Heart failure (HF) is affecting 26 million people worldwide, which not only threatens patient’s life, but the sustainability of healthcare systems. Despite advances in treatment over the last 30 years, improvements have not met the expectations for cardiac recovery and prognosis following heart attack. Current treatments are only partial solutions as they cannot regenerate the damaged heart tissue, and are thus unable to stop the progressive loss of heart function, low short- and medium-term life expectancy, and impoverished quality of life due to co-morbidities and/or frequent and continuous re-hospitalizations. Miracor has developed PiCSOHF, a breakthrough cardiac intervention triggering myocardial regeneration. Our therapy consists of a percutaneous right heart catheter intervention using proprietary software for feedback control that temporarily elevates the pressure in cardiac veins reactivating innate regeneration pathways. The objectives of this project are to improve the technical design of catheter, console, and software, conduct the clinical study, and get market certifications.