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Right Ventricular Defibrillation Lead Select Site Study

This study is currently recruiting participants.
Verified by Associates in Cardiology, PA, October 2007

Sponsors and Collaborators: Associates in Cardiology, PA
Medtronic
Information provided by: Associates in Cardiology, PA
ClinicalTrials.gov Identifier: NCT00385749
  Purpose

This study will compare single coil right ventricular defibrillation leads for implanted cardioverter/defibrillators (ICDs) in the apical and high septal locations. It is hypothesized that RV septal positions are at least as good as apical positions using formally measured defibrillation thresholds(DFTs), and that they may have long term advantages in reducing left ventricular dysfunction.


Condition Intervention
Heart Failure, Congestive
Tachycardia, Ventricular
Device: RV apical vs RV septal defibrillation threshold testing

Genetics Home Reference related topics:   Brugada syndrome    short QT syndrome   

MedlinePlus related topics:   Heart Failure   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment, Non-Randomized, Open Label, Active Control, Crossover Assignment, Efficacy Study
Official Title:   Right Ventricular Defibrillation Lead Select Site Study

Further study details as provided by Associates in Cardiology, PA:

Primary Outcome Measures:
  • Acute defibrillation thresholds

Secondary Outcome Measures:
  • LV function (LVEF)
  • pacing thresholds
  • sensing thresholds
  • LV diameter
  • NYHA class
  • weight

Estimated Enrollment:   98
Study Start Date:   October 2006
Estimated Study Completion Date:   December 2008

Detailed Description:

The new studies "Right Ventricular Lead/Select Site Registry" and "Right Ventricular Lead/Select Site Registry: Acute Study" are studies designed to look at alternate lead locations for defibrillation leads for ICDs. The registry is designed to capture data from patients who have already undergone implant, so as to be able to publish long term data on defibrillation thresholds, pacing thresholds and left ventricular function. This will include both patients from the acute study, and those patients in whom leads have already been placed, and the exact lead location is known. The acute study is designed to directly compare defibrillation thresholds in the apical location versus the interventricular septal location for defibrillation leads. This study involves a direct comparison of two different sites in the same patient; using defined criteria for implant location (see protocol). The acute study is anticipated to enroll 34 patients, but the registry to collect ongoing data will be larger, encompassing previously implanted patients, with an expected sample size of 61 total in the registry for data collection.

  Eligibility
Ages Eligible for Study:   21 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Standard indications for ICD placement (AHA/ACC guidelines)

Exclusion Criteria:

  • Inability to consent
  • age less than 21 years
  • inability to participate in study follow-up
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00385749

Contacts
Contact: Michael A Lincoln, MD     301-681-5700     mlincoln@associatesincardiology.com    

Locations
United States, Maryland
Holy Cross Hospital of Silver Spring     Recruiting
      Silver Spring, Maryland, United States, 20910
      Principal Investigator: Michael A Lincoln, MD            

Sponsors and Collaborators
Associates in Cardiology, PA
Medtronic

Investigators
Principal Investigator:     Michael A Lincoln, MD     Holy Cross Hospital of Silver Spring    
  More Information


Study ID Numbers:   RVLeadSelectSite
First Received:   October 10, 2006
Last Updated:   October 30, 2007
ClinicalTrials.gov Identifier:   NCT00385749
Health Authority:   United States: Institutional Review Board

Keywords provided by Associates in Cardiology, PA:
Implanted cardioverter defibrillator  
congestive heart failure  
right ventricular lead placement  
select site pacing  

Study placed in the following topic categories:
Heart Failure
Heart Diseases
Tachycardia
Tachycardia, Ventricular
Arrhythmias, Cardiac

Additional relevant MeSH terms:
Pathologic Processes
Cardiovascular Diseases

ClinicalTrials.gov processed this record on October 29, 2008




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