Reducing Pacemaker Implantation After TAVR With Modified Implantation Technique

NCT ID: NCT04734392

Last Updated: 2023-11-29

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

Total Enrollment

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-01-01

Study Completion Date

2023-11-28

Brief Summary

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Hypothesis of the study is that a modified and improved implantation protocol (regarding membranous septum length and implantation depth) will decrease the need for permanent pacemaker stimulation follow TAVR-procedures.

Detailed Description

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Project objectives or hypothesis Hypothesis of the study is that a modified and improved implantation protocol (regarding membranous septum length and implantation depth) will decrease the need for permanent pacemaker stimulation following TAVR-procedures.

Patient profile and sample size The study cohort will comprise of patients referred to transcatheter aortic valve replacement. Patients will be prospectively and consecutively screened and enrolled at a tertiary high-volume center in Germany. TAVR will be performed according to a modified implantation technique regarding membranous septum length. Pacemaker rates will be analyzed and compared to a historical control. Taking into account a contemporary pacemaker rate of 15%, a reduction to 7% will require a sample size of 239 patients per group to achieve statistically significance (Chi-squared test, alpha 0.05, beta 0.80).

Regarding the prospective cohort, interims analysis will be performed after each 10 TAVR procedures. In case a signal towards worse outcomes with the modified implantation technique will be observed, the institutional safety and endpoint adjudication committee will stop further execution of the study.

Conditions

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PM Implantation After TAVR

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Cohort A

Historical cohort 2019 + 2020

No interventions assigned to this group

Cohort B

Prospective study cohort 2020 + 2021 (TAVR implantation according new IFU)

TAVR

Intervention Type PROCEDURE

TAVR implantation in cusp overlay technique

Interventions

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TAVR

TAVR implantation in cusp overlay technique

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients referred to TAVR procedure due to severe aortic stenosis

Exclusion Criteria

* PM-implantation before TAVR
* Valve-in-valve procedures
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Ulm

OTHER

Sponsor Role lead

Responsible Party

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Dr. Dominik Buckert

PD Dr. Dominik Buckert, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ulm University

Ulm, , Germany

Site Status

Countries

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Germany

Other Identifiers

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01/2021

Identifier Type: -

Identifier Source: org_study_id