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The Holding Area LINQ (Reveal LINQ Insertable Cardiac Monitor) Trial is a Prospective, Non-randomized, Single Center Post-market Clinical Trial (HALT)

14. januar 2022 oppdatert av: Wilson Burke, Holy Cross Hospital, Florida

The Holding Area LINQ Trial is a Prospective, Non-randomized, Single Center Post-market Clinical Trial Designed to Occur in the Holding Area of a Hospital Operating Room or Cardiac Catheterization/Electrophysiology Laboratory

The Holding Area LINQ Trial is a clinical trial designed to compare the benefits in conducting impant procedures in the holding area of a hospital operating room vs cardiac catheterization/electrophysiology laboratory.

Studieoversikt

Status

Fullført

Detaljert beskrivelse

The Holding Area LINQ Trial is a prospective, non-randomized, single center post-market clinical trial designed to occur in the holding area of a hospital operating room or cardiac catheterization/electrophysiology laboratory. The primary objective is to characterize the rate of procedure-related complications within 90 days of the implant procedure which require resolution by surgical intervention. Twenty (20) patients with established clinical indications for the LINQ ICM (Reveal LINQ Insertable Cardiac Monitor) will be implanted using standard of care techniques and procedures. Implants will be required to take place in a hospital holding area rather than the traditional facility locations such as the hospital operating room, cardiac catheterization lab, or electrophysiology lab. A physical description of the holding area is a small patient examination room separated from other patient exam bay by walls and a door. There is a sink in the patient exam room, laminate flooring, ceiling A/C vent, wall mounted Hemodynamic monitoring equipment, and wall mounted oxygen/suction lines. Patient sedation will be limited to local anesthetics and/or oral anti-anxiety medications. Intravenous access will be obtained only for emergency resuscitative measures. Due to the low complication rate for this type of implant and practical limitations on the sample size, there are no formal hypotheses tested in this trial. This study will characterize all procedure-related adverse events that occur within 90 days of the implant procedure. Data will be collected at implant, 7-10 day post-op visit, and 90-day post-implant visits.

Studietype

Observasjonsmessig

Registrering (Faktiske)

20

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

    • Florida
      • Fort Lauderdale, Florida, Forente stater, 33308
        • Jim Moran Heart and Vascular Research Institute

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

Patients 18 and older indicated for continuous arrhythmia monitoring with an Implantable Cardiac Monitor

Beskrivelse

Inclusion Criteria:

  1. Patient is indicated for continuous arrhythmia monitoring with an Implantable Cardiac Monitor
  2. Patient is willing to undergo implant in holding area setting with only local anesthetic and/or oral anti-anxiety medications for sedation (2 mg of Valium or Ativan) at patient request.
  3. Patient is 18 years of age or older.
  4. Patient is willing to provide informed consent and authorize disclosure of personal health information in accordance with state and national regulations.

Exclusion Criteria:

  1. Patient has reduced immune function or is otherwise at high risk for infection
  2. Patient has had a recent (within 30 days) or otherwise unresolved infection.
  3. Patient is implanted or indicated for implant with a pacemaker, Implantable Cardiac Device (ICD), Cardiac Resyncronization Therapy (CRT) or hemodynamic monitoring system.
  4. Patient is participating in another clinical trial that may have an impact on the trial endpoints.
  5. Patient has a super-therapeutic INR > 3.0.
  6. Patient considered by Principal Investigator and/or sub-investigator to be inappropriate for the trial for any reason.
  7. Patient's life expectancy is less than 1 year.
  8. Patient is pregnant.
  9. Patient has an unusual thoracic anatomy or scarring at the implant site which may adversely affect the success of the implant procedure.
  10. Inability to comply with planned trial procedures

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Observasjonsmodeller: Bare etui
  • Tidsperspektiver: Potensielle

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Rate of procedure-related complications within 90 days of implant which require resolution by surgical intervention.
Tidsramme: 90 days post-implant.
-For this study there is no formal hypothesis or performance criterion tested for this objective. Instead, the rate of these complications will be characterized by computing a point estimate and one-sided upper 95% confidence interval for the rate of procedure-related complications requiring surgical intervention 90 days post-implant-
90 days post-implant.

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Cost-effectiveness for LINQ ICM holding area implants.
Tidsramme: 90 days Post Implant
Procedure duration as well as the types of personnel and resources needed for LINQ implant will be collected on the implant case report form. This information will be summarized using summary statistics and/or graphical methods.
90 days Post Implant
Device functionality post-implant through patient trial exit visit.
Tidsramme: 90 Days Post Implant
Device functionality post-implant will be characterized by collecting R-wave amplitudes on the day of implant and at the 90-day follow-up visit. Following each implant, R-wave amplitude will be collected and recorded on the Implant e-CRF. In addition, R-wave amplitude will be collected and recorded at the 90-day follow-up visit or at an unscheduled visit should the patient exit the study prior to the 90-day follow-up visit. Summary statistics and/or graphical methods will be used to summarize the R-wave amplitude.
90 Days Post Implant
Resource utilization for LINQ ICM holding area implants.
Tidsramme: 90 Days Post Implant
Procedure duration as well as the types of personnel and resources needed for LINQ implant will be collected on the implant case report form. This information will be summarized using summary statistics and/or graphical methods.
90 Days Post Implant
Procedures utilized during LINQ ICM holding area implants.
Tidsramme: 90 Days Post Implant
Procedure duration as well as the types of personnel and resources needed for LINQ implant will be collected on the implant case report form. This information will be summarized using summary statistics and/or graphical methods.
90 Days Post Implant
Techniques utilized during LINQ ICM holding area implants.
Tidsramme: 90 Days Post Implant
Procedure duration as well as the types of personnel and resources needed for LINQ implant will be collected on the implant case report form. This information will be summarized using summary statistics and/or graphical methods.
90 Days Post Implant

Samarbeidspartnere og etterforskere

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Samarbeidspartnere

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. juni 2015

Primær fullføring (Faktiske)

1. juni 2016

Studiet fullført (Faktiske)

1. november 2016

Datoer for studieregistrering

Først innsendt

30. juni 2015

Først innsendt som oppfylte QC-kriteriene

8. juli 2015

Først lagt ut (Anslag)

9. juli 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

31. januar 2022

Siste oppdatering sendt inn som oppfylte QC-kriteriene

14. januar 2022

Sist bekreftet

1. januar 2022

Mer informasjon

Begreper knyttet til denne studien

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