Right Ventricular Failure Clinical Trial
Official title:
CentriMag RVAS U.S. Post-approval Study Protocol
The study objective is to gather post-market clinical data on the use of the CentriMag RVAS when used for temporary mechanical circulatory support of the right ventricle in patients with acute right ventricular failure from any cause
Objectives of this study are to evaluate: 1. Duration of right ventricular support 2. Incidence of adverse effects 3. Evaluation of end-organ function 4. Evaluation of hemodynamics 5. Survival at 30 days post RVAD removal The primary endpoints include: 1. In patients who recover and do not go on to transplantation or a long-term device: a. Survival to 30 days post-support or to hospital discharge (whichever is longer) 2. In patients who do not recover and are bridged to transplant or a long-term system: 1. Survival to induction of anesthesia for implantation of a long-term mechanical support device or heart transplant Secondary endpoints include: 1. On Pump Hemodynamics 1. A clearly observable trend toward reduction of mean right atrial pressure / central venous pressure is demonstrated while the patient is on support compared to baseline. 2. A clearly observable trend toward an increase in mean arterial pressure is demonstrated while the patient is on support compared to baseline 3. A clearly observable trend toward an increase in mean cardiac index is demonstrated while the patient is on support compared to baseline 2. Post Pump Hemodynamics (must meet at least two of the following criteria) 1. Based on plotting of the data, success will be achieved if a clearly observable trend toward reduction of mean right atrial pressure/central venous pressure is demonstrated after device removal compared to baseline 2. Based on plotting of the data, success will be achieved if a clearly observable trend toward increase in mean arterial pressure is demonstrated after device removal compared to baseline 3. Based on plotting of the data, success will be achieved if a clearly observable trend toward increase in mean cardiac index is demonstrated after device removal compared to baseline 3. A clearly observable trend toward a reduction in creatinine and/or BUN while on support and after device removal compared to baseline 4. A clearly observable trend toward a reduction in total bilirubin while on support and after device removal compared to baseline 5. An acceptable incidence of adverse effects observed Patient Population This study includes data from 25 consecutive patients with acute right ventricular failure from any cause requiring use of the CentriMag RVAS to sustain life. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT03438825 -
PRediction of Early PostoperAtive Right vEntricular Failure in Mitral Valve Replacement/Repair Patients
|
||
Withdrawn |
NCT02966899 -
Reversal of Right Ventricular Steatosis in Pulmonary Hypertension
|
N/A | |
Recruiting |
NCT05758194 -
Mitigating Post-Op RV Dysfunction After LVAD Implantation
|
N/A | |
Not yet recruiting |
NCT06310018 -
Augmented Ultrasound-Facilitated, Catheter-Directed Fibrinolysis for PE
|
N/A | |
Terminated |
NCT03988842 -
Standard-dose Apixaban AFtEr Very Low-dose ThromboLYSis for Acute Intermediate-high Risk Acute Pulmonary Embolism
|
Phase 4 | |
Enrolling by invitation |
NCT01163422 -
Right Ventricular Resynchronization Therapy
|
N/A | |
Completed |
NCT05855148 -
Right Ventricle Dysfunction in Patients Undergoing Lung Transplant
|
||
Completed |
NCT05480345 -
Significance of Impedance Cardiography and Early Repolarization Pattern in ECG in Congestive Heart Failure
|
N/A | |
Not yet recruiting |
NCT03341208 -
Quantitative Assessment of RV Strain Using cMRI Following Catheter Intervention on PE
|
N/A |