Angiography and Electrogram Guided Bachmann Bundle Pacing

People eligible for this study are scheduled to have a permanent pacemaker (PPM) or defibrillator device (ICD) implanted as part of their routine care. This device will also have a wire placed in the right atrium (RA) of the heart. As an alternative to the RA, the wire can also be placed in the Bachmann bundle (BB). This study is being done to compare two options to help place the wire in the Bachmann bundle. One option uses contrast dye and x-ray, and the other option uses electrocardiogram (ECG) and contrast dye and x-ray. We want to learn more about how well these options work in implanting the wire in the Bachmann bundle. Both of these options are FDA approved and used in standard practice.

NCT Number	NCT07110922
Lead Sponsor	Pugazhendhi Vijayaraman Collaborators: Medtronic
Conditions	Heart Diseases
Enrollment	50 participants
Start Date	2025-08-15
Primary Completion	2027-09-26 (estimated)
Study Completion	2027-12-26 (estimated)
Updated on ClinicalTrials.gov	2025-09-22