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Expert Review| Volume 35, ISSUE 10, P3105-3107, October 2021

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HeartMate 3—Analysis of Recent Trial Data

Published:December 14, 2020DOI:https://doi.org/10.1053/j.jvca.2020.12.015
      WITH THE Multicenter Study of MagLev Technology in Patients Undergoing Mechanical Circulatory Support Therapy with HeartMate 3 (MOMENTUM 3) landmark trial, the fully levitated magnetic centrifugal pump, HeartMate 3 (HM3; Abbott, Chicago, IL), became the most widely implanted LVAD device.
      • Teuteberg JJ
      • Cleveland Jr, JC
      • Cowger J
      • et al.
      The Society of Thoracic Surgeons Intermacs 2019 annual report: The changing landscape of devices and indications.
      However, adverse events, such as right ventricular failure, remain high, even with its improved device design.
      • Kormos RL
      • Cowger J
      • Pagani FD
      • et al.
      The Society of Thoracic Surgeons Intermacs database annual report: Evolving indications, outcomes, and scientific partnerships.
      The lack of a real-world cohort in the MOMENTUM 3 trial remained a critical criticism of the device's wide acceptance into clinical practice. New trials look to a more generalizable implant population for matched performance.
      • Zimpfer D
      • Gustafsson F
      • Potapov E
      • et al.
      Two-year outcome after implantation of a full magnetically levitated left ventricular assist device: Results from the ELEVATE Registry.

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      References

        • Teuteberg JJ
        • Cleveland Jr, JC
        • Cowger J
        • et al.
        The Society of Thoracic Surgeons Intermacs 2019 annual report: The changing landscape of devices and indications.
        Ann Thorac Surg. 2020; 109: 649-660
        • Kormos RL
        • Cowger J
        • Pagani FD
        • et al.
        The Society of Thoracic Surgeons Intermacs database annual report: Evolving indications, outcomes, and scientific partnerships.
        J Heart Lung Transplant. 2019; 38: 114-126
        • Zimpfer D
        • Gustafsson F
        • Potapov E
        • et al.
        Two-year outcome after implantation of a full magnetically levitated left ventricular assist device: Results from the ELEVATE Registry.
        Eur Heart J. 2020; 41: 3801-3809
        • Mehra MR
        • Uriel N
        • Naka Y
        • et al.
        A fully magnetically levitated left ventricular assist device—Final report.
        N Engl J Med. 2019; 380: 1618-1627
        • Sidhu K
        • Lam PH
        • Mehra MR.
        Evolving trends in mechanical circulatory support: Clinical development of a fully magnetically levitated durable ventricular assist device.
        Trends Cardiovasc Med. 2020; 30: 223-229
        • Mueller M
        • Hoermandinger C
        • Richter G
        • et al.
        Retrospective 1-year outcome follow-up in 200 patients supported with HeartMate 3 and HeartWare left ventricular assist devices in a single centre.
        Eur J Cardiothorac Surg. 2020; 57: 1160-1165
        • Kirklin JK
        • Pagani FD
        • Kormos RL
        • et al.
        Eighth annual INTERMACS report: Special focus on framing the impact of adverse events.
        J Heart Lung Transplant. 2017; 36: 1080-1086
        • Frankfurter C
        • Molinero M
        • Vishram-Nielsen JKK
        • et al.
        Predicting the risk of right ventricular failure in patients undergoing left ventricular assist device implantation: A systematic review.
        Circ Heart Fail. 2020; 13e006994
        • Kormos RL
        • Teuteberg JJ
        • Pagani FD
        • et al.
        Right ventricular failure in patients with the HeartMate II continuous-flow left ventricular assist device: Incidence, risk factors, and effect on outcomes.
        J Thorac Cardiovasc Surg. 2010; 139: 1316-1324
        • Soliman OII
        • Akin S
        • Muslem R
        • et al.
        Derivation and validation of a novel right-sided heart failure model after implantation of continuous flow left ventricular assist devices: The EUROMACS (European Registry for Patients with Mechanical Circulatory Support) right-sided heart failure risk score.
        Circulation. 2018; 137: 891-906