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Register for ledningsløs pacemaker: Resultater og oppfølging fra St. Pölten universitetssykehus (LPR)

4. november 2026 oppdatert av: Karl Landsteiner University of Health Sciences

Register for ledningsfri pacemaker

The registry for leadless pacemakers will collect and annually analyze the data of all leadless pacemaker implantations at the University Hospital St. Pölten, including demographic information, indications, procedural details, acute, medium- and long-term complications during follow-up. Due to the partially novel nature of the signals (atrial mechanical sensing markers) and the lack of long-term experience to date, data on these aspects will also be collected and analyzed.

This is a single-center, prospective and retrospective registry that includes all patients receiving a leadless pacing device, as well as all patients who received a leadless pacing device between January 2021 and the start of the registry. All patients undergoing implantation of a leadless pacemaker will be invited to participate in the registry. For patients to be included retrospectively, participation in the registry will be offered at the time of their next routine follow-up visit.

The indication for leadless pacing will be determined by the physician responsible for the patient. Enrollment in the registry will in no case alter or influence the treatment the patient receives. Data collection will take place at the time of implantation and continuously during follow-up over the entire study period. Pacemaker-related data may be obtained either in person or via remote monitoring.

Studieoversikt

Studietype

Observasjonsmessig

Registrering (Antatt)

700

Kontakter og plasseringer

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

Studiekontakt

Studer Kontakt Backup

Studiesteder

    • Lower Austria
      • Sankt Pölten, Lower Austria, Østerrike, 3100
        • Rekruttering
        • University Hospital of St. Pölten
        • Ta kontakt med:

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

The study population consists of adult patients undergoing implantation of a leadless pacemaker at University Hospital St. Pölten, as well as patients who previously received a leadless pacemaker at the same institution since June 2015. Both prospective and retrospective patients are included.

Beskrivelse

Inclusion Criteria:

  • Patients undergoing implantation of a leadless pacemaker at the University Hospital of St. Pölten
  • Patients who previously received a leadless pacemaker between June 2015 and the start of the registry (retrospective inclusion).
  • Age ≥ 18 years.
  • Written informed consent provided by the patient.

Exclusion Criteria:

  • Patients who decline or are unable to provide informed consent.
  • Patients in whom a conventional transvenous pacemaker is implanted (i.e., not leadless).
  • Any condition that, in the opinion of the treating physician, precludes participation in the registry.

Studieplan

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

Hvordan er studiet utformet?

Designdetaljer

  • Observasjonsmodeller: COHORT
  • Tidsperspektiver: OTHER

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Procedural success rate
Tidsramme: Periprocedural / at Day 1

Successful implantation of a leadless pacemaker with acceptable electrical parameters and no need for conversion to a transvenous system

Periprocedural / at Day 1
Incidence of acute complications
Tidsramme: Within 30 days after implantation

Rate of periprocedural complications (e.g., vascular complications, arrhythmias, pericardial effusion, device dislodgement)

Within 30 days after implantation

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Dødelighet av alle årsaker
Tidsramme: Gjennom oppfølging (opptil 10 år)
Gjennom oppfølging (opptil 10 år)
Innleggelser relatert til hjerterytmeforstyrrelser eller hjertesvikt
Tidsramme: Gjennom oppfølgingsperioden (opptil 10 år)
Gjennom oppfølgingsperioden (opptil 10 år)
Device-related complication rate (medium- and long-term)
Tidsramme: Up to 10 years after implantation

Cumulative incidence of complications requiring medical or surgical intervention (e.g., device malfunction, infection, need for extraction, upgrade)

Up to 10 years after implantation
Ventricular pacing burden
Tidsramme: Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Percentage of ventricular pacing and triggered pacing as recorded by device interrogation

Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Quality of Life after Implantation
Tidsramme: 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Change in 12-Item Short Form Health Survey (SF-12) questionnaire score / The SF-12 questionnaire is a validated health-related quality of life instrument with two subscales: Physical Component Summary (PCS) and Mental Component Summary (MCS). Each subscale ranges from 0 to 100 points, where higher scores indicate better health-related quality of life.

1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Electrical performance of the device
Tidsramme: Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Pacing thresholds (in Volts at 0.24 ms pulse width)

Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Electrical performance of the device
Tidsramme: Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Sensing Amplitude (R-wave, in millivolts [mV])

Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Electrical performance of the device
Tidsramme: Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Lead impedance (in Ohms [Ω])

Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Electrical performance of the device
Tidsramme: Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Estimated battery longevity (in years)

Day 1, 3 months post-implant (±2 weeks), 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Left ventricular ejection fraction on Echocardiography
Tidsramme: 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

in %

1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Left ventricular dimensions on Echocardiography
Tidsramme: 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

end-diastolic and end-systolic diameters, in mm

1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter
Right ventricular function on Echocardiography
Tidsramme: 1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Tricuspid Annular Plane Systolic Excursion (TAPSE) in mm

1 year after Implantation (±2 weeks), every 12th month (±2 weeks) thereafter

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Samarbeidspartnere

Etterforskere

  • Hovedetterforsker: Julia Mascherbauer, MD, Professor, Department of Internal Medicine III, University Hospital of St. Pölten

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)

18. juni 2015

Primær fullføring (Antatt)

1. januar 2035

Studiet fullført (Antatt)

1. januar 2035

Datoer for studieregistrering

Først innsendt

16. september 2025

Først innsendt som oppfylte QC-kriteriene

17. november 2025

Først lagt ut (Faktiske)

24. november 2025

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

5. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

4. november 2026

Sist bekreftet

1. oktober 2026

Mer informasjon

Begreper knyttet til denne studien

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

NEI

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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