Optimization of Coronary Sinus Lead Placement Targeted to the Longest Right-to-Left Delay
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 211
- 试验地点
- 4
- 主要终点
- Clinical Composite Score -3 months
研究概览
简要总结
This study is a prospective, multi-center, physician-initiated study, with intra-center control arm of patients with advanced heart failure undergoing cardiac resynchronization therapy (CRT) with or without defibrillator therapy.
The purpose of this study is to verify whether optimizing the left ventricular lead position at implantation with the pacing cathode corresponding to the longest RV-to-LV electrical delay may result in a better patient outcome. The RV-to-LV electrical delay will be evaluated with RLD value (ms). RLD is the distance between the Right Ventricular pacing marker (VP) and the maximum peak (or the first maximum peak in case of two equally tall peaks) of the LV bipolar deflection.
详细描述
This study is a prospective, multi-center, physician-initiated study, with intra-center control arm of patients with advanced heart failure undergoing cardiac resynchronization therapy (CRT) with or without defibrillator therapy.
Approximately 300 patients will be included in the study and followed-up for 6 months. Patients recruitment will consist of two sequential phases:
Phase 1 - Conventional CS lead placement (Conventional subgroup). The first 100 patients will be implanted with a CRT device with or without defibrillator (P/D) as per standard clinical practice, without CS lead pacing specific optimization. In these patients RLD is measured blind to implanting physician who will place CS lead according to his/her clinical practice. Since these patients follow strictly standard clinical practice, their implantation data can be collected prospectively or even retrospectively when available.
Phase 2 - Targeted CS lead placement (RLD subgroup). In the second 200 patients CS placement will be guided by RLD measurement. Physician will place the CS lead in the site of longest RLD with a stable and acceptable pacing threshold.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Be in NYHA II or III functional class with approved class I or II standard indications by ESC/EHRA Guidelines
- •Either patients in sinus rhythm or in atrial fibrillation. In this latter case patients must perform AV node ablation if complete biventricular stimulation cannot be achieved in >95% of beats
- •Patients willing and able to comply with study requirements(patients must indicate their understanding of the study and willingness to participate by signing an appropriate informed consent form)
- •Successful LV lead implant
排除标准
- •Myocardial Infarction, unstable angina within 40 days prior the enrollment
- •Recent cardiac revascularization (PTCA, Stent or CABG) in the 4 weeks prior to enrollment or planned for the 3 months following
- •Cerebrovascular Accident (CVA) or Transient Ischemic Attack (TIA) in the 3 months prior the enrollment
- •Primary valvular disease
- •Unable to comply with the follow up schedule
- •Less than 18 years of age
- •Pregnant or are planning to become pregnant during the duration of the investigation
- •Classification of Status 1 for cardiac transplantation or consideration for transplantation over the next 12 months
- •Undergone a cardiac transplantation
- •Life expectancy < 12 months
研究组 & 干预措施
Conventional CS lead placement
Patients will be implanted with a CRT device with or without defibrillator (P/D) as per standard clinical practice, without CS lead pacing specific optimization.
干预措施: Conventional CS lead placement (Device)
RLD Group
Patients CS placement will be guided by RLD measurement. Physician will place the CS lead in the site of longest RLD with a stable and acceptable pacing threshold.
干预措施: RLD Group (Device)
结局指标
主要结局
Clinical Composite Score -3 months
时间窗: 3 months
Improvement in clinical composite score
次要结局
- Clinical Composite Score-6 months(6 months)
研究者
Michele Brignole
MD
Ospedale del Tigullio, Polo di Lavagna