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Endothelial Function and Circulating Microparticle in Patients Under LVAD Support (MP-LVAD)

H

Heinrich-Heine University, Duesseldorf

Status

Completed

Conditions

End Stage Heart Failure

Treatments

Other: Blood samples

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

The aims of this project are 1) to evaluate whether circulating micraparticals (MPs) in patients with LVAD impair endothelial function and 2) to assess the procoagulative activity of circulating MPs in patients with LVAD in a prospective longitudinal study of patients undergoing LVAD implantation, 3) to analyze these parameters in the context of thromboembolic events.

Full description

Continuous-flow left ventricular assist devices (LVADs) have arised as a vital therapeutic option in end stage heart failure not merely as bridge-to transplant but also as destination therapy. LVADs are associated with impaired endothelial function as well as with a dysbalance of coagulation leading to both, excessive bleeding and thromboembolic events, respectively. Microparticles (MPs) are shed membrane particles budded into the circulation and considered as a marker of compromised endothelial integrity and enhanced procoagulation levels. In addition, MPs have been suggested to play an active role in the induction of endothelial dysfunction and coagulation. First studies demonstrated increased level of MPs in patients with LVAD. Whether circulating MPs contribute to impaired endothelial function and enhanced coagulation in patients with LVAD and thereby promote thrombotic complications is unknown.

The aims of this project are 1) to evaluate whether circulating MPs in patients with LVAD impair endothelial function and 2) to assess the procoagulative activity of circulating MPs in patients with LVAD in a prospective longitudinal study of patients undergoing LVAD implantation, 3) to analyze these parameters in the context of thromboembolic events.

Enrollment

65 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Inclusion Criteria: chronic heart failure INTERMASC 5-7 or
  • Patients on LVAD support

Exclusion criteria

  • current thrombembolic or bleeding event

Trial design

65 participants in 2 patient groups

patients with chronic heart failure without LVAD support
Description:
patients with chronic heart failure without LVAD support
Treatment:
Other: Blood samples
patients with end-stage heart failure with LVAD support
Description:
patients with end-stage heart failure with LVAD support
Treatment:
Other: Blood samples

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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