HEARTS: HEart trAnsplantation Registry of piTie-Salpetriere University Hospital
Study Details
Study Description
Brief Summary
Heart transplantation (HTx) is a procedure which is hindered by several complications. The HEARTS registry aims to allow the analysis of risk factors of all post-HTx complications. It consists in an exhaustive data collection at the moment of inclusion, i.e. HTx, knowing that patients underwent a full-fledged evaluation beforehand to evaluate their aptitude to being transplanted.
Post-HTx complications include but is not limited to: all-cause mortality, AMR, ACR, CAV, AKI, sepsis, cancer, psychological disorders, metabolic disorders.
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Detailed Description
Heart transplantation (HTx) is a procedure which is hindered by several complications. The HEARTS registry aims to allow the analysis of risk factors of all post-HTx complications. It consists in an exhaustive data collection at the moment of inclusion, i.e. HTx, knowing that patients underwent a full-fledged evaluation beforehand to evaluate their aptitude to being transplanted.
Post-HTx complications include but is not limited to: all-cause mortality, AMR, ACR, CAV, AKI, sepsis, cancer, psychological disorders, metabolic disorders.
To do so, patients are routinely monitored several times per year, the frequency of which depends on the proximity to the HTx.
An endomyocardial biopsy is performed 3 times per month starting on day 15 until day 65 after HTx, then once every 20 days until four months, then monthly until six months, then once every 45 days until year 1, and every 3 months thereafter until year 2. Afterwards, they become twice per year until year 5, then once a year.
An echocardiography is performed for every visit, with a complete blood analysis, including HLA antibodies screening with DSA evaluation, virologic evaluation.
A coronarography is performed for the anniversary year of HTx, then once every 2 years.
Study Design
Outcome Measures
Primary Outcome Measures
- All-cause mortality [up to five years after inclusion]
all-cause mortality
- Acute cellular rejection (ACR) [up to five years after inclusion]
ACR, biopsy-proven
- Antibody mediated rejection (AMR) [up to five years after inclusion]
AMR, biopsy-proven
- Acute kidney injury (AKI) [up to five years after inclusion]
AKI, defined by a KDIGO criteria
- Severe sepsis or septic shock [up to five years after inclusion]
As defined by Surviving Sepsis Campaign
- Cardiac allograft vasculopathy (CAV) [up to five years after inclusion]
CAV, defined ISHLT
Eligibility Criteria
Criteria
Inclusion Criteria:
- Heart transplantation
Exclusion Criteria:
- None
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Lee S Nguyen
Investigators
- Study Director: Shaida Varnous, MD, AP-HP, Pitié Salpétrière, Paris, France
Study Documents (Full-Text)
None provided.More Information
Publications
- CIC1421-18-01