Cardiac Arrhythmia
Conditions
Keywords
Pacing Lead implantation, KODEX-EPD, CRT, His bundle pacing, LBBP
Brief summary
Prospective, multi-center (2-3 sites), non-randomized, open label, single arm 3 phase study: 1. Phase 1 or Evaluation Phase: Where the KODEX-EPD System will be used to exclusively monitor the entire implantation procedure; the KODEX-EPD system will not be used for guidance during the lead implantation workflow. 2. Phase 2 - KODEX-EPD-assisted Phase: Where the KODEX-EPD system will be used for cardiac imaging acquisition, guidance during lead implantation in conjunction with fluoroscopic imaging 3. Phase 3 - KODEX-EPD-guided Phase: Where the KODEX\_EPD System will be used as the leading imaging modality during the lead implantation workflow. Fluoro can be used; * up until the part of the lead implantation workflow that is the scope of this investigation. * As a bailout, when the operator declares failure to attempt.
Interventions
DEVICEKODEX-EPD system
Cardiac pacing leads implantation for PM, ICD, CRT, HBP and LBBP
Sponsors
EPD Solutions, A Philips Company
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients scheduled to undergo lead placement for cardiac pacing. Subjects who meet all eligibility criteria and give written informed consent will be enrolled in the study. Inclusion Criteria: 1. Subject must be aged \>18 years. 2. Subject must have signed a written iInformed Cconsent form to participate in the study, prior to any study related procedures. 3. Subject must be willing to comply with the protocol requirements. 4. Subject is scheduled for a de novo pacing lead implantation or system upgrade .
Exclusion criteria
1. Patients for whom previous CRT or conduction pacing implantation has failed. 2. Patients considered for leadless cardiac pacing system. 3. Patients undergoing a system revision for infection or malfunction. 4. Patients undergoing planned, urgent or emergency lead revision or lead extraction. 5. Subjects who have received or will receive an experimental drug or used an experimental medical device within 30 days before the planned start of treatment. 6. Patients included in a clinical registry or clinical trial for an investigational product. 7. Pregnant women.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Safety Endpoint - Incidence of intra -and Perioperative complications | 3 months | Incidence rate of intra -and Perioperative complications (bleeding, hematoma, cardiac tamponade, cardiac perforation , appearance of hemodynamic relevant arrhythmias requiring intervention) |
| Primary Feasibility Endpoint - Ability of imaging with permanent implantable leads and guidewires. | time of procedure - 2-5 hours | The successful use of permanent implantable leads and guidewires for imaging with KODEX - EPD. Assessment of the ability of the KODEX-EPD system to create real time 3D images of the anatomy of the heart. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fluoroscopy time | time of procedure - 2-5 hours | Total fluoroscopy time |
| Use of Contrast | time of procedure - 2-5 hours | Total amount of contrast used, if any. |
| Procedure Time - per lead | time of procedure - 2-5 hours | Time to final placement, for each implanted lead (from lead introduction into sheath to final placement) |
| Right heart image | time of procedure - 2-5 hours | Number of patients in whom it is possible to construct a right heart endocardial image, including visualization of right atrial appendage, tricuspidal valve, coronary sinus ostium, and coronary veins in case of CRT device implantation. |
| Total procedure time | time of procedure - 2-5 hours | Total implantation time (skin-to-skin) |
| Fluoroscopy dose | time of procedure - 2-5 hours | Total fluoroscopy dose |
| Procedure Time - all leads | time of procedure - 2-5 hours | Total lead(s) implantation time |
| Lead implantation adjusted with Fluoroscopy | time of procedure - 2-5 hours | Number of patients in whom lead implantation needs to be fluoroscopically adjusted after KODEX-EPD-guided implantation because of 1) inability to overcome anatomical obstacles; 2) mechanical instability including spontaneous dislodgement; 3) unsatisfactorily electrical parameters. |
Outcome results
None listed