Trial Outcomes & Findings for Model 4396 Left Ventricular (LV) Lead Study (NCT NCT00853593)

NCT ID: NCT00853593

Last Updated: 2019-02-18

Results Overview

A subject who was free of a Model 4396 lead related complication by the one month visit. All adverse events (AE) in the time frame were recorded at the subject's center and assessed by a centralized Adverse Event Advisory Committee (AEAC). The AEAC determined whether an AE was a complication and whether the event was related to the Model 4396 lead. A complication is an AE that results in death, termination of significant device function or invasive intervention (any therapy that penetrates the skin including administration of intramuscular (IM) and parenteral (IV) fluids).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

197 participants

Primary outcome timeframe

One month

Results posted on

2019-02-18

Participant Flow

Participant milestones

Participant milestones
Measure
Model 4396 LV Lead
Subjects successfully implanted with a Model 4396 LV lead.
Overall Study
STARTED
197
Overall Study
Implant Attempted
193
Overall Study
Model 4396 Lead Attempted
164
Overall Study
COMPLETED
152
Overall Study
NOT COMPLETED
45

Reasons for withdrawal

Reasons for withdrawal
Measure
Model 4396 LV Lead
Subjects successfully implanted with a Model 4396 LV lead.
Overall Study
Subjects did not receive a 4396 lead
12
Overall Study
Model 4396 lead not attempted
29
Overall Study
Implant not attempted
4

Baseline Characteristics

Model 4396 Left Ventricular (LV) Lead Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Model 4396 LV Lead
n=193 Participants
Subjects underwent Model 4396 left ventricular lead implant attempt
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
62 Participants
n=5 Participants
Age, Categorical
>=65 years
131 Participants
n=5 Participants
Age, Continuous
69.6 years
STANDARD_DEVIATION 10.8 • n=5 Participants
Sex: Female, Male
Female
53 Participants
n=5 Participants
Sex: Female, Male
Male
140 Participants
n=5 Participants
Region of Enrollment
France
10 participants
n=5 Participants
Region of Enrollment
United States
125 participants
n=5 Participants
Region of Enrollment
Canada
47 participants
n=5 Participants
Region of Enrollment
Australia
2 participants
n=5 Participants
Region of Enrollment
Denmark
3 participants
n=5 Participants
Region of Enrollment
Austria
6 participants
n=5 Participants
New York Heart Association
Class III
192 participants
n=5 Participants
New York Heart Association
Class IV
1 participants
n=5 Participants
Race/Ethnicity
Asian
2 participants
n=5 Participants
Race/Ethnicity
Black or African American
9 participants
n=5 Participants
Race/Ethnicity
Hispanic or Latino
6 participants
n=5 Participants
Race/Ethnicity
Native Hawaiian or Pacific Islander
1 participants
n=5 Participants
Race/Ethnicity
White/Caucasian
168 participants
n=5 Participants
Race/Ethnicity
Subject chose not to provide information
6 participants
n=5 Participants
Race/Ethnicity
Other
1 participants
n=5 Participants
Intrinsic QRS Width
154.1 Milliseconds
STANDARD_DEVIATION 24.9 • n=5 Participants
Left Ventricular Ejection Fraction (LVEF)
25.7 Percent
STANDARD_DEVIATION 6.5 • n=5 Participants

PRIMARY outcome

Timeframe: One month

Population: Subjects who underwent a Model 4396 left ventricular (LV) lead implant attempt and had a 1 month follow-up visit.

A subject who was free of a Model 4396 lead related complication by the one month visit. All adverse events (AE) in the time frame were recorded at the subject's center and assessed by a centralized Adverse Event Advisory Committee (AEAC). The AEAC determined whether an AE was a complication and whether the event was related to the Model 4396 lead. A complication is an AE that results in death, termination of significant device function or invasive intervention (any therapy that penetrates the skin including administration of intramuscular (IM) and parenteral (IV) fluids).

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=163 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Safety (Subjects Without a Model 4396 Lead Related Complication)
155 participants
Interval 90.6 to 95.0

PRIMARY outcome

Timeframe: One month

Population: Only subjects with pacing thresholds captured at 0.5 ms were included in the analysis.

