Zero-fluoroscopic Navigation Versus Conventional Fluoroscopic Navigation for Single-chamber Pacemaker Implantation (ZF-PMSC)
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ClinicalTrials.gov Identifier: NCT03118440 |
Recruitment Status : Unknown
Verified April 2017 by Yan Wang, Tongji Hospital.
Recruitment status was: Recruiting
First Posted : April 18, 2017
Last Update Posted : April 18, 2017
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Condition or disease | Intervention/treatment | Phase |
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Sick Sinus Syndrome Complete Atrioventricular Block High Degree Second Degree Atrioventricular Block Bradycardia | Procedure: zero-fluoroscopy 3D navigation Procedure: conventional x-ray navigation | Not Applicable |
Permanent pacemaker is a well-established treatment to treat patients with a wide range of heart rhythm disturbances.
Fluoroscopy is the imaging modality routinely used for cardiac device implantation and electrophysiological procedures.Due to the rising concern regarding the harmful effects of radiation exposure to both the patients and operation staffs, novel 3D mapping systems have been developed and implemented in electrophysiological procedure for the navigation of catheters inside the heart chambers.
Ensite NavX system can be used for cardiac imaging as a reliable and safe zero-fluoroscopy approach for implantation of single- or dual-chamber permanent pacemaker in patients. Our method offered a choice for some special population of patient in whom radiation exposure need to be avoided or in the extreme circumstances when the X-ray machine is out-of-order.
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 100 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Single (Participant) |
Primary Purpose: | Treatment |
Official Title: | Multi-center, Randomized, Controlled Trial to Compare Feasibility, Safety and Efficacy of Zero-Fluoroscopic Navigation With Conventional Fluoroscopic Navigation for Single-chamber Pacemaker Implantation |
Study Start Date : | January 2013 |
Estimated Primary Completion Date : | December 2018 |
Estimated Study Completion Date : | December 2020 |

Arm | Intervention/treatment |
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Experimental: Zero-fluoroscopy implantation
Pacemaker implantation performed for all patients in this group with zero-fluoroscopy 3D navigation.
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Procedure: zero-fluoroscopy 3D navigation
Pacemaker implantation will be performed without fluoroscopy using 3D navigation systems.
Other Name: non-fluoroscopy 3D navigation |
Active Comparator: Conventional fluoroscopy implantation
Pacemaker implantation performed for all patients with conventional x-ray navigation.
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Procedure: conventional x-ray navigation
Pacemaker implantation will be performed with fluoroscopy using conventional X-ray navigation.
Other Name: fluoroscopy navigation |
- Success rate [ Time Frame: 3 months ]
- Total procedure time [ Time Frame: during procedure ]
- Fluoroscopy time [ Time Frame: during procedure ]
- Complications [ Time Frame: 1 year ]

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Ages Eligible for Study: | 18 Years to 90 Years (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Sick Sinus Syndrome
- complete Atrioventricular Block
- high degree second Degree Atrioventricular Block
- Bradycardia
Exclusion Criteria:
- pacemaker replacement
- severe structural l cardiac malformations
- severe cardiac enlargement
- venous malformations

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03118440
Contact: Yan Wang, PhD | 86-027-83663280 | newswangyan@tjh.tjmu.edu.cn | |
Contact: Guangzhi Chen, PhD | 86-027-83662842 | chengz2003@163.com |
China, Hubei | |
Tongji Hospital | Recruiting |
Wuhan, Hubei, China, 430000 | |
Contact: Yan Wang, PhD 86-13697326307 newswangyan@126.com | |
Contact: Guangzhi Chen, PhD 86-027-83662842 chengz2003@163.com |
Principal Investigator: | Yan Wang, PhD | Tongji Hospital |
Responsible Party: | Yan Wang, Professor, Tongji Hospital |
ClinicalTrials.gov Identifier: | NCT03118440 |
Other Study ID Numbers: |
TJHCDC-ZF-PMSC-20130101 |
First Posted: | April 18, 2017 Key Record Dates |
Last Update Posted: | April 18, 2017 |
Last Verified: | April 2017 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
Fluoroscopy Pacemaker Three dimensional Radiation Imaging |
Bradycardia Atrioventricular Block Sick Sinus Syndrome Arrhythmias, Cardiac Heart Diseases |
Cardiovascular Diseases Pathologic Processes Heart Block Cardiac Conduction System Disease Arrhythmia, Sinus |