Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Preventing tricuspid regurgitation during pacemaker lead implantation

Official title: Prevention of Pacemaker Lead Induced Tricuspid regurgitAtion by Transesophageal eCho guidEd Implantation (PLACE)

Run by LMU Klinikum · NCT05667519 · Data updated 2026-11-12

This study is testing if using a special ultrasound during pacemaker lead placement can help prevent heart valve problems compared to just using X-rays.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment324 (estimated)
SponsorLMU Klinikum
Academic / other
Locations1 site (Munich, Bavaria)
StatusRecruiting
StartedOctober 1, 2022
Main results expectedOctober 2027
Study endsOctober 2027
Registry record updatedDecember 28, 2022
Trial IDNCT05667519 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients who require right ventricular lead implantation according to current medical guidelines.

Probably not a fit

Patients with preexisting tricuspid regurgitation of grade 2 or higher or other severe heart valve diseases may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical trial compares two methods of guiding pacemaker lead implantation: one using transesophageal echocardiography combined with fluoroscopy, and the other using fluoroscopy alone. Patients will be randomly assigned to one of the two groups and monitored for up to three years to assess the incidence of lead-induced tricuspid regurgitation. The study aims to determine if the echocardiography-guided approach can reduce complications associated with pacemaker implantation. The primary endpoint will be evaluated by a blinded echocardiographer following established guidelines.

Why it matters

Potential benefit: If successful, this approach could significantly reduce the risk of tricuspid regurgitation and improve outcomes for patients undergoing pacemaker implantation.

How similar studies have gone: Previous studies have suggested that transesophageal echocardiography may reduce complications, but this is the first randomized controlled trial to directly compare these two methods.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* indication for right ventricular lead implantation according to current guidelines

Exclusion Criteria:

* preexisting tricuspid regurgitation ≥ grade 2
* other severe heart valve disease
* history of tricuspid valve treatment
* preexisting right ventricular lead
* chronic dialysis
* contraindication for transesophageal echocardiography

Where it's running

  • LMU Klinikum
    Munich, Bavaria, Germany
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.