Transapical Transcatheter Aortic Valve Implantation
Conditions
Brief summary
A prospective, multicenter, uncontrolled study to evaluate the safety and efficacy of the Cardiapex percutaneous trans-apical access and closure system. The Cardiapex device intended for percutaneous access and closure of the left ventricular apex in conjunction with transapical Transcatheter Aortic Valve Implantation (TAVI).
Interventions
Cardiapex percutaneous transapical access and closure system
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient scheduled for transapical TAVI * Patient ≥ 70 years of age * Patient able to give informed written consent * Patient able to attend follow up examinations
Exclusion criteria
* Scheduled concomitant non-TAVI cardiac procedure * Patient with Left Ventricular Ejection Fraction (LVEF) \< 30% at time of enrollment * Patient with known apical infarcted area * Patient with a distinct large vessel right at the anatomical apex9 (based on pre-operative coronary angiography * Patients with known lung tissue surrounding the apex and possibly interfering with the in-out puncture (based on preoperative gated CT assessment * Patient with contra-indications to transapical TAVI * Patient's inability to tolerate or comply with normal post-surgical drug regimen * Patient's inability to comply with required follow-ups, including echocardiography * Patient participation in other clinical trials within previous month
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful performance of percutaneous transapical TAVI defined as: Successful percutaneous transapical access and deployment of a single prosthetic heart valve | Outcome measure assessed during the TAVI surgical procedure - an average of 3 hours |
Secondary
| Measure | Time frame |
|---|---|
| ≤30 day apical bleeding requiring surgical intervention | 30 days |
Countries
Germany