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Septal Positioning of Ventricular Implanted Cardioverter Defibrillator (ICD) Leads (SPICE)

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Abbott

Status

Completed

Conditions

Ventricular Fibrillation
Ventricular Tachycardia

Treatments

Device: Device Implantation

Study type

Interventional

Funder types

Industry

Identifiers

Details and patient eligibility

About

This clinical trial is a multi center, prospective, randomized, parallel study designed to compare septal to apical ICD lead placement.

Full description

The primary objective of this clinical investigation is to demonstrate that septal positioning of the right ventricular defibrillation lead is not inferior to the apical positioning in terms of safety and efficacy in a population of ICD recipients.

Enrollment

299 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Age >=18 years
  • Signed written informed consent
  • Approved indication for implantation of ICD / CRT-D device

Exclusion criteria

  • Preexisting transvenous RV pacemaker or ICD leads
  • Pacemaker dependency without sufficient intrinsic rhythm (≤ 30min-1)
  • Hypertrophic obstructive cardiomyopathy
  • Presence of intra-aortic balloon pump
  • Inotropic drug (not digitalis) necessary for hemodynamic support
  • Inability to perform VF induction testing due to anticipated high risk
  • Condition likely to limit cooperation
  • Unable to give informed consent
  • Pregnancy or planned pregnancy in the next 6 months
  • Patients with planned cardiac surgery within the next 3 months following randomization
  • Patient is currently participating in a clinical investigation that includes an active treatment arm.
  • Acute myocardial infarction within the previous 4 weeks.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

299 participants in 2 patient groups

1
Active Comparator group
Description:
Apical ICD lead placement
Treatment:
Device: Device Implantation
2
Experimental group
Description:
Mid-Septal ICD lead placement
Treatment:
Device: Device Implantation

Trial contacts and locations

21

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Data sourced from clinicaltrials.gov

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