Subjects' distal tip electrode voltage threshold was collected at the one month visit. The Model 4396 was considered effective if the mean voltage threshold was less than 3.0 Volts. Voltage threshold was collected using LV tip to Right Ventricular (RV) coil configuration at 0.5 milliseconds \[ms\]. Voltage threshold is the minimum energy required from the device to consistently pace the ventricle.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=139 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Efficacy: Distal Tip Electrode Voltage Threshold
1.6 Volts
Standard Deviation 1.4

PRIMARY outcome

Timeframe: Three months

Population: Subjects with ring electrode threshold captured at 0.5 ms at 3-month

Subject's proximal ring electrode voltage threshold was collected at the three months visit. The Model 4396 was considered effective if the mean voltage threshold was less than 3.0 Volts.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=121 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Efficacy: Proximal Ring Voltage Threshold
2.3 Volts
Standard Deviation 2.0

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects who underwent Model 4396 LV implant attempt.

A successful implant occurs when the Model 4396 lead is implanted in a left ventricular vein and functions appropriately. A Model 4396 implant attempt was defined as any time when a Model 4396 lead was introduced into the body.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=164 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Subjects Successfully Implanted With Model 4396 Lead
152 participants

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects with successful CS cannulation after an implant attempt.

A successful implant after cannulation occurs when the coronary sinus (CS) is successfully cannulated and a left ventricular lead (any transvenous LV lead) is implanted in a left ventricular vein and functions appropriately. An implant attempt of any transvenous LV lead was defined as any time when a transvenous LV lead was introduced into the body.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=191 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Subjects Successfully Implanted With Any Transvenous LV Lead After Cannulation
185 participants

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects who underwent an implant attempt.

A successful implant occurs when any transvenous LV lead is implanted in a left ventricular vein functions appropriately.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=193 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Subjects Successfully Implanted With Any Transvenous LV Lead
185 participants

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects who underwent an implant attempt.

A successful implant occurs when any Medtronic Attain Family LV Lead is implanted in a left ventricular vein and functions appropriately. The Attain Family leads include the following models: 4193, 4194, 4195, 4196, and 4396.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=193 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Subjects Successfully Implanted With Any Medtronic Attain Family LV Lead
183 participants

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects successfully implanted with a Model 4396 lead.

Cannulation time was defined as the time from insertion of the first coronary sinus (CS) cannulation catheter to the first successful CS cannulation.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=152 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Cannulation Time
6.1 minutes
Standard Deviation 9.0

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects successfully implanted with a Model 4396 lead. Note that one subject's standard fluoroscopy time was not collected and a study deviation was reported.

The total time the fluoroscope was imaging (not including biplane fluoroscopy time).

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=151 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Fluoroscopy Time
20.6 minutes
Standard Deviation 13.6

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects successfully implanted with a Model 4396 lead. Note that one subject's LV Lead placement time was permanently missing and a study deviation was reported.

Model 4396 lead placement time was defined as the time from insertion of the successfully implanted lead to the time when it was placed in the first acceptable pacing location.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=151 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Model 4396 Lead Placement Time
13.9 minutes
Standard Deviation 16.3

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects successfully implanted with a Model 4396 lead.

Total operation time was defined as time from initial incision to final closure.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=152 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Total Operation Time
97.4 minutes
Standard Deviation 41.3

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects who underwent a Model 4396 left ventricular lead implant attempt.

