Heart failure & cardiomyopathies

Safety and feasibility of the eLym™ system for interstitial decongestion in acute decompensated heart failure: primary results of the DELTA-HF trial

Eur J Heart FailPublished Single-arm trial

Authors' conclusion

eLym therapy in ADHF appeared to be safe, with early data suggesting effective, durable decongestion and a low 6-month rehospitalization rate.

Study context

Population
Patients with acute decompensated heart failure (ADHF) on home daily loop diuretic dose equivalent to ≥80 mg furosemide
Participants
40 patients
Outcome
Safety and effectiveness of the eLym System
Methodological detailsmulticentre
  • Multicentre

Main finding

As reported in the abstract

Freedom from device- or procedure-related serious adverse events
95%
Successful device deployment
all cases
Weight decrease during eLym therapy (kg)
3.6±2.4
Weight decrease at discharge (kg)
6.8±3.4
Median modified EVEREST Clinical Congestion Score: baseline 5.0 (4.0-6.0), after eLym 2.0 (1.0-4.0), discharge 0 (0-1.0); stable through 6 months
p-values <0.0001

Further findings

HF hospitalizations and deaths · 6 months

Patients with HF hospitalizations (3 hospitalizations)
2
Deaths (4 CV, 1 urosepsis)
5

Safety

Device- or procedure-related serious adverse events

Vascular complication causing mediastinal hematoma and death
1
Inotropes required due to hypotension
1

Original publication

Safety and feasibility of the eLym™ system for interstitial decongestion in acute decompensated heart failure: primary results of the DELTA-HF trial. Eur J Heart Fail. Published 10 May 2026. doi:10.1093/ejhf/xuag157

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