Heart failure & cardiomyopathies

Safety, Usability, and Performance of a Wireless Left Atrial Pressure Monitoring System in Patients with Heart Failure: The VECTOR-HF Trial

Eur J Heart FailPublished Single-arm clinical trial

Authors' conclusion

The V-LAP™ monitoring system proved to be generally safe and provided a good correlation with invasive PCWP. Initial evidence also suggests possible improvement in HF clinical symptoms.

Study context

Population
Patients with heart failure (HF)
Participants
30 patients
Outcome
Safety (freedom from MACNE), usability and performance (agreement of sensor LAP with PCWP)
Follow-up
3 months
Methodological detailsfirst-in-human, prospective, multicentre
  • First-in-human
  • Prospective
  • Multicentre

Main finding

As reported in the abstract

Agreement between sensor LAP and PCWP

Mean difference

−0.22 mmHg

± 4.92

Correlation coefficient

0.79

P < 0.0001

Agreement between sensor left atrial pressure (LAP) and pulmonary capillary wedge pressure (PCWP)

Lin's concordance correlation coefficient

0.776

95% CI 0.582–0.886

Agreement between sensor LAP and PCWP

Observational data: associations, not effects.

Further findings

OutcomeValues
NYHA class II reached · 6 and 12 monthsV-LAP 6 months 32% (p < 0.005) · 12 months 60% (p < 0.005)
6-min walk distance · baseline, 6 and 12 monthsV-LAP Baseline 244.59 ± 119.59 m · 6 months 311.78 ± 129.88 m (p < 0.05) · 12 months 343.95 ± 146.15 m (p < 0.05)

Safety

Freedom from short-term major adverse cardiac and neurological events (MACNE) · 3 months

Successfully implanted in all 30 patients, without acute MACNE

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Safety, Usability, and Performance of a Wireless Left Atrial Pressure Monitoring System in Patients with Heart Failure: The VECTOR-HF Trial. Eur J Heart Fail. Published 10 May 2023. doi:10.1002/ejhf.2869

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