Implant lead handling characteristics were qualitatively assessed through physician feedback on the Implant Case Report Form (CRF). Physicians were asked for their overall assessment of the lead and results were categorized as acceptable or unacceptable. The number of acceptable responses are summarized.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=164 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Assessment of Lead Handling Characteristics Reported as Acceptable
162 participants

SECONDARY outcome

Timeframe: 1 month

Population: Subjects that were implanted with a Model 4396 lead and completed the 1 month visit

Subjects' voltage threshold in the bipolar configuration was collected at the one month visit. The Model 4396 was considered effective if the mean voltage threshold (at 0.5 milliseconds \[ms\]) is less than or equal to 4.0 Volts.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=136 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Efficacy: Bipolar Voltage Threshold
2.4 Volts
Standard Deviation 1.9

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with tip electrode threshold captured at 0.5 ms at 6 month

Tip electrode voltage threshold at 0.5 ms was collected at implant, pre-hospital discharge and all scheduled follow-up visits. Voltage threshold values at the 6 month visit are summarized.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=128 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Tip Electrode: Voltage Threshold
1.5 Volts
Standard Deviation 1.3

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with tip electrode pacing impedance at 6 month

Subjects' tip electrode pacing impedance (a measure of electrical resistance) was measured at implant, pre-hospital discharge and all scheduled follow-up visits. Pacing impedance at the 6 month visit is presented here.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=135 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Tip Electrode: Pacing Impedance
571.2 Ohms
Standard Deviation 155.0

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with tip electrode R-wave amplitude at 6 month

Tip electrode sensing, measured by R-wave amplitude, for the Model 4396 was collected at implant, pre-hospital discharge and all scheduled follow-up visits. Measurements at the 6 month visit are presented here. Sensing is the minimum energy produced by the left ventricle of the heart that the device can sense.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=140 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Tip Electrode: Sensing
18.3 mV
Standard Deviation 6.4

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with ring electrode threshold captured at 0.5 ms at 6 month

Ring electrode voltage threshold at 0.5 ms was collected at implant, pre-hospital discharge and all scheduled follow-up visits. Voltage threshold at the 6 month visit is presented here.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=121 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Ring Electrode: Voltage Threshold
2.2 Volts
Standard Deviation 2.0

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with ring electrode pacing impedance at 6 month

Subjects' ring electrode pacing impedance was measured at implant, pre-hospital discharge and all scheduled follow-up visits. Pacing impedance at the 6 month visit is presented here.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=134 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Ring Electrode: Pacing Impedance
544.8 Ohms
Standard Deviation 149.2

SECONDARY outcome

Timeframe: During implant procedure.

Population: Subjects with ring electrode R-wave amplitude at implant

Ring electrode sensing, measured by R-wave amplitude, for the Model 4396 was collected only at the implant procedure because the devices allowed in this study are not programmable to collect sensing measurements using the ring electrode. The analyzer was used to collect measurements.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=140 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Ring Electrode: Sensing
17.6 mV
Standard Deviation 6.6

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with bipolar configuration threshold captured at 0.5 ms at 6 month

Bipolar voltage threshold at 0.5 ms was collected at implant, pre-hospital discharge and all scheduled follow-up visits. Voltage threshold at the 6 month visit is reported here.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=128 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Bipolar Configuration: Voltage Threshold
2.4 Volts
Standard Deviation 2.0

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with bipolar configuration pacing impedance at 6 month

Subjects' bipolar pacing impedance was measured at implant, pre-hospital discharge and all scheduled follow-up visits. Pacing impedance at the 6 month visit is presented here.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=135 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Bipolar Configuration: Pacing Impedance
967.1 Ohms
Standard Deviation 239.2

SECONDARY outcome

Timeframe: 6 month

Population: Subjects with bipolar configuration electrode R-wave amplitude at 6 month.

Bipolar sensing, measured by R-wave amplitude, for the Model 4396 was collected at implant, pre-hospital discharge and all scheduled follow-up visits. Measurements at the 6 month visit are presented here.

