Percutaneously Delivered Automated Continual Fluid Removal System in Patients With Advanced Diuretic-Resistant Heart Failure

This study is testing an automated device that continuously removes excess fluid from the body through a small tube placed under the skin. It is designed for people with advanced heart failure whose bodies retain fluid (causing swelling and breathing difficulties) even when taking high doses of water pills (diuretics). **You may be eligible if...** - You are 21 or older - You have heart failure (NYHA Class II–IV) - You have been hospitalised for heart failure more than once in the past year - You have signs of fluid overload (leg swelling, fluid in lungs, weight gain) - Diuretics (water pills) have not been enough to manage your fluid **You may NOT be eligible if...** - Your life expectancy is less than 6 months - You have active infections or certain bleeding conditions - You have had recent major surgery or procedures - Your kidneys are severely impaired Talk to your doctor to see if this trial is right for you.