Italian registry of radial continuous-flow ventricular assist devices (MIRAMACS)
Official title: MIRAMACS, Multicenter Italian Study on RAdial Mechanically Assisted Circulatory Support
Run by IRCCS Azienda Ospedaliero-Universitaria di Bologna · NCT07458074 · Data updated 2026-11-12
This project will see how adults with advanced heart failure do after receiving continuous-flow radial ventricular assist devices (axial and centrifugal pumps).
Quick facts
| Study type | Observational |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 400 (estimated) |
| Sponsor | IRCCS Azienda Ospedaliero-Universitaria di Bologna Academic / other |
| Locations | 13 sites (Bergamo, Bergamo and 12 other locations) |
| Status | Recruiting |
| Started | January 10, 2025 |
| Main results expected | December 31, 2028 |
| Study ends | December 31, 2028 |
| Registry record updated | May 20, 2026 |
| Trial ID | NCT07458074 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with advanced heart failure refractory to maximal medical therapy who receive implantable continuous-flow radial VADs (including second- and third-generation axial or centrifugal pumps and implantable BIVADs) are the intended participants.
✕Probably not a fit
Children and patients treated with paracorporeal pulsatile devices, total artificial hearts, or other mechanical devices not specified in the protocol are unlikely to benefit from this registry's findings.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
MIRAMACS is an independent, nationwide observational registry coordinated by the Cardiac Surgery Department at IRCCS Sant'Orsola in Bologna that combines retrospective data from January 2010 with prospective enrollment across major Italian referral centers. The registry captures clinical outcomes and device performance for adult patients implanted with second- and third-generation radial continuous-flow VADs, including implantable BIVADs. The primary focus is on survival during hospitalization and at one and five years after implantation, while secondary outcomes include length of hospital and ICU stay, duration of mechanical ventilation, and incidence of device-related adverse events. Data are collected using a structured REDCap platform to standardize reporting and enable multicenter collaboration.
Why it matters
Potential benefit: If successful, the registry could give clinicians clearer, real-world information on long-term survival and device risks to help improve patient selection and post-implant care.
How similar studies have gone: Previous large registries and trials of continuous-flow ventricular assist devices have demonstrated improved survival and reduced complications compared with older technologies, although comprehensive nationwide registries focused specifically on radial systems are less common.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with advanced heart failure refractory to maximal medical therapy, and therefore undergoing implantation of continuous-flow (radial) VAD devices, will be recruited * Only the adult population will be included * Continuous-flow implantable BIVAD systems are also included. Exclusion Criteria: * Mechanical devices other than those specified * Paracorporeal pulsatile devices and total artificial heart (TAH).
Where it's running
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IRCCS Azienda Ospedaliero-Universitaria di Bologna
Bologna, Bologna, Italy Recruiting -
Ospedale di Bergamo, ASST Papa Giovanni XXIII, Bergamo
Bergamo, Bergamo, Italy Not yet recruiting -
Ospedale Policlinico San Martino
Genova, Genova, Italy Not yet recruiting -
I.R.C.C.S. Ospedale San Raffaele Milano
Milan, Milano, Italy Not yet recruiting -
Ospedale Niguarda, Milano
Milan, Milano, Italy Not yet recruiting -
Azienda Ospedale Università Padova
Padova, Padova, Italy Not yet recruiting
Show 7 more locations
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ISMETT, Istituto di Ricovero e Cura a Carattere Scientifico
Palermo, Palermo, Italy Not yet recruiting -
Policlinico San Matteo Pavia Fondazione IRCCS
Pavia, Pavia, Italy Not yet recruiting -
Azienda Ospedaliera San Camillo Forlanini di Roma
Roma, Roma, Italy Not yet recruiting -
Azienda Ospedaliero-Universitaria Senese
Siena, Siena, Italy Not yet recruiting -
Azienda Ospedaliero-Universitaria Città della Salute e della Scienza di Torino
Torino, Torino, Italy Not yet recruiting -
Azienda Sanitaria Universitaria integrata di Udine
Udine, Udine, Italy Not yet recruiting -
Azienda Ospedaliera Universitaria Integrata Verona
Verona, Verona, Italy Not yet recruiting
Study contacts
- Study coordinator: Luca Botta, MD
- Email: luca.botta@aosp.bo.it
- Phone: +3905121459043
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.