Reducing Lung CongestIon Symptoms in Advanced Heart Failure (RELIEVE-HF)
Heart Failure
About this trial
This is an interventional treatment trial for Heart Failure
Eligibility Criteria
Main Inclusion Criteria:
- Both heart failure with reduced ejection fraction (HFrEF) and heart failure with preserved ejection fraction (HFpEF) patients
- NYHA Class II, Class III, or ambulatory Class IV HF
- Receiving guideline directed medical and device therapy (GDMT) for heart failure
- For NYHA Class III and ambulatory Class IV, at least one prior hospitalization for heart failure within the last year or elevated BNP level of at least 300 pg/ml or NT-proBNP level of at least 1,500 pg/ml. BNP/NT-ProBNP levels corrected for BMI
- For NYHA Class II, must have both hospitalization and elevated BNP levels as above specifications
Main Exclusion Criteria:
- Systolic blood pressure <90 or >160 mmHg
- Presence of Intracardiac thrombus
- Pulmonary hypertension with PASP of ≥70 mm/Hg or PVR > 4 WU
- Significant RV dysfunction - TAPSE <12mm or RVFAC ≤25%
- Left Ventricular End-Diastolic Diameter (LVEDD) >8cm
- Moderate to severe aortic or mitral stenosis
- Stroke or TIA or DVT within the last 6 months
- eGFR <25 ml/min/1.73 m^2
- Anatomical anomaly on TEE or ICE that precludes implantation of Shunt across fossa ovalis (FO) of the interatrial septum
- Inadequate vascular access for implantation of shunt, e.g. femoral venous access for transseptal catheterization and inferior vena cava (IVC) is not patent
- Hemodynamic heart rhythm, or respiratory instability at time of Final Exclusion Criteria
Sites / Locations
- Mercy Gilbert Medical Center
- Abrazo Arizona Heart Hospital
- Arizona Heart Rhythm Center
- Scripps Health
- Long Beach Memorial Medical Center
- Keck Medical Center of USC
- Cedars Sinai Medical Center
- Kaiser Permanente San Francisco
- University of California, San Francisco
- Stanford Hospital
- Los Robles Hospital & Medical Center
- The Lundquist Institute (Harbor-UCLA) Medical Center
- South Denver Cardiology
- Morton Plant Mease Healthcare
- Memorial Regional Hospital
- Memorial Hospital
- University of Miami
- First Coast Cardiovascular Institute
- Piedmont Hospital
- Atlanta VA Health System
- Northeast Georgia Medical Center
- Rush University Medical Center
- Advocate Illinois Masonic Medical Center
- Advocate Health and Hospitals Corporation (Edwards Hospital)
- St Elizabeth Medical Center
- United Heart & Vascular Clinic
- Nebraska Heart Institute
- Valley Health System
- St. Francis Hospital
- Weill Cornell
- Northwell Health Lenox Hill Hospital
- Rochester General Health System
- Mission Hospital
- North Carolina Heart & Vascular
- Wakemed
- Summa Health
- Lindner Center for Research and Education at The Christ Hospital
- Cleveland Clinic
- The Ohio State University
- Penn State Milton S. Hershey Medical Center
- UPMC Pinnacle / Pinnacle Health Cardiovascular Institute
- Medical University of South Carolina
- Centennial Medical Center
- Vanderbilt University Medical Center
- Austin Heart
- Baylor College of Medicine
- Texas Heart Institute
- University of Texas Memorial Hermann
- Methodist Hospital
- Baylor Heart and Vascular-Dallas (Scott and White) -Temple
- Christus Mother Frances Hospital
- University of Utah Hospital
- University of Virginia
- Sentara Heart Hospital
- Chippenham Medical Center
- St. Vincent's Hospital Sydney
- Flinders Medical Centre
- Prince Charles Hospital
- St. Vincent's Hospital
- Epworth Hospital
- Antwerp Cardiovascular Center, ZNA Middelheim Hospital
- AZ Sint-Jan Brugge
- Toronto General Hospital
- Montréal Heart Institute
- Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval
- Charité - Universitätsmedizin Berlin Campus Virchow-Klinikum
- Vivantes Klinikum im Friedrichshain
- Vivantes Klinikum Urban
- Marienkrankrankenhas
- Universitätsklinikum Leipzig
- Herzzentrum Leipzig
- Universitatsmedizin Mainz
- Ludwig-Maximilians-Universität München
- SANA Remscheid
- University of Rostock
- University Hospital Samson Assuta Ashdod
- Yitzhak Shamir Medical Center
- Soroka University Medical Center
- Rambam Medical Center
- Shaare Zedek Medical Center
- Hadassah Medical Center
- The Chaim Sheba Medical Center Tel-Hashomer
- Kaplan Medical Center
- Tel Aviv Sourasky Medical Center
- The Baruch Padeh Medical Center, Poriya
- St Antonius Ziekenhuis Nieuwegein
- Academic Medical Center, The Netherlands
- Erasmus University Medical Center Rotterdam
- Christchurch Hospital
- Auckland Hospital
- Górnośląskie Centrum Medyczne, Uniwersytetu Medycznego w Katowicach
- Institute of Cardiology, Warsaw
- The 4th Military Clinical Hospital Wroclaw
- University Hospital Wroclaw
- Hospital Clinic of Barcelona
- Hospital de la Santa Creu i Sant Pau
- Hospital Universitari Germans Trias i Pujol, Badalona Barcelona
- Hospital Clínico San Carlos
- Hospital Puerta de Hierro-Majadahonda
- University Hospital Virgen de la Arrixaca
- Hospital Clínico Universitario de Valencia
- Hospital Clínico Universitario de Valladolid
- Bern University Hospital
- University Hospital of Zürich
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Other
Experimental
Treatment
Control
Roll in
Treatment arm patients will undergo a diagnostic right heart catheterization and invasive echocardiography to determine study eligibility followed by transseptal catheterization and V-Wave Shunt implantation
Control arm patients will undergo a diagnostic right heart catheterization and invasive echocardiography to determine study eligibility, but will not have transseptal catheterization or shunt implantation.
Roll in arm patients will undergo a diagnostic right heart catheterization and invasive echocardiography to determine study eligibility followed by transseptal catheterization and V-Wave Shunt implantation