PMID- 21187258 OWN - NLM STAT- MEDLINE DCOM- 20111109 LR - 20160815 IS - 1532-8414 (Electronic) IS - 1071-9164 (Linking) VI - 17 IP - 1 DP - 2011 Jan TI - CHAMPION trial rationale and design: the long-term safety and clinical efficacy of a wireless pulmonary artery pressure monitoring system. PG - 3-10 LID - 10.1016/j.cardfail.2010.08.002 [doi] AB - BACKGROUND: Decompensated heart failure (HF) is associated with unacceptable morbidity and mortality risks. Recent implantable technology advancements allow frequent filling pressure monitoring and provide insight into HF pathophysiology and a new tool for HF management. METHODS: The CHAMPION trial is a prospective, multicenter, randomized, single-blind clinical trial testing the hypothesis that HF management guided by frequently assessed pulmonary artery pressures is superior to traditional methods. A total of 550 subjects with New York Heart Association (NYHA) functional class III HF were enrolled at 64 sites in the United States. All subjects received the CardioMEMS HF sensor as a permanent pulmonary artery implant and were randomized to the treatment or the control group before discharge. The treatment group received traditional HF management guided by hemodynamic information from the sensor. The control group received traditional HF disease management. Safety endpoints include freedom from device/system-related complications and freedom from HF sensor failure at 6 months. The efficacy endpoint is a reduction in the rate of HF-related hospitalizations in the treatment group versus the control group at 6 months. CONCLUSIONS: The CHAMPION trial will investigate the safety and clinical efficacy of the CardioMEMS hemodynamic monitoring system and may establish this management strategy as a new paradigm for the medical management of patients with symptomatic HF. CI - Copyright (c) 2011 Elsevier Inc. All rights reserved. FAU - Adamson, Philip B AU - Adamson PB AD - Heart Failure Institute at Oklahoma Heart Hospital and the Oklahoma Foundation for Cardiovascular Research, Oklahoma City, Oklahoma 73120, USA. padamson@ocaheart.com FAU - Abraham, William T AU - Abraham WT FAU - Aaron, Mark AU - Aaron M FAU - Aranda, Juan M Jr AU - Aranda JM Jr FAU - Bourge, Robert C AU - Bourge RC FAU - Smith, Andrew AU - Smith A FAU - Stevenson, Lynne W AU - Stevenson LW FAU - Bauman, Jordan G AU - Bauman JG FAU - Yadav, Jay S AU - Yadav JS LA - eng PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PL - United States TA - J Card Fail JT - Journal of cardiac failure JID - 9442138 SB - IM CIN - Lancet. 2016 Aug 6;388(10044):564. PMID: 27511785 MH - Blood Pressure Determination/adverse effects/instrumentation/methods MH - Blood Pressure Monitoring, Ambulatory/*adverse effects/*instrumentation/methods MH - Heart Failure/diagnosis/*physiopathology MH - Humans MH - Prospective Studies MH - Safety MH - Single-Blind Method MH - Time Factors MH - Treatment Outcome MH - Wireless Technology/*instrumentation EDAT- 2010/12/29 06:00 MHDA- 2011/11/10 06:00 CRDT- 2010/12/29 06:00 PHST- 2010/04/30 00:00 [received] PHST- 2010/07/28 00:00 [revised] PHST- 2010/08/09 00:00 [accepted] PHST- 2010/12/29 06:00 [entrez] PHST- 2010/12/29 06:00 [pubmed] PHST- 2011/11/10 06:00 [medline] AID - S1071-9164(10)01049-3 [pii] AID - 10.1016/j.cardfail.2010.08.002 [doi] PST - ppublish SO - J Card Fail. 2011 Jan;17(1):3-10. doi: 10.1016/j.cardfail.2010.08.002.