Clareo Health | Comparison of Left Bundle Branch Area Versus Right Ventricular Septal Pacing in Patients With High-degree Conduction Disease After Transcatheter Aortic Valve Replacement (Left Bundle BRAVE)
Comparison of Left Bundle Branch Area Versus Right Ventricular Septal Pacing in Patients With High-degree Conduction Disease After Transcatheter Aortic Valve Replacement (Left Bundle BRAVE)
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Keep this study
Lead
Main Line Health
With
Sharpe-Strumia Research Foundation
Medtronic
Age
18–any
Sex
ALL
Healthy volunteers
Not accepted
You may be eligible if
Subject has at least one of these conduction disturbances:
1. Symptomatic (or hemodynamically significant) bradycardia or symptomatic persistent atrioventricular block including first-degree and Mobitz I (Wenckebach) or Mobitz type II atrioventricular bock
2. High-grade atrioventricular block
3. Third-degree atrioventricular block
Subject has undergone TAVR (any valve system) in the last four weeks
Subject is receiving a first-time pacemaker implant
Subject's most recent documented ejection fraction (by any method) within the past 90 days prior to study enrollment is \> 50% (≥45% if visually estimated at the time of enrollment)
Subject is a male or female at least 18 years old at the time of consent
Subject is able to receive a left sided pectoral implant
You may not be if
Subject has ever had a previous or has an existing implantable pulse generator (IPG), implantable cardiac defibrillator (ICD) or biventricular (BiV) implant
Subject has more than mild para-valvular regurgitation following TAVR implantation.
Subject has LVEF \< 45% if visually estimated at the time of enrollment
Subject is indicated for a biventricular pacing device (CRT-P or CRT-D).
Subject is enrolled in a concurrent study that may confound the results of this study
Subject has a mechanical heart valve
Subject is pregnant, or of childbearing potential and not on a reliable form of birth control