Heartech® left ventricular partitioning device improves left ventricular systolic function of patients with chronic heart failure post-myocardial infarction at 1-year follow-up

Catheter Cardiovasc Interv. 2022 Jan 1;99(1):50-56. doi: 10.1002/ccd.29489. Epub 2021 Jan 27.

Abstract

Objectives: This study presents 1-year follow-up data of echocardiographic outcomes in patients who received the Heartech® left ventricular (LV) partitioning device (LVPD) (Xinrui Medical Equipment Co. Ltd., Shanghai, China).

Background: Our first-in-man study of the Heartech® LVPD confirmed its safety and efficacy in patients with chronic heart failure (HF) post-myocardial infarction (MI) 1 month post-implantation. This subsequent study reports the echocardiographic outcomes of these patients at 1 year of follow-up.

Methods: Fifteen patients with HF post-MI from three cardiac intervention centers in China were successfully implanted with the Heartech® LVPD via percutaneous ventricular restoration procedures. Echocardiographic parameters-including LV systolic function, diastolic function, two-dimensional speckle-tracking analysis, and right ventricular systolic function-were obtained before device implantation and at 1 month and 1 year postoperatively.

Results: There was no deterioration of LV diastolic function, specific strain parameters, or right ventricular function at 1 year. Relative to the echocardiographic parameters recorded before the procedure, the LV ejection fraction (32.47 ± 6.98% vs. 42.5 ± 7.41%; p = .001) was significantly improved at 1 year, while the LV end-diastolic volume index (106.29 ± 28.01 vs. 83.30 ± 31.71; p = .005) and end-systolic volume index were significantly reduced (72.47 ± 22.77 vs. 50.00 ± 19.70; p = .001).

Conclusions: One-year echocardiographic follow-up results confirmed that no deterioration of LV diastolic function or specific strain parameters was observed and LV systolic function was significantly improved in patients with HF post-MI who were implanted with the Heartech® LVPD.

Trial registration: ClinicalTrials.gov NCT02938637.

Keywords: echocardiography; heart failure; left ventricular partitioning device; myocardial infarction; percutaneous ventricular restoration.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • China
  • Follow-Up Studies
  • Heart Failure* / diagnostic imaging
  • Heart Failure* / etiology
  • Heart Failure* / therapy
  • Humans
  • Myocardial Infarction* / complications
  • Myocardial Infarction* / diagnostic imaging
  • Stroke Volume
  • Treatment Outcome
  • Ventricular Dysfunction, Left* / diagnostic imaging
  • Ventricular Dysfunction, Left* / etiology
  • Ventricular Dysfunction, Left* / therapy
  • Ventricular Function, Left

Associated data

  • ClinicalTrials.gov/NCT02938637