Cardiomyopathy heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: An indication for cardiac resynchronization therapy according to the current international evidence based guidelines for CRT (the 2013 European Society of Cardiology Guidelines for cardiac pacing and cardiac resynchronization therapy) - Chronic heart failure; - New York Heart Association functional class II, III, IV (ambulatory); - QRS duration *120ms; - Optimal pharmacological therapy; - Left ventricular ejection fraction *35%;
Exclusion criteria
Exclusion criteria: - Contraindications for implantation of a CRT device; - Age
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Safety: radiation dose during the procedure, (serious) adverse events. Efficacy: LV lead implantation within target (yes/no). | — |
Secondary
| Measure | Time frame |
|---|---|
| Long-term efficacy: LV end systolic volume reduction assessed by echocardiography at 6 months after the CRT implantation. Feasibility: overall CRT implantation procedure duration, time to perform the placement of the LV lead, preparation time in the Cath lab. Radiation time during the procedure. Validation of 2D image registration compared to 3D image registration. Software usability and feasibility of CARTBox during the lead placement (questionnaire for the operator on the use of CARTBox before and during the LV lead implantation). Measures of acute electrical synchronization (QRS duration, QLVs). Total cost of procedure and healthcare costs, using a Health Technology Assessment (HTA) approach (in cooperation with Julius Clinical, UMC Utrecht). Number of LV leads used, number of LV lead repositioning procedures. | — |
Countries
Netherlands