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Efficacy and safety of septal lead implantation using a delivery catheter in implantable-cardiovert defibrillator recipients : A multicenter observational study (SEPTAL NAGOYA study)

Efficacy and safety of septal lead implantation using a delivery catheter in implantable-cardiovert defibrillator recipients : A multicenter observational study (SEPTAL NAGOYA study) - SEPTAL NAGOYA study

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
JPRN
Registry ID
JPRN-UMIN000060394
Enrollment
100
Registered
2026-01-17
Start date
2025-12-03
Completion date
Unknown
Last updated
2026-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Ventricular tachycardia, ventricular fibrillation.

Interventions

Defibrillation test during implantation, chest-CT tomography for an evaluation of the lead position after the implantation.

Sponsors

Nagoya University
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: - Patients at participating institutions who underwent transvenous implantation of an ICD or CRT-D (cardiac resynchronization therapy defibrillator) using the Abbott Durata ICD lead between January 2020 and the date of study approval, and who either have a prior history of chest CT imaging or newly provided informed consent for additional CT imaging at the time of data access after study approval (retrospective cohort). - Patients at participating institutions who will undergo ICD or CRT-D implantation using the Abbott Durata ICD lead and have provided informed consent for CT imaging (prospective cohort). - Newly implanted device cases. - Patients aged 18 years or older, regardless of sex. - The type of ICD lead shall be limited to active-fixation (screw-in) leads. - Patients who have provided written informed consent to participate in this study.

Exclusion criteria

Exclusion criteria: - Patients who did not provide informed consent to participate in this study. - Cases in which a tined lead was used. - Cases in which the implanted ICD lead was not an Abbott Durata ICD lead. - Patients with a previous history of defibrillation lead implantation, in whom the lead was extracted and subsequently reimplanted. - Upgrade cases from a conventional pacemaker system. - Cases in which a subcutaneous defibrillation lead system was used. - In the retrospective cohort, cases without prior CT imaging or without additional consent for new CT imaging. - Cases in which the Abbott Durata ICD lead was used, but the ICD or CRT-D pulse generator was manufactured by another company. - Any other cases deemed inappropriate for inclusion in the study at the discretion of the principal investigator.

Design outcomes

Primary

MeasureTime frame
Prevalence of true septal ICD lead implantation based on an imaging modality.

Secondary

MeasureTime frame
Lead parameters (threshold, sensing, and impedance) at six months postoperatively, shock impedance, defibrillation threshold, paced QRS duration, incidence of lead-related complications, antitachycardia pacing and defibrillation success rates for ventricular arrhythmias, occurrence of atrial fibrillation, and all-cause mortality and heart failure hospitalization during two years after implantation.

Countries

Japan

Contacts

Public ContactSatoshi Yanagisawa

Nagoya University Graduate School of Medicine Department of Advanced Cardiovascular Therapeutics

yanagisawa-sato@med.nagoya-u.ac.jp81-52-744-2148

Outcome results

None listed

Source: JPRN (via WHO ICTRP) · Data processed: Sep 19, 2026