Clinical Trial

Biventricular or Left Bundle Branch Pacing to Assess the Effect of Cardiac Resynchronization Therapy in Patients Undergoing Transcatheter Aortic Valve Implantation

Study acronym: BUDAPEST-TAVI
Recruiting
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Summary
In this prospective, randomized, multicenter, open-label interventional clinical trial, the investigators' aim to test the effect of Cardiac Resynchronization Therapy (CRT) in cases of new-onset and persistent Left Bundle Branch Block (LBBB) occurring in the context of Transcatheter Aortic Valve Implantation (TAVI), in patients with moderately reduced left ventricular systolic function (35% \< EF \< 55%). The investigators hypothesize that in patients with persistent LBBB developing after TAVI and mildly reduced left ventricular systolic function (35% \< EF \< 55%), early postoperative CRT implantation favorably influences the process of myocardial reverse remodeling by reducing electromechanical dyssynchrony, thereby decreasing the combined endpoint of heart failure-related hospitalizations and mortality at one year.
Trial Details
NCT Number NCT07434193
Lead Sponsor Semmelweis University Heart and Vascular Center
Conditions Chronic Heart Failure
Enrollment 360 participants
Start Date 2025-11-19
Primary Completion 2033-01-31 (estimated)
Study Completion 2033-01-31 (estimated)
Updated on ClinicalTrials.gov 2026-02-25