Optimization of Coronary Sinus Lead Placement Targeted to the Longest Right-to-Left Delay
NCT03204864 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 211
Last updated 2018-09-11
Summary
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.
Conditions
- HF Patient
Interventions
- 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.
- DEVICE
-
Conventional CS lead placement
Clinical Practice
Sponsors & Collaborators
-
Michele Brignole
lead OTHER
Principal Investigators
-
Michele Brignole, MD · Ospedale del Tigullio
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-03-01
- Primary Completion
- 2017-09-30
- Completion
- 2018-03-31
Countries
- Italy
Study Locations
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