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French Cohort Evaluating the effectiveneSs of Atrioventricular Synchrony by the micRa AV

Cohorte Française Des Patients Implantés de Micra AV

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05953558
Acronym
AV-CESAR
Enrollment
1000
Registered
2023-07-20
Start date
2023-05-01
Completion date
2027-12-31
Last updated
2023-07-20

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

Conditions

Atrioventricular Synchrony by the Micra AV

Keywords

Pacemaker syndrome, Dual chamber pacemaker upgrade, Quality of life, SF36 questionnaire, Effectiveness, Complications

Brief summary

Transvenous cardiac pacemakers have pitfalls due to lead- and device pocket-related complications. Leadless pacemakers were developed and introduced into clinical practice to overcome the weaknesses of traditional transvenous pacemakers. The absence of atrial pacing has restricted their uses mainly for cases of paroxysmal atrioventricular block (AVB) or AVB with atrial fibrillation. The Micra AV contains an embedded accelerometer that senses the atrial contraction waveform, allowing the ventricle to be paced once the atrial contraction is complete. This atrioventricular synchronization is intended to extend the use of the device to cases of permanent complete AVB with normal sinus function. Two randomized clinicals trials have been proven it's efficacy. However, with AV-CESAR cohort, we aim to evaluate the real word effectiveness of Micra AV, in the first 1000 patients implanted by the device in France.

Interventions

DEVICEPatients implanted with Micra AV

The first 1000 patients implanted by the device in France

Sponsors

CHU de Tours
CollaboratorUNKNOWN
European Georges Pompidou Hospital
CollaboratorOTHER
Hôpital privé Clairval - Marseille
CollaboratorUNKNOWN
Clinique Pasteur Toulouse
CollaboratorOTHER
University Hospital, Bordeaux
CollaboratorOTHER
Infirmerie Protestante Lyon
CollaboratorAMBIG
Institut Jacques Cartier - Massy
CollaboratorUNKNOWN
University Hospital, Grenoble
CollaboratorOTHER
Hôpital de la Timone
CollaboratorOTHER
University Hospital, Toulouse
CollaboratorOTHER
Hopital Prive Saint Martin - Bordeaux
CollaboratorUNKNOWN
Hospices Civils de Lyon
CollaboratorOTHER
CHU de Rouen - Accueil
CollaboratorOTHER
University Hospital, Caen
CollaboratorOTHER
Médipôle Lyon-Villeurbanne
CollaboratorOTHER
Hospital Ambroise Paré Paris
CollaboratorOTHER
Clinique Saint Augustin - Bordeaux
CollaboratorUNKNOWN
Rennes University Hospital
CollaboratorOTHER
Clinique de la Sauvegarde - Lyon
CollaboratorUNKNOWN
University Hospital of Saint-Etienne
CollaboratorOTHER
Hôpital Privé de Parly II - Le Chesnay
CollaboratorOTHER
Institut Mutualiste Montsouris
CollaboratorOTHER
Centre Hospitalier Universitaire, Amiens
CollaboratorOTHER
University Hospital, Clermont-Ferrand
CollaboratorOTHER
Centre Hospitalier Régional et Universitaire de Brest
CollaboratorOTHER
Poitiers University Hospital
CollaboratorOTHER
Clinique Saint-Gatien - Tours
CollaboratorUNKNOWN
CHU de Reims
CollaboratorOTHER
Centre Hospitalier Universitaire de Besancon
CollaboratorOTHER
Centre Hospitalier Universitaire Dijon
CollaboratorOTHER
Hôpital Privé de Lille Métropole
CollaboratorUNKNOWN
University Hospital, Montpellier
CollaboratorOTHER
University Hospital, Strasbourg, France
CollaboratorOTHER
Nantes University Hospital
CollaboratorOTHER
Centre Cardio-Thoracique de Monaco
CollaboratorUNKNOWN
Hospital St. Joseph, Marseille, France
CollaboratorOTHER
Centre Hospitalier Régional Metz-Thionville
CollaboratorOTHER
Centre Hospitalier Annecy Genevois
CollaboratorOTHER
Clinique du Millenaire
CollaboratorOTHER
University Hospital, Limoges
CollaboratorOTHER
Clinique Saint Pierre - Perpignan
CollaboratorUNKNOWN
Bichat Hospital
CollaboratorOTHER
Universite de La Reunion
CollaboratorOTHER
CHU de Lille
CollaboratorUNKNOWN
Institute Arnault Tzanck, France
CollaboratorOTHER
Hôpital Privé Les Franciscaines
CollaboratorOTHER
CHU de Fort de France - Martinique
CollaboratorUNKNOWN
Henri Mondor University Hospital
CollaboratorOTHER
University Hospital, Angers
CollaboratorOTHER_GOV
Centre Hospitalier de Lens
CollaboratorOTHER
Central Hospital, Nancy, France
CollaboratorOTHER
Paris Sudden Death Expertise Center
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
OTHER

Eligibility

Sex/Gender
ALL
Age
18 Years to 110 Years
Healthy volunteers
No

Inclusion criteria

* All patients who underwent Micra AV implantation

Exclusion criteria

* Refusal of consent

Design outcomes

Primary

MeasureTime frameDescription
Profile of patients implanted with Micra AVThrough study completion, an average of 3 yearsDescription of the population of patients implanted by the device : age, sex, comorbidities (rate of hypertension, diabetes, ischemic heart disease, heart failure, severe pulmonary disease, severe chronic renal failure, cirrhosis, severe impairement of mobility, severe psychiatric disease or demencia and TAVR)
Follow-up occurrence of upgrading to a dual-chamber pacemakerThrough study completion, an average of 3 yearsRate of pacemaker syndrome and requirement of dual-chamber pacemaker upgrade
Early and late device-related complicationsThrough study completion, an average of 3 yearsRate of inhospital and late complications related to Micra AV

Secondary

MeasureTime frameDescription
Assessment of the quality of life in permanent atrioventricular block and normal sinus function subgroupThrough study completion, an average of 3 yearsEvaluation of the quality of life using the 36-item Short Form (SF-36) questionnaire in the subgroup of 150 patients implanted for permanent atrioventricular block and normal sinus function. SF-36 is a self-report questionnaire and composed of eight multi-item scales (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, Mental Health), with scores for each of these scales ranging from 0 to 100. Higher scores indicate better health status. A mean score of 50 has been articulated as a normative value for all scales. The SF-36 has been translated and validated in French language.
Risk factors of a compromised quality of lifeThrough study completion, an average of 3 yearsIdentify the risk factors associated with impaired quality of life in patients with Micra AV

Countries

France

Contacts

Primary ContactEloi Marijon, MD,PhD
eloi.marijon@inserm.fr+33662833848
Backup ContactFawzi Kerkouri, MD
eecmcfawzikerkouri@gmail.com+33767149558

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 21, 2026