Carmat Total Artificial Heart as a Bridge to Transplant in Patients With Advanced Heart Failure

Exclusion Criteria

• •1. Absolute contra-indication for heart transplant
• •2. Existence of any ongoing non-temporary mechanical circulatory support
• •3. Existence of any ongoing peripheral mechanical circulatory support such as ECMO, Impella (all types), IABP with a support duration \> 21 days
• •4. Patient intubated and unconscious; or intubated and not awake
• •5. Known intolerance to anticoagulant or antiplatelet therapies or known Heparin Induced Thrombocytopenia.
• •6. Coagulopathy defined by platelets \< 100G/l or INR ≥ 1.5 not due to anticoagulant therapy.
• •7. Known thrombophilia (Antithrombin III, protein C or S deficiency) or any recurrent venous thromboembolic events requiring long term curative oral anticoagulation.
• •8. Cerebrovascular accident \< 3 months or symptomatic (Rankin score \>1; Glasgow score \< 14) or a known \> 80% carotid stenosis.
• •9. Known abdominal or thoracic aortic aneurysm \> 5 cm that has not been treated.
• •10. Severe end-organ dysfunction as per the following criteria:
• •1. Total bilirubin \> 45 µmol/l (2.65 mg/dl) or cirrhosis evidenced by ultrasound, IRM and positive biopsy
• •2. GFR \< 30ml/min/1.73m2 (with no hemodialysis)
• •11. History of severe Chronic Obstructive Pulmonary Disease or severe restrictive lung disease with FEV1/FVC \<0.7 and FEV1\<50% predicted.
• •12. Recent active blood stream infection confirmed by a positive hemoculture within 48 hours.
• •13. Documented amyloid light-chain (AL amyloidosis).
• •14. Hemodynamically significant peripheral vascular disease assessed by clinical exam.
• •15. Illness, other than heart disease, that would limit survival to less than 2 years.
• •16. Irreversible cognitive dysfunction, psycho-cognitive disabilities, psycho-social issues or psychiatric disease, likely to impair compliance with the study protocol and TAH management that in the opinion of the investigator could interfere with the ability to manage the therapy (i.e. non-compliance to heart failure therapy, uncontrolled diabetes, mental health issue, etc.).
• •17. Pregnancy or breast feeding (woman in childbearing age will have to show negative pregnancy test).
• •18. Patient is currently enrolled or has participated in the last 30 days in another therapeutic or interventional clinical study that is likely to confound the study results or affect the study.