Effect of Targeting Left Ventricular Lead Position on the Rate of Response to Cardiac Resynchronization Therapy.
NCT00399594 · Status: COMPLETED · Phase: PHASE2/PHASE3 · Type: INTERVENTIONAL · Enrollment: 96
Last updated 2015-11-24
Summary
Identifying \& optimizing strategies to reduce the burden of heart failure is vital. Despite advances in pharmacotherapy, patients with heart failure are at high risk for death \& hospitalization. Cardiac resynchronization therapy (CRT) synchronizes ventricular mechanical activity, improves cardiac output \& reduces HF symptoms. However, \~50% of patients do not clearly respond to CRT. Sub-optimal placement of the LV pacing lead appears to be an important reason for non-response.
This study will assess whether targeted LV lead placement will result in an increased probability of CRT response at 52 weeks vs. usual (lateral wall) lead placement.
Conditions
- Heart Failure, Congestive
- Cardiac Pacing, Artificial
- Defibrillators
Interventions
- PROCEDURE
-
A
LV lead placement in region of latest mechanical velocity (tissue doppler)
- PROCEDURE
-
B
LV lead placement in standard (lateral / posterolateral) position.
Sponsors & Collaborators
-
Canadian Institutes of Health Research (CIHR)
collaborator OTHER_GOV - collaborator INDUSTRY
- collaborator INDUSTRY
-
Cambridge Heart Inc.
collaborator INDUSTRY -
University of Calgary
lead OTHER
Principal Investigators
-
Derek V Exner, MD, MPH · Libin Cardiovascular Institute of Alberta, University of Calgary
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-03-31
- Primary Completion
- 2014-04-30
- Completion
- 2015-11-30
Countries
- Canada
Study Locations
More Related Trials
-
Cardiac Resynchronization Therapy (CRT)-Narrow-dp/Dt-Study
NCT00821938 ·Status: COMPLETED ·Phase: PHASE4
-
Ensure Cardiac Resynchronization Therapy Study
NCT00291564 ·Status: COMPLETED
-
Viability and Cardiac Resynchronization Therapy
NCT00955539 ·Status: UNKNOWN ·Phase: NA
-
Electrophysiological Optimization of Left Ventricular Lead Placement in CRT
NCT02346097 ·Status: COMPLETED ·Phase: NA
-
Dual-Site LV Pacing in CRT Non Responders: Multicenter Randomized Trial
NCT01059175 ·Status: COMPLETED ·Phase: NA
-
Combining Myocardial Strain and Cardiac CT to Optimize Left Ventricular Lead Placement in CRT Treatment
NCT01426321 ·Status: COMPLETED ·Phase: NA
-
Left Bundle Branch Pacing on Outcomes and Ventricular Remodeling in Biventricular CRT Nonresponders
NCT05760924 ·Status: RECRUITING ·Phase: NA
-
Stimulus Intensity in Left Ventricular Leads
NCT01060449 ·Status: COMPLETED ·Phase: NA
-
A Comparison of Two Techniques for Choosing the Best Place to Put a Pacing Lead for Cardiac Resynchronisation Therapy
NCT02061241 ·Status: COMPLETED
-
Resynchronization/Defibrillation for Ambulatory Heart Failure Trial
NCT00251251 ·Status: COMPLETED ·Phase: NA
-
Cardiac Resynchronization Therapy (CRT) and Left Ventricular Assist Devices (LVAD) Therapy
NCT02083419 ·Status: COMPLETED
-
Resynchronization/Defibrillation for Ambulatory Heart Failure Trial in Patients With Permanent Atrial Fibrillation
NCT01994252 ·Status: COMPLETED ·Phase: NA
-
LV Endocardial Cardiac Resynchronisation Therapy
NCT02174289 ·Status: UNKNOWN ·Phase: NA
-
Optimizing Cardiac Resynchronization
NCT00205192 ·Status: COMPLETED
-
Response to Cardiac Resynchronization Therapy of Previously Right Ventricular Paced Heart Failure Patients
NCT01466621 ·Status: COMPLETED
-
Resynchronization in Paced Heart Failure Patients With Implantable Cardioverter Defibrillator (ICD) Indication
NCT01415024 ·Status: UNKNOWN ·Phase: PHASE4
-
The CT-verified Data Collection Study to Investigate the Correlation Between the Leadless Pacemaker Tip Location and Echo, ECG
NCT06910059 ·Status: ACTIVE_NOT_RECRUITING
-
Cardiac Resynchronization Therapy (CRT) Based Heart Failure Monitoring Study
NCT00632372 ·Status: COMPLETED
-
Comparison of Right Ventricular Septal and Right Ventricular Apical Pacing in Patients Receiving a CRT-D Device
NCT00833352 ·Status: COMPLETED ·Phase: NA
-
Image Guided Mapping for Cardiac Pacing Intervention
NCT01638754 ·Status: COMPLETED ·Phase: NA
-
AMEND-CRT: Mechanical Dyssynchrony as Selection Criterion for CRT
NCT04225520 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Optimization of Coronary Sinus Lead Placement Targeted to the Longest Right-to-Left Delay
NCT03204864 ·Status: COMPLETED ·Phase: NA
-
Heart Failure Study of Multi-site Pacing Effects on Ventriculoarterial Coupling
NCT03189368 ·Status: COMPLETED
-
A Pilot Study of Interventricular Septal Puncture for Cardiac Resynchronization Therapy to Treat Heart Failure
NCT01818765 ·Status: COMPLETED ·Phase: NA
-
Cardiac Resynchronization Therapy (CRT) Efficacy Study
NCT00822146 ·Status: COMPLETED ·Phase: NA