Long-term follow-up of a heart pump in advanced heart failure

Trial details

Who runs it

Nanjing First Hospital, Nanjing Medical University

Trial code

NCT06267612

Record updated

20 February 2024

Original description

The purpose of this clinical study is to explore the long-term efficacy and safety of the Corheart 6 Left Ventricular Assist System (LVAS) as a treatment for patients with advanced heart failure.Read full original descriptionShow less

Long-term Follow-up Study of Corheart 6 Left Ventricular Assist System as Treatment of Patients With Advanced Heart Failure

The purpose of this clinical study is to explore the long-term efficacy and safety of the Corheart 6 Left Ventricular Assist System (LVAS) as a treatment for patients with advanced heart failure.

The study will be a single-arm, prospective, single-center, non-blinded, and non-randomized study with a follow-up duration of five years.

Inclusion: 1. Age ≥ 18 years; 2. The patient or legal representative is willing to participate in the study and offers informed consent; 3. Body surface area (BSA) ≥ 1.0 m\^2; 4. Females of childbearing age must agree to use adequate contraception; 5. Patients with NYHA Class IV heart failure symptoms who have failed to be reversed by standardized treatment with oral anti-heart failure drugs; 6. Left Ventricular Ejection Fraction (LVEF) ≤ 35%, and at least one of the following conditions occurs:; a. Fail to be reversed by or be weaned from intra-aortic balloon pump (IABP), extracorporeal membrane oxygenator (ECMO), or other short-term mechanical circulatory support; b. Rely on continuous intravenous administration of one or more vasoactive or inotropic drugs; c. Meeting the diagnostic criteria of cardiogenic shock: blood pressure < 90/60mmHg, cardiac index < 2.0 L/min/m\^2 (optional), and pulmonary capillary wedge pressure > 18mmHg (optional).

Exclusion: 3. Technical obstacles which pose an inordinately high surgical risk, in the judgment of the investigator; 4. Intolerance to anticoagulant or antiplatelet therapies or any other peri/postoperative therapy the investigator will require based on the patient's health status; 13. Presence of pulmonary embolism within 3 weeks prior to implantation; 14. Pulmonary artery systolic pressure exceeds 60mmHg, combined with at least one of the following 2 parameters demonstrating that pulmonary vascular resistance did not respond to drug therapy:; 18. History of documented disabling stroke within 90 days prior to implantation, a history of cerebrovascular disease, or the presence of uncorrected severe bilateral carotid artery stenosis; 19. History of acute myocardial infarction within 60 days prior to implantation, judged by the investigator to have a risk of myocardial rupture or other surgical high-risk difficult-to-control bleeding, etc; 1. Etiology of heart failure due to or associated with uncorrected thyroid disease, obstructive hypertrophic cardiomyopathy, or pericardial disease; 7. Presence of moderate to severe aortic insufficiency or a history of the mechanical aortic valve that will not be converted to a bioprosthesis or oversewn at the time of implantation; 8. History of any organ transplantation; 12. Presence of severe chronic obstructive pulmonary disease (COPD) or restrictive lung disease or a diagnosis of primary pulmonary hypertension; 16. Presence of severe peripheral vascular disease with resting pain or extremity ulceration; 17. Psychiatric disease/disorder, irreversible cognitive dysfunction or psychosocial issues that are likely to impair compliance with the study protocol and LVAS management, or brain death from various causes; 20. Expected lifetime of less than 1 year due to malignant tumor or other disease; 2. Presence of an active, uncontrolled infection confirmed by a combination of clinical symptoms and laboratory tests; 10. TBIL (total bilirubin) > 3.0 mg/dL within 48 hours prior to implantation; 11. Serum creatinine (SCr) > 3.0 mg/dL within 48 hours prior to implantation or may require dialysis; 5. Patients require bi-ventricular assist device support; 6. Pregnancy; 9. Presence of uncorrected thrombocytopenia or severe coagulopathy, such as diffuse intravascular coagulation; a. Pulmonary vascular resistance greater than 8 wood units; b. The transpulmonary differential pressure exceeds 20mmHg; 15. Established and untreated abdominal or thoracic aortic aneurysm > 5cm in diameter; 21. Participation in any other clinical study that may influence the results of this study; 22. Other circumstances that are unforeseen and determined by the researcher to be unsuitable.

ClinicalTrials.gov NCT06267612