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

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-110
SponsorParis Sudden Death Expertise Center

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All patients who underwent Micra AV implantation

Disqualifiers

Refusal of consent

Trial population

The first 1000 patients implanted with Micra AV in France since May 29, 2020

Trial design

Design model

Cohort

Time perspective

Other

Treatments tested in this trial

  • Patients implanted with Micra AV

    Device

    The first 1000 patients implanted by the device in France

Treatment groups

No treatment groups listed

Trial outcomes

Primary outcomes

1

Profile of patients implanted with Micra AV

Description 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)

Time frame
Through study completion, an average of 3 years
2

Follow-up occurrence of upgrading to a dual-chamber pacemaker

Rate of pacemaker syndrome and requirement of dual-chamber pacemaker upgrade

Time frame
Through study completion, an average of 3 years
3

Early and late device-related complications

Rate of inhospital and late complications related to Micra AV

Time frame
Through study completion, an average of 3 years

Secondary outcomes

1

Assessment of the quality of life in permanent atrioventricular block and normal sinus function subgroup

Evaluation 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.

Time frame
Through study completion, an average of 3 years
2

Risk factors of a compromised quality of life

Identify the risk factors associated with impaired quality of life in patients with Micra AV

Time frame
Through study completion, an average of 3 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Paris Sudden Death Expertise Center

Lead sponsor

CHU de Tours

Collaborator

European Georges Pompidou Hospital

Collaborator

Hôpital privé Clairval - Marseille

Collaborator

Clinique Pasteur Toulouse

Collaborator

University Hospital, Bordeaux

Collaborator

Infirmerie Protestante Lyon

Collaborator

Institut Jacques Cartier - Massy

Collaborator

University Hospital, Grenoble

Collaborator

Hôpital de la Timone

Collaborator

University Hospital, Toulouse

Collaborator

Hopital Prive Saint Martin - Bordeaux

Collaborator

Hospices Civils de Lyon

Collaborator

CHU de Rouen - Accueil

Collaborator

University Hospital, Caen

Collaborator

Médipôle Lyon-Villeurbanne

Collaborator

Hospital Ambroise Paré Paris

Collaborator

Clinique Saint Augustin - Bordeaux

Collaborator

Rennes University Hospital

Collaborator

Clinique de la Sauvegarde - Lyon

Collaborator

University Hospital of Saint-Etienne

Collaborator

Hôpital Privé de Parly II - Le Chesnay

Collaborator

Institut Mutualiste Montsouris

Collaborator

Centre Hospitalier Universitaire, Amiens

Collaborator

University Hospital, Clermont-Ferrand

Collaborator

Centre Hospitalier Régional et Universitaire de Brest

Collaborator

Poitiers University Hospital

Collaborator

Clinique Saint-Gatien - Tours

Collaborator

CHU de Reims

Collaborator

Centre Hospitalier Universitaire de Besancon

Collaborator

Centre Hospitalier Universitaire Dijon

Collaborator

Hôpital Privé de Lille Métropole

Collaborator

University Hospital, Montpellier

Collaborator

University Hospital, Strasbourg, France

Collaborator

Nantes University Hospital

Collaborator

Centre Cardio-Thoracique de Monaco

Collaborator

Hospital St. Joseph, Marseille, France

Collaborator

Centre Hospitalier Régional Metz-Thionville

Collaborator

Centre Hospitalier Annecy Genevois

Collaborator

Clinique du Millenaire

Collaborator

University Hospital, Limoges

Collaborator

Clinique Saint Pierre - Perpignan

Collaborator

Bichat Hospital

Collaborator

Universite de La Reunion

Collaborator

CHU de Lille

Collaborator

Institute Arnault Tzanck, France

Collaborator

Hôpital Privé Les Franciscaines

Collaborator

CHU de Fort de France - Martinique

Collaborator

Henri Mondor University Hospital

Collaborator

University Hospital, Angers

Collaborator

Centre Hospitalier de Lens

Collaborator

Central Hospital, Nancy, France

Collaborator