Impact of LVAD Implantation on Micro- and Macrovascular Function
Study Details
Study Description
Brief Summary
End stage heart failure is characterized by a critical inability of the heart to meet the organism's blood demand even under resting conditions. Heart transplantation (HTx) is the established therapeutic approach in the treatment of end stage heart failure and still the gold standard treatment. Left ventricular assist devices (LVADs) are considered as a vital therapeutic option to temporarily or permanently assist the failing circulation. The hemodynamic vascular consequences of implanting LVADs have not been studied in detail. The aim of the study is to investigate the effect of LVAD implantation compared to heart transplant (HTx) on micro- and macrovascular function in patients with end stage heart failure.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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patients after HTX
|
|
patients after LVAD implantation
|
|
patients with coronary heart disease
|
|
healthy volunteers
|
Outcome Measures
Primary Outcome Measures
- Macrovascular function measured by flow-mediated vasodilation (FMD) [3 months after implantation]
Secondary Outcome Measures
- Microvascular function assessed by non-invasive laser Doppler imaging [3 months after implantation]
- microparticles determined by Flow Cytometry [3 months after implantation]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
patients after HTX
-
patients after LVAD implantation
-
patients with stable coronary heart disease and normal systolic left ventricular function
-
healthy volunteers
-
written informed consent
Exclusion Criteria:
-
acute inflammation
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cardiac arrhythmia
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renal failure
-
malignant disease
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Division of Cardiology, Pulmonology and Vascular Medicine Duesseldorf, | Duesseldorf | Germany | 40225 |
Sponsors and Collaborators
- Klinik für Kardiologie, Pneumologie und Angiologie
Investigators
- Principal Investigator: Christian Heiss, MD, Division of Cardiology, Pulmonology and Vascular Medicine
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- LVAD