Cardiac Surgery
Conditions
Keywords
All patients presenting for high-risk cardiac surgery and who might post-operatively meet the study inclusion criteria are potential study candidates.
Brief summary
To demonstrate that that the device is safe and potentially efficacious for use as a left ventricular cardiac assist device for postcardiotomy patients who require hemodynamic support post weaning from cardiopulmonary bypass.
Detailed description
To demonstrate that the device is safe and potentially efficacious for use as a left ventricular cardiac assist device for postcardiotomy patients who require hemodynamic support post weaning from cardiopulmonary bypass. Postcardiotomy patients, weaned from a cardiopulmonary bypass system (CPB) in need for hemodynamic support due to ineffective standard medical therapy will be considered for enrollment. An attempt shall be made to reverse the hemodynamic situation with medications (e.g. inotropes, vasopressors). The IMPELLA RECOVER LP/LD 5.0 will be implanted by the surgeon when no improvement in hemodynamics is observed.
Interventions
IMPELLA LP/LD 5.0 Support System is intended to be used for up to seven (7) days as a left ventricular cardiac assist device for postcardiotomy patients who, despite having been weaned from cardiopulmonary bypass (CPB), require hemodynamic support
Sponsors
Study design
Eligibility
Inclusion criteria
* BSA * Receiving stable infusion of one high dose inotrope or two medium dose inotropes for a respective minimum time indicated. * C.I. * Elevated Filling Pressures, PCWP or PA * Time to enrollment within 48 hours from weaning
Exclusion criteria
* Renal dysfunction * Hepatic dysfunction * Right Ventricular failure defined. * LV or RV Thrombus * Other exclusions per protocol
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of Major Adverse Events | 30 day or discharge |
Secondary
| Measure | Time frame |
|---|---|
| Other Adverse Events Doppler echocardiography assessment of aortic valve function will be performed at explant and 30days and 3 month follow-ups. | 3 months |
Countries
United States