Myocardial Micro-damage in Relation to Active and Passive Fixation Pacemaker Electrodes

NCT ID: NCT01897558

Last Updated: 2023-03-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

290 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2014-12-31

Brief Summary

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Pacemaker electrodes are either equipped with tines (passive fixation) or with a screw (active fixation) for initial fixation in the patient´s heart. Both types of electrodes provide similar results in a long-term follow-up and the use of one or the other electrode type in many instances is mainly based on the implanter´s preference. The PACMAN-trial investigates whether the two lead types are associated with different amounts of myocardial micro-damage during implantation.

Detailed Description

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Conditions

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Bradyarrhythmia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Ventricular pacemaker electrode

receives an active fixation ventricular pacemaker electrode

Group Type ACTIVE_COMPARATOR

Pacemaker implantation

Intervention Type DEVICE

Passive fixation ventricular pacemaker electrode

receives a passive fixation ventricular pacemaker electrode

Group Type ACTIVE_COMPARATOR

Pacemaker implantation

Intervention Type DEVICE

Interventions

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Pacemaker implantation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* de-novo implantation of a pacemaker system

Exclusion Criteria

* AAI pacing or cardiac resynchronization therapy
* ICD indication
* temporary pacing
* lead revision
* right ventricular pacing aimed from alternative pacing sites (other than the apex)
* lead revision
* severe tricuspid valve regurgitation
* previous myocardial infarction, coronary intervention, stroke, cardioversion or ablation in the presence of elevated troponin levels
* dialysis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Deutsches Herzzentrum Muenchen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christof Kolb, MD

Role: PRINCIPAL_INVESTIGATOR

Deutsches Herzzentrum München

Locations

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University Hospital Dubrava

Zagreb, , Croatia

Site Status

Klinikum Kempten

Kempten, , Germany

Site Status

Krankenhaus Landshut-Achdorf

Landhut, , Germany

Site Status

Deutsches Herzzentrum München

München, , Germany

Site Status

Kenri Hospital

Mishima, , Japan

Site Status

Countries

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Croatia Germany Japan

References

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Blazek P, Ferri-Certic J, Vrazic H, Lennerz C, Grebmer C, Kaitani K, Karch M, Starcevic B, Semmler V, Kolb C. Pacemaker Implantation Associated Myocardial Micro-Damage: A Randomised Comparison between Active and Passive Fixation Leads. Sci Rep. 2018 Mar 20;8(1):4870. doi: 10.1038/s41598-018-23209-5.

Reference Type RESULT
PMID: 29559697 (View on PubMed)

Other Identifiers

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GER-EP-012

Identifier Type: -

Identifier Source: org_study_id

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