Cardiac Valves, Heart Valve Diseases, Valvular Insufficiency
Conditions
Keywords
Paravalvular leak
Brief summary
This study evaluates the effectiveness and safety of Percutaneous Device Closure for Significant Paravalvular Leakage after transcatheter or surgical valve replacement.
Interventions
percutaneous transcatheter approach into cardiac valve
Sponsors
Study design
Eligibility
Inclusion criteria
* Significant Paravalvular Leakage After Transcatheter or Surgical Valve Replacement * Required treatment of paravalvular leakage due to heart failure or hemolysis * There is a formal agreement of heart team as following * predicted high-risk (STS score ≥8 OR Logistic EuroSCORE ≥20% OR operative mortality is ≥15%) * Inoperable status due to old age or frailty * Written consent
Exclusion criteria
* Risk of valve embolization because of valve dehiscence or instability * Acute myocardial ischemia (enzyme elevation, ST elevation on EKG(electrocardiogram), or chest pain/discomfort) * Evidence of intracardiac mass, thrombus or vegetation on Transthoracic/Transesophageal echocardiographic study * Life expectancy less than 6 months due to non-cardiac disease * Pregnant or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Degree of para-valvular leakage | 1 month | classified as none, mild, moderate or severe by doppler echocardiography according to Valve Academic Research Consortium-2(VARC-2) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Event rate of cardiac death | up to 5 years | — |
| Event rate of stroke | up to 5 years | — |
| Event rate of myocardial infarction | up to 5 years | — |
| Event rate of rehospitalization | up to 5 years | — |
| Event rate of all cause death | up to 5 years | — |
| Event rate of acute kidney injury | 1 month | — |
| Event rate of vascular complication | 1 month | — |
| Event rate of bleeding | 1 month | — |
| Event rate of device success | 1 month | — |
| Event rate of infection | up to 5 years | Valve related infection or infective endocarditis |
Countries
South Korea