Left Bundle Branch Area Pacing in AVB Patients
NCT03851315 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 45
Last updated 2019-02-22
Summary
Right ventricular pacing (RVP) causes left ventricular mechanical dyssynchrony by inducing electrical interventricular and intraventricular dyssynchrony. His bundle pacing may restore the the atrioventricular, interventricular and intraventricular electrical synchronization, however, Increased pacing threshold might result in the early depletion of the pacemaker, and finally brought on pacemaker replacement, which was one of the major causes of device infection. Pacing the left bundle branch beyond the conduction block site might achieve a low and stable output and narrow QRSd. The investigators were prepared to consecutively include patients with atrioventricular block, divided into the left bundle branch area pacing(LBBAP) group and the conventional right ventricular pacing group. The electrophysiological characteristics of LBBAP and right ventricular pacing were compared with ECG characteristics. The left and right ventricular synchrony and left and right cardiac function were evaluated by 3D ultrasound, and the short-term and long-term safety and efficacy of LBBAP were evaluated.
Conditions
- Atrioventricular Block
- Left Bundle Branch Area Pacing
Interventions
- DEVICE
-
permanent left bundle branch area pacing
Implant the pacing lead in the left bundle branch area instead of traditional RV pacing site(septal or apical). Successful LBBAP was defined as the paced QRS morphology of right bundle branch block pattern in lead V1 and QRS duration (QRSd) less than 130ms.
Sponsors & Collaborators
-
Fu Wai Hospital, Beijing, China
lead OTHER
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2018-05-01
- Primary Completion
- 2020-12-31
- Completion
- 2021-06-30
- FDA Device
- Yes
Countries
- China
Study Locations
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