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Heart FailureNCT05376254

3D Assessment of RV Function in Patients Undergoing LVAD Implantation

An observational study of Heart Failure, run by University of Alberta at 1 site in Canada.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This goal of this study is to analyze images of the right ventricle taken via 3D transesophageal echocardiography (TEE) during left ventricular assist device (LVAD) implantation. Read more about this study

Who is it for?
Ages 16 years and olderHealthy volunteers can take part
Conditions the study is for
Heart Failure
How many people
200 participants
Where
1 siteCanada
Study dates
22 Mar 2022to 19 Jan 2027
Phase
Observational
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 16 years and older
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Study population: All patients coming for left ventricular assist device implantation.

Who may be able to join

  • Patients will be eligible to be included in the study if they receive either a left-sided:
  • HeartMate III (Thoratec, Pleasanton, CA)
  • HeartWare HVAD (HeartWare, Oakville CA)
  • Levitronix CentriMag (Levitronix LLC, Waltham, MA) LVAD.

Who cannot join

  • Patients will be excluded if::
  • hemodynamic data needed to calculate PAPi or comprehensive echocardiographic images are missing
  • additional procedures affecting cardiac geometry and/or hemodynamic measurements, such as tricuspid, mitral, and/or aortic valve repair/replacement, were performed at the time of LVAD implantation
  • sternal closure at the end of the procedure is not possible
  • RV mechanical support was introduced concurrently with LVAD implantation
  • inadequate image quality required to obtain a 3D protocol
  • known contraindication to TEE
  • unexpected inability to advance probe into the mid-esophagus

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Surita Sidhu, MD contact

780-407-8861

surita@ualberta.ca

Canada1 site, 1 recruiting
  • Mazankowski Alberta Heart Institute

    Edmonton, Alberta, T6G 2B7

    Surita Sidhu, MD, 780-407-8861, surita@ualberta.ca

    Recruiting

Other trials in Canada

About this study

Official title: Three-Dimensional Assessment of Right Ventricular Function in Patients Undergoing Left Ventricular Assist Device Implantation

This goal of this study is to analyze images of the right ventricle taken via 3D transesophageal echocardiography (TEE) during left ventricular assist device (LVAD) implantation.

Read the detailed description

There are two chambers in the heart known as ventricles which are responsible for pumping blood to both the lungs and the rest of the body. The right ventricle pumps blood to the lungs for oxygenation. The left ventricle then delivers this oxygenated blood to the organs in the body. When the left ventricle is damaged enough that it is not able to effectively pump blood then it may be necessary to assist it with a mechanical pump. This pump is called left ventricular assist device (LVAD).

Left ventricular assist devices (LVADs) improve quality of life and survival in patients with end stage heart failure. However, right ventricular (RV) failure is common in 20-50% of LVAD recipients and is associated with perioperative complications.

Traditional two-dimensional ultrasound views of the right ventricle may not accurately depict how well or poorly the right ventricle is working. Three-dimensional (3D) images can overcome the limitations of two-dimensional images and are becoming more commonplace. This goal of this study is to analyze images of the right ventricle taken via 3D transesophageal echocardiography (TEE) during the LVAD implantation to help predict which patients are at higher risk of right ventricular failure within 14 days of the procedure.

Conditions
Heart Failure
Keywords
Right Ventricular Function, Left Ventricular Assist Device, 3D transesophageal echocardiography
Medical subject headings
Heart Failure

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Left ventricular strain

    Prognostic indicator of hypertensive heart failure

    Measured: 24 hours

  2. Right ventricular fractional area of change

    Percentage change in the RV chamber area between end-diastole to end-systole

    Measured: 24 hours

  3. Right ventricular free wall strain

    Prognostic indicator of pulmonary arterial hypertension

    Measured: 24 hours

  4. Right ventricular end diastolic volume

    Amount of blood in the heart's right ventricle just before the heart contracts

    Measured: 24 hours

  5. Light ventricular end diastolic volume

    Amount of blood in the heart's left ventricle just before the heart contracts

    Measured: 24 hours

  6. Right ventricular end systolic volume

    Amount of blood in the heart's right ventricle just after the heart contracts

    Measured: 24 hours

  7. Left ventricular end systolic volume

    Amount of blood in the heart's left ventricle just after the heart contracts

    Measured: 24 hours

  8. Right ventricular ejection fraction

    Amount of blood being pumped out of the right ventricle each time it contracts.

