I34.0 I05.8 I05.2
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. 18 years or older at the time of informed consent 2. Has a dysfunctional native or prosthetic mitral valve and requires mitral valve replacement surgery 3. Provides written informed consent 4. Willingness to follow protocol requirements
Exclusion criteria
Exclusion criteria: 1. Active endocarditis 3 months prior to the procedure 2. Stage 4 renal disease or requiring dialysis* 3. Less than 2-year life expectancy due to non-cardiovascular life-threatening disease 4. High predicted risk of mortality prior to procedure • STS PROM > 8 or • Surgeon estimated risk of mortality of > 8 *eGFR < 30 is excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| • Freedom from valve related death or valve related reintervention at 1 year as determined by the CEC • Hemodynamic performance at 1 year as confirmed by echocardiography and ECL evaluation which will include the following parameters: - Mean Gradient - Peak gradient - Transvalvular regurgitation and paravalvular leak, separately | — |
Secondary
| Measure | Time frame |
|---|---|
| • Linearized rates of major cardiac events summarizing early (= 30 days) and late (> 30 days) post-operative period inclusive of the follow events as determined by the CEC or ECL - Thromboembolism (Stroke, TIA, Non-Cerebral) - Valve thrombosis - Paravalvular leak (> mild ‘2+’) - Major bleeding - Nonstructural valve dysfunction (NSVD) - Structural valve deterioration (SVD) - Endocarditis - Valve related reintervention - Death • Functional improvement from baseline for NYHA Class (all follow-up time points) • Improvement from baseline for quality of life as measured by SF-36v2 (all applicable follow-up time points) | — |
Countries
Germany, United Kingdom
Contacts
Edwards Lifesciences GmbH