Complications in Pediatric Mechanical Circulatory Assistance: Evaluation of Infection Management.

NCT ID: NCT06464016

Last Updated: 2025-01-28

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

RECRUITING

Total Enrollment

47 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-07-04

Study Completion Date

2025-11-01

Brief Summary

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Heart failure is a major cause of mortality and morbidity in children. Heart transplantation can significantly improve the prognosis of patients with severe heart failure, but access is limited by a shortage of transplants.

Long-term mechanical circulatory support is a major advance in the management of heart failure and can provide haemodynamic support while awaiting myocardial recovery or heart transplantation. The Berlin Heart (BH) EXCOR is the only long-term support system available for children.

Despite technical and medical advances in circulatory support, infection is a common complication and a major cause of morbidity and mortality in patients on BH.

There are few studies on the management of infection with mechanical support. Current ISHLT (International Society for Heart and Lung Transplantation) recommendations are based on expert opinion and observational studies. Some experts recommend anti-infective therapy until transplantation for specific support infections or for support-associated infections with persistent bacteraemia.

Detailed Description

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Conditions

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Heart-Assist Devices Infections Heart Transplant Infection

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Pediatric patients with Berlin Heart EXCOR

Patient under 18 years old of age at the time of BH assistance in HCL Lyon France

Ventricular Assist Device with Berlin Heart EXCOR

Intervention Type DEVICE

The Berlin Heart® EXCOR is a type of "artificial heart" pump that pulls blood from the ventricle and then sends that blood to the aorta or pulmonary trunc, thereby taking away extra work from the native heart. The device, which comes in several sizes, is not totally implanted inside the body.

Interventions

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Ventricular Assist Device with Berlin Heart EXCOR

The Berlin Heart® EXCOR is a type of "artificial heart" pump that pulls blood from the ventricle and then sends that blood to the aorta or pulmonary trunc, thereby taking away extra work from the native heart. The device, which comes in several sizes, is not totally implanted inside the body.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* patients under 18yo of age with Berlin Heart assisting device in Hospices Civils de Lyon, in France.

Exclusion Criteria

* patients over 18 yo at the time of BH assistance
* unavailable documentation
Minimum Eligible Age

1 Day

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role collaborator

Claude Bernard University

OTHER

Sponsor Role lead

Responsible Party

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Lilot Marc

Official Director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Luc Panetta, MD

Role: STUDY_DIRECTOR

Hospices Civils de Lyon

Locations

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Hospices Civils de Lyon

Lyon, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Charlotte Leclercq, MD PhD

Role: CONTACT

+33787022785

Marc Lilot, MCU

Role: CONTACT

+33651806521

Facility Contacts

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Marc Lilot, MCU

Role: primary

+33651806521

Other Identifiers

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AGORA n°23-5221

Identifier Type: -

Identifier Source: org_study_id

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