Heart Failure, Mitral Regurgitation
Conditions
Keywords
Heart Failure, Mitral Regurgitation, Percutaneous, Coronary sinus
Brief summary
Improvement in heart failure with moderate to severe mitral regurgitation using a percutaneously delivered implantable device.
Interventions
Percutaneous assessment from right or left subclavian vein, with PTMA implant in the coronary sinus, great cardiac vein, anterior interventricular vein.
Sponsors
Study design
Eligibility
Inclusion criteria
* Functional MR 2+ - 4+ * Symptomatic heart failure, NYHA Class II to IV * LVEF \> 25% or \< 50% OR dilated mitral annulus \> 30mm
Exclusion criteria
* MR of organic origin * Severe mitral leaflet tethering * History of MI or PCI within 60 days of study procedure * Inability to walk a minimum of 100 meters in 6 minutes * Significant left main stenosis or proximal circumflex stent * Indication of non-patent CSO or discontinuous CS-GCV-AIV * Bi-ventricular with leads in CS or other devices impeding device placement * Severe aortic valvular disease * Chronic corticosteroid use other than \< 20mg prednisone for arthritis * Significant co-morbidities
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Freedom from MACE at 30 days post-procedure and quantitative MR reduction at 6 months | 30 days to 6 months |
Secondary
| Measure | Time frame |
|---|---|
| % of patients experiencing procedure or device-related adverse events | 30 days to 6 months |
| Technical procedural success: % of patients maintaining a reduction of mitral annulus A/P dimension, sustained MR reduction, and decrease in left ventricular dimensions to specified degrees | 6 months |
| Clinical status: % of treated patients exhibiting improvements in defined QoL parameters | 6 months |
Countries
Belgium, Czechia, Germany, Netherlands, Switzerland