Arrhythmias & electrophysiology

Usefulness of delivery catheter on accurate right ventricular septal pacing: Mt FUJI trial

EuropacePublished Randomised controlled trial

Authors' conclusion

The delivery catheter system can achieve a higher success rate of RV lead placement to the RV septum and narrower paced QRS width than the stylet system.

Study context

Population
Patients with pacemaker indications of atrioventricular block (mean age 78 ± 11 years; 30 men)
Participants
70 patients
Comparison
Delivery catheter vs stylet system for right ventricular (RV) lead implantation
Primary endpoint
Success rate of RV lead tip placement to the RV septum (assessed by cardiac CT)
Follow-up
Within 4 weeks of pacemaker implantation
Methodological detailsmulticentre, prospective, RV leads implanted as per allocation in all patients
  • Multicentre
  • Prospective
  • RV leads implanted as per allocation in all patients

Primary result

As reported in the abstract

RV lead deployment to the septum

P = 0.024

Further findings

Paced QRS width

P = 0.004

Procedure time · no significant difference
P = 0.488

Safety

OutcomeP value
RV lead dislodgmentNo significant differenceP = 0.486

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Usefulness of delivery catheter on accurate right ventricular septal pacing: Mt FUJI trial. Europace. Published 16 February 2023. doi:10.1093/europace/euad027

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