Observational Hemodynamic Monitoring During LVAD Implantation Among Individuals With Advanced Heart Failure

NCT ID: NCT03464981

Last Updated: 2020-09-25

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

20 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-09-10

Study Completion Date

2020-07-01

Brief Summary

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The overall objective of this pilot analysis is to characterize the hemodynamic changes that occur during implantation of a left ventricular assist device (LVAD) in patients with advanced heart failure - specifically, how right ventricular function is compromised as a result of LVAD implantation.

Detailed Description

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Conditions

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Heart Failure Circulatory Disorders Postprocedural Complication Cardiomyopathy, Congestive Surgery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Advanced HF patients scheduled to undergo LVAD implantation

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* individuals ≥ 18 years of age with severe heart failure (HF) and who have been approved by the advanced HF selection committee for LVAD implantation.

Exclusion Criteria

* Patients with pre-existing right ventricular (RV) dysfunction/failure, defined as:

1. Imaging evidence of moderate-severe RV dysfunction on echocardiography
2. Hemodynamic evidence of RV dysfunction with:

* a right-atrial pressure (RAP): pulmonary capillary wedge pressure (PCWP) ratio of ≥ 0.67 (note: this index compares pressures on the right \[RAP\] and left \[PCWP\] side of the heart;
* an RAP/PCWP ratio ≥ 0.67 provides hemodynamic evidence of RV dysfunction.
3. Clinical evidence of preexisting RV dysfunction, as indicated by significant (3-4+ peripheral edema) and/or elevated jugular venous pressures on clinical examination.
4. Patients with end-stage renal disease requiring hemodialysis
5. Patients requiring temporary hemodynamic support prior to LVAD implantation with temporary LVADs, and/or veno-arterial extracorporeal membrane oxygenators ("ECMO").
6. Planned concurrent implantation of right ventricular assist device
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Colorado, Denver

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jay D Pal, MD

Role: PRINCIPAL_INVESTIGATOR

University of Colorado, Denver

Locations

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University of Colorado Hospital

Aurora, Colorado, United States

Site Status

Countries

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United States

Other Identifiers

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17-2119

Identifier Type: -

Identifier Source: org_study_id

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