- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05884359
Left Bundle Branch Area Mapping for Conduction System Pacing
June 14, 2023 updated by: Steward St. Elizabeth's Medical Center of Boston, Inc.
This study will utilize 3D mapping as a tool to explore electro-anatomical and electrocardiographic characteristics of the Left Bundle Branch Area.
We plan on prospectively reviewing the data found from 3D mapping the left bundle branch implantation cases and using the data to improve understanding of electro-anatomical characteristics of this area for a better definition of the implantation target and depth.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
This is an observational study that will provide the data for further hypothesis generation and confirmation in a larger study.
We will define and record electro-anatomical characteristics of the interventricular septum and surrounding areas.
Several electro-anatomical characteristics will be measured during the lead placement into the Left Bundle Branch Area.
Mapping will be performed with the pacing lead.
We will collect electrocardiographic markers of successful and unsuccessful LBBA pacemaker implantation attempts and correlate them with electro-anatomical information.
Study Type
Observational
Enrollment (Estimated)
30
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Michael Orlov, MD, PhD
- Phone Number: 617-789-3187
- Email: Michael.Orlov@steward.org
Study Contact Backup
- Name: Karina Demchuk, BS
- Phone Number: 413-219-5207
- Email: karina.demchuk@steward.org
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02135
- Recruiting
- St. Elizabeth's Medical Center
-
Contact:
- Michael Orlov, MD, PhD
- Phone Number: 617-789-3187
- Email: Michael.Orlov@steward.org
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
All adult patients ages 18 through 88 that undergo Left Bundle Branch area pacemaker implantation for standard pacemaker indications at one location (Steward St. Elizabeth Medical Center).
Description
Inclusion Criteria:
- 30 consecutive patients ages 18 through 88 that undergo Left Bundle Branch area pacemaker implantation.
Exclusion Criteria:
- Recent MI-less than 3 months
- Recent Percutaneous Coronary Revascularization-less than 2 weeks
- Recent Open-Heart Procedures (CABG, Valvular procedures, etc.)-less than 1 month
- Patients who are acutely ill and unstable, from the investigator's perspective, but require an urgent permanent pacemaker
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Electroanatomical characteristics of the target area for Left Bundle lead implantation
Time Frame: Through study completion, an average of 1 year
|
Electroanatomical metrics
|
Through study completion, an average of 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Michael Orlov, MD, PhD, Steward St. Elizabeth's Medical Center of Boston, Inc.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Orlov MV, Jahangir A, McKelvey D, Armstrong J, Maslov M, Monin AJ, Koulouridis I, Casavant D, Wylie JV. His bundle pacing insights from electroanatomical mapping: Topography and pacing targets. J Cardiovasc Electrophysiol. 2020 Oct;31(10):2737-2743. doi: 10.1111/jce.14672. Epub 2020 Jul 23.
- Orlov MV, Nikolaychuk M, Koulouridis I, Goldman A, Natan S, Armstrong J, Bhattacharya A, Hicks A, King M, Wylie J. Left bundle area pacing: Guiding implant depth by ring measurements. Heart Rhythm. 2023 Jan;20(1):55-60. doi: 10.1016/j.hrthm.2022.09.013. Epub 2022 Sep 21.
- Orlov MV, Koulouridis I, Monin AJ, Casavant D, Maslov M, Erez A, Hicks A, Aoun J, Wylie JV. Direct Visualization of the His Bundle Pacing Lead Placement by 3-Dimensional Electroanatomic Mapping: Technique, Anatomy, and Practical Considerations. Circ Arrhythm Electrophysiol. 2019 Feb;12(2):e006801. doi: 10.1161/CIRCEP.118.006801.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
June 1, 2023
Primary Completion (Estimated)
June 1, 2024
Study Completion (Estimated)
December 31, 2024
Study Registration Dates
First Submitted
April 18, 2023
First Submitted That Met QC Criteria
May 31, 2023
First Posted (Actual)
June 1, 2023
Study Record Updates
Last Update Posted (Actual)
June 15, 2023
Last Update Submitted That Met QC Criteria
June 14, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- SEMC
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Left Bundle-Branch Block
-
Óscar Cano PérezSpanish Society of CardiologyRecruitingHeart Failure | Left Bundle-Branch Block | Impaired Left Ventricular FunctionSpain
-
Inova Health Care ServicesMedtronicRecruitingLeft Bundle-Branch Block | Heart Failure (HF) | Left Ventricular Ejection FractionUnited States
-
Universitaire Ziekenhuizen KU LeuvenOslo University HospitalActive, not recruitingHeart Failure | Cardiomyopathy | Left Ventricular Dyssynchrony | Left Bundle Branch BlockBelgium, Norway
-
University Hospital of North NorwayOslo University Hospital; University of Bergen; Norwegian University of Science... and other collaboratorsRecruitingLeft Bundle-Branch BlockNorway
-
Imperial College LondonCompletedLeft Bundle-Branch Block | Right Bundle-Branch Block | Non-Specific Intraventricular Conduction DefectUnited Kingdom
-
Assistance Publique Hopitaux De MarseilleNot yet recruitingLeft Bundle-Branch BlockFrance
-
Imperial College LondonCompletedHeart Failure | Left Bundle-Branch Block | Left Ventricular Systolic Dysfunction | Right Bundle-Branch Block | Non-Specific Intraventricular Conduction DefectUnited Kingdom
-
Imperial College Healthcare NHS TrustRigshospitalet, DenmarkRecruiting
-
Schuechtermann-KlinikMedtronicUnknownHeart Failure | Left Bundle-Branch BlockGermany
-
University of CologneCompletedHeart Failure | Left Bundle Branch Block | Reduced Left Ventricular Ejection FractionGermany
Clinical Trials on 3D Electroanatomical Mapping (NavX)
-
Kansas City Heart Rhythm Research FoundationNot yet recruitingAtrial FlutterUnited States
-
University of PennsylvaniaRecruitingCardiovascular DiseasesUnited States
-
Barts & The London NHS TrustCompletedAtrial FibrillationUnited Kingdom
-
Northwell HealthCompletedVentricular Arrythmia | Premature Ventricular ComplexUnited States
-
Boston Children's HospitalCompletedSupraventricular TachycardiaUnited States
-
University of Colorado, DenverCompleted
-
Hospices Civils de LyonCompleted
-
Tan Tock Seng HospitalNanyang Technological UniversityCompletedStroke | AmputationSingapore
-
Newmarket Electrophysiology Research Group IncMedtronicCompleted
-
Abbott Medical DevicesCompletedHeart Failure | Persistent Atrial Fibrillation | ICDGermany, Hungary, Spain