    Measured: 24 hours

  9. Left ventricular ejection fraction

    Amount of blood being pumped out of the left ventricle each time it contracts.

    Measured: 24 hours

  10. Tricuspid annular plane systolic excursion

    Parameter of global right ventricular function

    Measured: 24 hours

Secondary outcomes (11)
  1. Age

    Demographic measure

    Measured: 1 day

  2. Gender

    Demographic measure

    Measured: 1 day

  3. Body Surface Area

    Demographic measure

    Measured: 1 day

  4. Central venous pressure

    Pressure in the thoracic vena cava near the right atrium

    Measured: 14 days

  5. Pulmonary artery pulsatility index

    Hemodynamic index

    Measured: 14 days

  6. Need for right ventricular mechanical support

    Circulatory support

    Measured: 14 days

  7. Need for pulmonary vasodilators

    Supportive medication

    Measured: 14 days

  8. Need for vasopressors

    Supportive medications

    Measured: 14 days

  9. Aspartate aminotransferase

    Lab test (> or qual to 80 IU/L)

    Measured: 14 days

  10. Bilirubin

    Lab test (> 2.0 mg/dL)

    Measured: 14 days

  11. Creatinine

    Lab test (> or equal to 2.3 mg/dL)

    Measured: 14 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 May 2022
  2. Study start22 Mar 2022
  3. Primary completion19 Jan 2027 (estimated)
  4. Study completion19 Jan 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
200 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05376254
Sponsor's protocol ID
Pro00112239
Status last verified
May 2026
First submitted
27 Jan 2022
Last updated
29 May 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Towheed A, Sabbagh E, Gupta R, Assiri S, Chowdhury MA, Moukarbel GV, Khuder SA, Schwann TA, Bonnell MR, Cooper CJ, Khouri S. Right Ventricular Dysfunction and Short-Term Outcomes Following Left-Sided Valvular Surgery: An Echocardiographic Study. J Am Heart Assoc. 2021 Feb 16;10(4):e016283. doi: 10.1161/JAHA.120.016283. Epub 2021 Feb 9.

    PubMed 33559474
  • Amzulescu MS, De Craene M, Langet H, Pasquet A, Vancraeynest D, Pouleur AC, Vanoverschelde JL, Gerber BL. Myocardial strain imaging: review of general principles, validation, and sources of discrepancies. Eur Heart J Cardiovasc Imaging. 2019 Jun 1;20(6):605-619. doi: 10.1093/ehjci/jez041.

    PubMed 30903139
  • Friedberg MK, Redington AN. Right versus left ventricular failure: differences, similarities, and interactions. Circulation. 2014 Mar 4;129(9):1033-44. doi: 10.1161/CIRCULATIONAHA.113.001375. No abstract available.

    PubMed 24589696
  • Amsallem M, Mercier O, Kobayashi Y, Moneghetti K, Haddad F. Forgotten No More: A Focused Update on the Right Ventricle in Cardiovascular Disease. JACC Heart Fail. 2018 Nov;6(11):891-903. doi: 10.1016/j.jchf.2018.05.022. Epub 2018 Oct 10.

    PubMed 30316939
  • Konstam MA, Kiernan MS, Bernstein D, Bozkurt B, Jacob M, Kapur NK, Kociol RD, Lewis EF, Mehra MR, Pagani FD, Raval AN, Ward C; American Heart Association Council on Clinical Cardiology; Council on Cardiovascular Disease in the Young; and Council on Cardiovascular Surgery and Anesthesia. Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association. Circulation. 2018 May 15;137(20):e578-e622. doi: 10.1161/CIR.0000000000000560. Epub 2018 Apr 12.

