Angiography and Electrogram Guided Bachmann Bundle Pacing

This study is for people who need a permanent pacemaker or defibrillator (ICD) and will have a wire placed in the right atrium of their heart. Researchers are comparing two ways to guide the placement of this wire into a specific area called the Bachmann bundle (BB). One method uses contrast dye and X-rays (Angiography only), and the other uses both X-rays with contrast dye and electrical signals from the heart (Angiography and ECG). Both methods are already approved and used in standard care. The goal is to see how well each method works to successfully place the wire in the Bachmann bundle and how long the procedure takes. You can join if you are over 18, need a pacemaker or ICD with an atrial pacing lead, and are willing to follow study procedures. The current status of this study is unclear.

Study design
This is a prospective, single-center, randomized study planning to enroll 50 participants. Participants will be randomly assigned to one of the two guidance methods.
What's involved
You would undergo the standard pacemaker or ICD implantation procedure, with the lead placed using one of the two guidance methods being studied. The study will assess the success of lead placement and procedure duration during this perioperative period.
Compensation
Not stated in the trial record.
Follow-up
The primary outcomes of the study are measured during the perioperative period (around the time of surgery).

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT07110922

Angiography and Electrogram Guided Bachmann Bundle Pacing

Recruiting
NAAges 18+InterventionalTreatment
Pugazhendhi Vijayaraman
~50 participants
Updated 2025-09-22 on ClinicalTrials.gov
What's tested:Angiography onlyAngiography and ECG

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Success of Bachmann bundle pacing using angiography at implant
Measured over Perioperative
+1 more outcome measured
Heart Diseases
1 sites across 1 states
Pennsylvania1
  • Pugazhendhi Vijayaraman, MD · PRINCIPAL_INVESTIGATOR · Geisinger Clinic

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  • Success of Bachmann bundle pacing using angiography at implantPerioperative
  • Change in implant procedure durationPerioperative

    Change in implant procedure duration between the two arms