Outcome measures

Outcome measures
Measure
Model 4396 LV Lead
n=140 Participants
Subjects who underwent a Model 4396 left ventricular lead implant attempt
Characterize Model 4396 Electrical Performance- Bipolar Configuration: Sensing
15.0 mV
Standard Deviation 7.3

Adverse Events

Model 4396 LV Lead

Serious events: 76 serious events
Other events: 27 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Model 4396 LV Lead
n=197 participants at risk
Subjects successfully implanted with a Model 4396 LV lead.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Psychiatric disorders
Alcoholic withdrawal symptoms
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Skin and subcutaneous tissue disorders
Allergic reaction
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Blood and lymphatic system disorders
Anemia
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Aneurysm of aortic arch
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Asystole
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Atrial fibrillation
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Atrial fibrillation with rapid ventricular response
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Atrial flutter
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Atrial tachycardia
0.51%
1/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Renal and urinary disorders
Bladder cancer
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Breast cancer
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Cardiac arrest
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Skin and subcutaneous tissue disorders
Cellulitis
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Central line infection
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Cerebrovascular accident
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Chest pain
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Chest tenderness
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Hepatobiliary disorders
Cholelithiasis
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Congestive heart failure
0.51%
1/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Respiratory, thoracic and mediastinal disorders
COPD exacerbation
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Coronary artery disease
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Coronary artery disease aggravated
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Decompensated heart failure
7.6%
15/197 • Number of events 17 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Vascular disorders
Deep venous thrombosis arm
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Musculoskeletal and connective tissue disorders
Degenerative joint disease
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Device lead issue
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Gastrointestinal disorders
Diarrhea
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Diverticulitis
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Respiratory, thoracic and mediastinal disorders
Effusion pleural
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Elevated pacing threshold
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Respiratory, thoracic and mediastinal disorders
Embolism pulmonary
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Vascular disorders
Embolus
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Vascular disorders
Femoral artery stenosis
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Fever
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Fever of unknown origin
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Foot infection
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Gastrointestinal disorders
Gastrointestinal bleeding
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Gastrointestinal disorders
GI bleed
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Musculoskeletal and connective tissue disorders
Gouty arthritis
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Hematoma
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Herniated disc
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Blood and lymphatic system disorders
Hyperkalaemia
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Vascular disorders
Hypotension
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Endocrine disorders
Hypothyroidism
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Implant site hematoma
1.5%
3/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Implant site infection
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Inadequate lead connection
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Inappropriate phrenic nerve stimulation
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Metabolism and nutrition disorders
Insulin hypoglycemia
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Intracerebral hemorrhage
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Laceration of head
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Lead dislodgement
5.1%
10/197 • Number of events 11 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Loss of capture
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Metabolism and nutrition disorders
Loss of control of diabetes
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Middle cerebral artery stroke
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Multiple organ failure
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Myocardial infarction
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Near syncope
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Non ST segment elevation myocardial infarction
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
General disorders
Non-cardiac chest pain
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Palpitations
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Vascular disorders
Peripheral vascular disease
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Pneumonia
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Respiratory, thoracic and mediastinal disorders
Pneumothorax
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Prostatic hypertrophy
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Sepsis
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Gastrointestinal disorders
Small bowel obstruction
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Spinal column stenosis
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Sudden cardiac death
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Syncope
1.0%
2/197 • Number of events 3 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Transient ischemic attack (TIA)
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Triple vessel disease
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Twiddler's syndrome
1.0%
2/197 • Number of events 2 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Vascular disorders
Uncontrolled hypertension
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Infections and infestations
Urinary tract infection
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Cardiac disorders
Ventricular tachycardia
5.1%
10/197 • Number of events 10 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Nervous system disorders
Vertigo
0.51%
1/197 • Number of events 1 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function

Other adverse events

Other adverse events
Measure
Model 4396 LV Lead
n=197 participants at risk
Subjects successfully implanted with a Model 4396 LV lead.
Injury, poisoning and procedural complications
Inappropriate phrenic nerve stimulation
5.6%
11/197 • Number of events 15 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function
Injury, poisoning and procedural complications
Inappropriate stimulation of diaphragm
8.1%
16/197 • Number of events 20 • Subject enrollment-exit
Reported Adverse Events (AE) were documented on study case report forms as they occurred. Serious AE: AE that led to death, or led to worse health that resulted in: life-threatening illness or injury; a permanent impairment of a body function; hosp.; medical intervention or surgery to prevent permanent impairment to body structure or body function

Additional Information

4396 Clinical Research Specialist

Medtronic, Inc

Phone: 800-328-2518

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place