Triple-site Biventricular Stimulation in the Optimization of CRT
NCT02350842 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2019-03-25
Summary
Cardiac resynchronization is a recommended therapy for patients with advanced heart failure, under optimized medical treatment with reduced left ventricular ejection fraction and prolonged QRS, nevertheless, still 30% of the population do not respond to standard biventricular implantation.
Non-response can be explained by a combination of factors including sub-optimal patient selection, placement of the pacing lead over a zone of slow conduction, insufficient correction of mechanical dyssynchrony including sub-optimal lead implantation. Few data distinguish true non-responders from patients in which effective resynchronization was not delivered through standard biventricular implantation.
Triple-site cardiac resynchronization pacing (stimulation at three ventricular sites) has been proposed to improve synchrony and thus the response rate in (Cardiac Resynchronisation Therapy) CRT recipients.
Conditions
Interventions
- DEVICE
-
triple-site biventricular pacing with peri-operative echo guidance
placement of the third lead by peri-operative echo guidance.
- DEVICE
-
standard biventricular pacing
standard biventricular pacing without optimization by echo guidance
Sponsors & Collaborators
-
MicroPort CRM
lead INDUSTRY
Principal Investigators
-
Jean-Claude Daubert, MD · Hôpital Pontchaillou-CHU Rennes, France
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2015-07-31
- Primary Completion
- 2017-03-31
- Completion
- 2018-04-25
Countries
- France
- Germany
- Italy
- Netherlands
- Portugal
- Spain
Study Locations
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