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CompletedNCT04734392MIDAS - ULMUpdated Nov 29, 2023

Reducing Pacemaker Implantation After TAVR With Modified Implantation Technique

An observational study in PM Implantation After TAVR, sponsored by University of Ulm. Completed at 1 site in Germany. Open to participants aged 65 Years and older. Per ClinicalTrials.gov, last updated 2023-11-29.

Sponsored by University of Ulm · Observational

Study type
Observational
Model
Case-control
Time perspective
Prospective
Enrollment
300
Ages
65 Years and older
Sex
All
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Study summary

Hypothesis of the study is that a modified and improved implantation protocol (regarding membranous septum length and implantation depth) will decrease the need for permanent pacemaker stimulation follow TAVR-procedures.

Read the detailed description

Project objectives or hypothesis Hypothesis of the study is that a modified and improved implantation protocol (regarding membranous septum length and implantation depth) will decrease the need for permanent pacemaker stimulation following TAVR-procedures.

Patient profile and sample size The study cohort will comprise of patients referred to transcatheter aortic valve replacement. Patients will be prospectively and consecutively screened and enrolled at a tertiary high-volume center in Germany. TAVR will be performed according to a modified implantation technique regarding membranous septum length. Pacemaker rates will be analyzed and compared to a historical control. Taking into account a contemporary pacemaker rate of 15%, a reduction to 7% will require a sample size of 239 patients per group to achieve statistically significance (Chi-squared test, alpha 0.05, beta 0.80).

Regarding the prospective cohort, interims analysis will be performed after each 10 TAVR procedures. In case a signal towards worse outcomes with the modified implantation technique will be observed, the institutional safety and endpoint adjudication committee will stop further execution of the study.

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Conditions studied

  • PM Implantation After TAVR
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In context

Lead sponsor

University of Ulm is the lead sponsor of 141 studies on the registry; 26 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
65 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Probability sample

Study population

The study cohort will comprise of patients referred to transcatheter aortic valve replacement. Patients will be prospectively and consecutively screened and enrolled at a tertiary high-volume center in Germany.

Inclusion criteria

  • All patients referred to TAVR procedure due to severe aortic stenosis

Exclusion criteria

Exclusion Criteria:

  • PM-implantation before TAVR
  • Valve-in-valve procedures
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Study design

Observational model
Case-control
Time perspective
Prospective
Enrollment
300 participants (actual)
Patient registry
No

Groups and cohorts

  • Cohort A

    Historical cohort 2019 + 2020

  • Cohort B

    Prospective study cohort 2020 + 2021 (TAVR implantation according new IFU)

    Procedure: TAVR

Interventions

  • ProcedureTAVR

    TAVR implantation in cusp overlay technique

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What researchers measure

Primary outcomes

  1. Pacemaker implantation rate

    Primary endpoint

    Time frame: Day 5 after TAVR

Secondary outcomes

  1. Extent of paravalvular leak

    Secondary endpoint

    Time frame: Day 5 after TAVR

  2. Number of patients alive

    Secondary endpoint

    Time frame: 30 days

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Study locations

1 site
  • Ulm University
    Ulm, 89081, Germany
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References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 29, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04734392
Lead sponsor
University of Ulm
Responsible party
Dr. Dominik Buckert (PD Dr. Dominik Buckert, MD, University of Ulm) — Principal investigator
First posted
Feb 2, 2021
Start date
Jan 1, 2020
Primary completion
Jun 30, 2023
Completion
Nov 28, 2023
Last update
Nov 29, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2023. You cannot join it, but the record below documents what was studied.

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