between 29 and 80 Ω and defibrillation at a maximum of 21J.
Secondary Outcomes
- Spontaneous Episodes and Therapy Delivery - at Least One Inappropriate Treatment(Discharge, 3 Months, 6 Months, 12 Months, 36 Months, 60 Months)
- The Rate of ATP Success Therapy(3 months, 6 months, 12 months, 36 months, 60 months)
- - The Number of "Low Energy" Shocks (at 11 Joules), Efficient in the VT Zone, in the Population Programmed at This Recommended Value.(3 months, 6 months, 12 months, 36 months, 60 months)
- Evolution of Left Ventricular Ejection Fraction(12 Months)
- Spontaneous Episodes and Therapy Delivery - at Least One Appropriate Treatment(Discharge, 3 Months, 6 Months, 12 Months, 36 Months, 60 Months)