Clinical Hemodynamic Study of Balloon Counterpulsation in Advanced Heart Failure

NCT ID: NCT03001674

Last Updated: 2017-05-31

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2015-12-31

Brief Summary

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The primary objective of this study is to develop normative hemodynamic data (means and standard deviations) for the intra-aortic balloon pump (IABP) using pressure-volume loop and 3D-echocardiographic analyses.

Detailed Description

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Conditions

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Heart Failure

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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IABP recipient

Referred for clinically indicated right heart catheterization with intervention of IABP placement prior to LVAD surgery.

Group Type EXPERIMENTAL

Conductance catheterization

Intervention Type DEVICE

CD Leycom Conductance Catheter

Control

Control subjects undergoing left heart catheterization with an LV ejection fraction \> 50%, and without a history of heart failure symptoms who did not receive IABP therapy were enrolled.

Group Type EXPERIMENTAL

Conductance catheterization

Intervention Type DEVICE

CD Leycom Conductance Catheter

Interventions

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Conductance catheterization

CD Leycom Conductance Catheter

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Male or females between 18-75 years of age
* NYHA Class III-IV heart failure at the time of MEGA deployment
* Stage C-D systolic heart failure
* Non-ischemic cardiomyopathy
* Preserved right ventricular function defined by 2D-echocardiography
* Clinically indicated left and right heart catheterization and MEGA-IABP placement
* Clinically indicated MEGA-IABP support for 12 hours minimum

Exclusion Criteria

* Ischemic cardiomyopathy
* Active myocardial ischemia or acute coronary syndrome
* Severe peripheral vascular disease
* Severe aortic or mitral valve insufficiency
* Severe aortic or mitral valve stenosis
* Right ventricular failure
* Inability to tolerate left and right heart catheterization
* Severe hemodynamic instability defined as a systolic BP \<80mmHg despite vasopressor/inotropic support
* Sustained ventricular tachycardia (\>10 beats) within 24 hours and/or ventricular fibrillation within 24 hours
* Pacemaker dependent rhythm
* Left ventricular thrombus
* Rapid atrial fibrillation (HR\>120 bpm)
* Unable to provide informed consent
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Tufts Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Navin Kapur, MD

Role: PRINCIPAL_INVESTIGATOR

Tufts Medical Center

Locations

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Tufts Medical Center

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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IABP_Hemodynamics

Identifier Type: -

Identifier Source: org_study_id

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