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| Name | Class |
|---|---|
| Thoratec Corporation | INDUSTRY |
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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:
The primary endpoints include:
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)
In patients who do not recover and are bridged to transplant or a long-term system:
Secondary endpoints include:
On Pump Hemodynamics
Post Pump Hemodynamics (must meet at least two of the following criteria)
A clearly observable trend toward a reduction in creatinine and/or BUN while on support and after device removal compared to baseline
A clearly observable trend toward a reduction in total bilirubin while on support and after device removal compared to baseline
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment Group | Other | Patients with acute right ventricular failure from any cause requiring use of the CentriMag RVAS to sustain life. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CentriMag RVAS placement | Device | Patients will be treated with a CentriMag RVAS |
|
| Measure | Description | Time Frame |
|---|---|---|
| Survival | In patients who recover and do not go on to transplantation or a long-term device: Survival to 30 days post-support or to hospital discharge (whichever is longer). In patients who do not recover and are bridged to transplant or a long-term system: Survival to induction of anesthesia for implantation of a long-term device or heart transplant. | 30 days post device removal |
| Measure | Description | Time Frame |
|---|---|---|
| Central Venous Pressure (CVP) | CVP is a measure of right heart filling pressure, or the preload to the right ventricle. During RVAD support, the CVP decreases as blood is drawn into the pump and then ejected into the pulmonary artery. | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Pooja Chatterjee | Abbott Medical Devices | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic Hospital Arizona | Phoenix | Arizona | 85054 | United States | ||
| University of Kentucky |
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This study included data from 25 consecutive patients with acute right ventricular failure from any cause requiring use of the CentriMag RVAS to sustain life. All patients implanted with a CentriMag RVAS were approached for enrollment.
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| ID | Title | Description |
|---|---|---|
| FG000 | Treatment Group | Patients with acute right ventricular failure from any cause requiring use of the CentriMag RVAS to sustain life. CentriMag RVAS placement: Patients will be treated with a CentriMag RVAS |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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.
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| ID | Title | Description |
|---|---|---|
| BG000 | Treatment Group | Patients with acute right ventricular failure from any cause requiring use of the CentriMag RVAS to sustain life. CentriMag RVAS placement: Patients will be treated with a CentriMag RVAS |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Survival | In patients who recover and do not go on to transplantation or a long-term device: Survival to 30 days post-support or to hospital discharge (whichever is longer). In patients who do not recover and are bridged to transplant or a long-term system: Survival to induction of anesthesia for implantation of a long-term device or heart transplant. | Posted | Number | percentage of survival at 30 days | 30 days post device removal |
|
|
Baseline through 6 month follow-up
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Treatment Group | Patients with acute right ventricular failure from any cause requiring use of the CentriMag RVAS to sustain life. CentriMag RVAS placement: Patients will be treated with a CentriMag RVAS |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Infection | Infections and infestations | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Poornima Sood | St. Jude Medical | +1.781.852.8334 | psood@sjm.com |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Mean Arterial Pressure (MAP) | MAP is the mean value for the blood pressure in the arterial circulation. During RVAD support, this value provides information regarding the adequacy of cardiac output from the left ventricle. | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal. |
| Cardiac Index (CI) | Cardiac output (L/min) divided by the body surface area (m2) | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal. |
| Blood Urea Nitrogen (BUN) | BUN is a measure of renal function | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal, 30 days after RVAD removal |
| Creatinine | Creatinine is a measure of renal function | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal, 30 days after RVAD removal |
| Total Bilirubin | Total bilirubin is a measure of hepatic function | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal, 30 days after RVAD removal |
| Lexington |
| Kentucky |
| 40536 |
| United States |
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
| New York Columbia Presbyterian Hospital | New York | New York | 10032 | United States |
| University of Rochester Medical Center | Rochester | New York | 14642 | United States |
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15213 | United States |
| St. Luke's Episcopal Medical Center | Houston | Texas | 77030 | United States |
| Intermountain Medical Center | Murray | Utah | 84107 | United States |
| University of Utah | Salt Lake City | Utah | 84132 | United States |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Cardiac Index (CI) | Median | Full Range | L/min/m^2 |
|
| Mean Arterial Pressure (MAP) | Median | Full Range | mmHg |
|
| Central Venous Pressure (CVP) | Median | Full Range | mmHg |
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| Blood Urea Nitrogen (BUN) | Median | Full Range | mg/dl |
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| Creatinine (mg/dl) | Median | Full Range | mg/dl |
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| Total Bilirubin (mg/dl) | Median | Full Range | mg/dl |
|
| Participants |
|
|
| Secondary | Central Venous Pressure (CVP) | CVP is a measure of right heart filling pressure, or the preload to the right ventricle. During RVAD support, the CVP decreases as blood is drawn into the pump and then ejected into the pulmonary artery. | Patients with continuous RVAD support. | Posted | Median | Full Range | mmHg | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal |
|
|
|
| Secondary | Mean Arterial Pressure (MAP) | MAP is the mean value for the blood pressure in the arterial circulation. During RVAD support, this value provides information regarding the adequacy of cardiac output from the left ventricle. | Patients with continuous RVAD support. | Posted | Median | Full Range | mmHg | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal. |
|
|
|
| Secondary | Cardiac Index (CI) | Cardiac output (L/min) divided by the body surface area (m2) | Patients with continuous RVAD support | Posted | Median | Full Range | L/min/m2 | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal. |
|
|
|
| Secondary | Blood Urea Nitrogen (BUN) | BUN is a measure of renal function | Patients with continuous RVAD support | Posted | Median | Full Range | mg/dl | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal, 30 days after RVAD removal |
|
|
|
| Secondary | Creatinine | Creatinine is a measure of renal function | Patients with continuous RVAD support | Posted | Median | Full Range | mg/dl | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal, 30 days after RVAD removal |
|
|
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| Secondary | Total Bilirubin | Total bilirubin is a measure of hepatic function | Patients with continuous RVAD support | Posted | Median | Full Range | mg/dl | Baseline, Day 1, Day 2, Day 3, Week 1, Prior to Explant, 1 day after RVAD removal, 2 days after RVAD removal, 30 days after RVAD removal |
|
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|
| 7 |
| 25 |
| 24 |
| 25 |
| 0 |
| 25 |
| Bleeding | Blood and lymphatic system disorders | Systematic Assessment |
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| Respiratory Failure | Respiratory, thoracic and mediastinal disorders | Systematic Assessment |
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| Arrhythmias | Cardiac disorders | Systematic Assessment |
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| Hypertension | Cardiac disorders | Systematic Assessment |
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| Hepatic Dysfunction | Hepatobiliary disorders | Systematic Assessment |
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| Renal Failure | Renal and urinary disorders | Systematic Assessment |
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| Neurologic Dysfunction (Stroke) | Nervous system disorders | Systematic Assessment |
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| Thrombotic Vascular | Vascular disorders | Systematic Assessment |
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| Pericardial Fluid Collection | Cardiac disorders | Systematic Assessment |
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| Right Heart Failure | Cardiac disorders | Systematic Assessment |
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| Hemolysis | Blood and lymphatic system disorders | Systematic Assessment |
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| Device Failure | Product Issues | Systematic Assessment |
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| Myocardial Infarction | Cardiac disorders | Systematic Assessment |
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| Psychiatric Episode | Psychiatric disorders | Systematic Assessment |
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| Arterial non-CNS | Vascular disorders | Systematic Assessment |
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| Other | General disorders | Systematic Assessment |
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| 30 days |
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