Heart failure & cardiomyopathies

Fully magnetically centrifugal left ventricular assist device and long-term outcomes: the ELEVATE registry

Eur Heart JPublished Prospective registry study

Authors' conclusion

Real-world data from the ELEVATE registry demonstrate an overall survival rate for primary implants of 63.3%.

Study context

Population
Patients implanted with the HeartMate 3 (HM3) LV assist device at 26 centres, March 2015–February 2017
Participants
540 patients · 26 centres
Exposure
PIC vs Pump exchange vs AC
  • PICn = 463
  • Pump exchangen = 19
  • ACn = 58
Methodological detailsmulticentre, real-world, post-CE Mark
  • Multicentre
  • Real-world
  • post-CE Mark

Main finding

As reported in the abstract

Overall survival and survival free of stroke (PIC) · 5 years
GroupOverall survivalSurvival free of stroke
PIC63.3%58.1%

PIC

Overall survival63.3%
Survival free of stroke58.1%

Observational data: associations, not effects.

Further findings

OutcomePICPump exchangeAC
Survival free of stroke · 5 years58.1%Not reported in the abstractNot reported in the abstractPump exchange, AC: not reported in the abstract

Functional capacity (6-min walk distance) · baseline and 5 years

Baseline
104 ± 140 m
5 years (significant improvement, maintained)
301 ± 131 m

Quality of life (QoL) (EuroQoL-5 Dimensions-5 Levels visual analogue scale) · baseline and 5 years

Baseline
35 ± 19 points
5 years (significant improvement, maintained)
64 ± 20 points

Original publication

Fully magnetically centrifugal left ventricular assist device and long-term outcomes: the ELEVATE registry. Eur Heart J. Published 30 November 2023. doi:10.1093/eurheartj/ehad658

Summarised from the published abstract; every number is checked against it

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