    PubMed 29650544
  • Costanzo MR, Dipchand A, Starling R, Anderson A, Chan M, Desai S, Fedson S, Fisher P, Gonzales-Stawinski G, Martinelli L, McGiffin D, Smith J, Taylor D, Meiser B, Webber S, Baran D, Carboni M, Dengler T, Feldman D, Frigerio M, Kfoury A, Kim D, Kobashigawa J, Shullo M, Stehlik J, Teuteberg J, Uber P, Zuckermann A, Hunt S, Burch M, Bhat G, Canter C, Chinnock R, Crespo-Leiro M, Delgado R, Dobbels F, Grady K, Kao W, Lamour J, Parry G, Patel J, Pini D, Towbin J, Wolfel G, Delgado D, Eisen H, Goldberg L, Hosenpud J, Johnson M, Keogh A, Lewis C, O'Connell J, Rogers J, Ross H, Russell S, Vanhaecke J; International Society of Heart and Lung Transplantation Guidelines. The International Society of Heart and Lung Transplantation Guidelines for the care of heart transplant recipients. J Heart Lung Transplant. 2010 Aug;29(8):914-56. doi: 10.1016/j.healun.2010.05.034. No abstract available.

    PubMed 20643330
  • Magunia H, Dietrich C, Langer HF, Schibilsky D, Schlensak C, Rosenberger P, Nowak-Machen M. 3D echocardiography derived right ventricular function is associated with right ventricular failure and mid-term survival after left ventricular assist device implantation. Int J Cardiol. 2018 Dec 1;272:348-355. doi: 10.1016/j.ijcard.2018.06.026. Epub 2018 Jun 8.

    PubMed 29903518
  • Haddad F, Doyle R, Murphy DJ, Hunt SA. Right ventricular function in cardiovascular disease, part II: pathophysiology, clinical importance, and management of right ventricular failure. Circulation. 2008 Apr 1;117(13):1717-31. doi: 10.1161/CIRCULATIONAHA.107.653584. No abstract available.

    PubMed 18378625
  • Lella LK, Sales VL, Goldsmith Y, Chan J, Iskandir M, Gulkarov I, Tortolani A, Brener SJ, Sacchi TJ, Heitner JF. Reduced Right Ventricular Function Predicts Long-Term Cardiac Re-Hospitalization after Cardiac Surgery. PLoS One. 2015 Jul 21;10(7):e0132808. doi: 10.1371/journal.pone.0132808. eCollection 2015.

    PubMed 26197273
  • Nagata Y, Wu VC, Kado Y, Otani K, Lin FC, Otsuji Y, Negishi K, Takeuchi M. Prognostic Value of Right Ventricular Ejection Fraction Assessed by Transthoracic 3D Echocardiography. Circ Cardiovasc Imaging. 2017 Feb;10(2):e005384. doi: 10.1161/CIRCIMAGING.116.005384.

    PubMed 28174197
  • Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010 Jul;23(7):685-713; quiz 786-8. doi: 10.1016/j.echo.2010.05.010. No abstract available.

    PubMed 20620859
  • Schneider M, Binder T. Echocardiographic evaluation of the right heart. Wien Klin Wochenschr. 2018 Jul;130(13-14):413-420. doi: 10.1007/s00508-018-1330-3. Epub 2018 Mar 19.

    PubMed 29556779
  • Mogelvang J, Stubgaard M, Thomsen C, Henriksen O. Evaluation of right ventricular volumes measured by magnetic resonance imaging. Eur Heart J. 1988 May;9(5):529-33. doi: 10.1093/oxfordjournals.eurheartj.a062539.

    PubMed 3402468
  • Dragulescu A, Grosse-Wortmann L, Fackoury C, Mertens L. Echocardiographic assessment of right ventricular volumes: a comparison of different techniques in children after surgical repair of tetralogy of Fallot. Eur Heart J Cardiovasc Imaging. 2012 Jul;13(7):596-604. doi: 10.1093/ejechocard/jer278. Epub 2011 Dec 22.

    PubMed 22194094
  • Niemann PS, Pinho L, Balbach T, Galuschky C, Blankenhagen M, Silberbach M, Broberg C, Jerosch-Herold M, Sahn DJ. Anatomically oriented right ventricular volume measurements with dynamic three-dimensional echocardiography validated by 3-Tesla magnetic resonance imaging. J Am Coll Cardiol. 2007 Oct 23;50(17):1668-76. doi: 10.1016/j.jacc.2007.07.031.

    PubMed 17950149

Questions about this trial

What is this clinical trial studying?

An observational study of Heart Failure, run by University of Alberta at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Surita Sidhu, MD (780-407-8861, surita@ualberta.ca), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Left ventricular strain (time frame: 24 hours). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05376254, which also lists 23 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 May 2026.

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