Heart Failure
Conditions
Keywords
Thoratec Corporation
Brief summary
The purpose of the study is to evaluate the safety and effectiveness of the CentriMag ventricular assist system to help pediatric patients who have experienced heart failure during surgery and cannot be removed from cardiac bypass.
Interventions
All patients will be treated with the CentriMag device for up to 30 days.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age 5 years to 16 years, inclusive 2. Inability to wean from cardiopulmonary bypass (CPB)
Exclusion criteria
1. Body weight \< 20 kg 2. Severe aortic insufficiency 3. Unrestricted intra-cardiac communications (i.e. large VSD) 4. Pulmonary vascular resistance index (PVRI) \> 10 IU 5. Presence of DIC 6. On hemodialysis (excluding hemofiltration) 7. Contraindications to systemic anticoagulation 8. Active systemic infection unresponsive to antibiotics 9. Unresolved malignancy 10. On other investigational VAS
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival | 30 days after device removal, or, induction of anesthesia for implant of a long-term device or heart transplant | In patients who recover and do not go on to transplantation or a long-term device: • Survival 30 days after removal of the CentriMag VAS or to discharge, whichever is longer. In patients who do not recover: • Ability to be removed from the CentriMag VAS and survive to induction of anesthesia for implantation of a long-term device or heart transplantation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of end-organ function | 30 days after device removal, or, to induction of anesthesia for implant of a long-term device or heart transplant | Improvements in measures of end-organ function |