Clinical trial Recruiting at 1 site Observational Ages 18 and up

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).

More Heart Failure trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment400 (estimated)
SponsorIRCCS Azienda Ospedaliero-Universitaria di Bologna
Academic / other
Locations13 sites (Bergamo, Bergamo and 12 other locations)
StatusRecruiting
StartedJanuary 10, 2025
Main results expectedDecember 31, 2028
Study endsDecember 31, 2028
Registry record updatedMay 20, 2026
Trial IDNCT07458074 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.