Cardiac Insufficiency
Conditions
Keywords
left ventricular assist device, platelet-leukocyte conjugates, lipo-oxygenase products
Brief summary
To compare in vivo platelet and leukocyte activation and phenotype before and after Left ventricular assist device (LAVD) implantation
Detailed description
The present study plan to investigate platelet activation in vivo using a variety of biomarkers previously identified as sensitive to high shear stress in patients with severe aortic valve stenosis before and after trans arterial valve replacement. As one of the best biomarker is a high degree of platelet-leukocyte interactions, the study will study in parallel leukocytes activation/differentiation. These parameters will be compared at 3 time-points, before and after LAVD implantation in ambulatory patients.
Interventions
Three venous blood sampling before the left ventricular assist device implantation and 1 and 2 months after implantation in ambulatory patients.
Sponsors
Study design
Eligibility
Inclusion criteria
* elective implantation of LAVD (Heartmate II), * written informed consent to the study * Patients with health insurance
Exclusion criteria
* treatment or procedure that could affect platelet functions or turn-over(low-dose aspirin is allowed). * Pregnancy or breastfeeding * Juridical Protection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Platelet activation | Month 2 after LAVD implantation | To compare platelet activation in vivo, using a composite criteria determinated by variety of biomarkers of activation analysed by flow cytometry and enzyme-linked immunosorbent assay (ELISA) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Level of circulating platelet-leukocyte conjugate | Month 2 after LAVD implantation | To determine the level of circulating platelet-leukocyte conjugate by flow cytometry |
| Changes in leukocyte phenotype | Month 2 after LAVD implantation | To determine the leukocyte phenotype which is a composite criteria analysed by flow cytometry, ELISA and lipidaemic analysis |
Countries
France