Heart Valve Diseases
Conditions
Keywords
Pulmonary Valve, Congenital Heart Disease
Brief summary
This non-randomized, prospective, interventional observational multi-center study is designed to assess the long-term clinical performance of the Medtronic Melody™ Transcatheter Pulmonary Valve (TPV) in the post market environment over a period of five years after transcatheter implantation in patients with dysfunctional RVOT conduits. In addition, the quality of life of implanted subjects will be assessed over five years.
Interventions
Transcatheter valve implantation into a RV-PA conduit in patients with complex congenital heart defects where the conduit has become dysfunctional and where the patient needs intervention
Sponsors
Study design
Eligibility
Inclusion criteria
Prospective subjects have complex congenital heart defects that have been palliated with RVOT conduits that have become dysfunctional and have a clinical indication for invasive intervention. Prospective subjects must meet all of following inclusion and
Exclusion criteria
Inclusion Criteria: * Age greater than or equal to 5 years of age * Weight greater than or equal to 30 kilograms * Existence of a full (circumferential) RVOT conduit that was equal to or greater than 16 mm in diameter when originally implanted * Any of the following by transthoracic echocardiography For patients in NYHA Classification II, III, or IV: * Moderate (3+) or severe (4+) pulmonary regurgitation, or * Mean RVOT gradient greater than or equal to 35 mmHg. For patients in NYHA Classification I: * Severe (4+) pulmonary regurgitation with RV dilatation or dysfunction, or * Mean RVOT gradient greater than or equal to 40 mmHg.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Performance over five years. Freedom from the following events: * explant * reintervention * stent fracture * valve dysfunction * device or procedure related death | August 2014 |
Secondary
| Measure | Time frame |
|---|---|
| Procedural success | August 2014 |
| Incidence of device and procedure related adverse events | August 2014 |
| Hemodynamic Performance | August 2014 |
Countries
Canada, Denmark, Germany, Italy, Netherlands, Spain