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Percutaneous Device Closure for Significant Paravalvular Leakage After Transcatheter or Surgical Valve Replacement

Percutaneous Device Closure for Significant Paravalvular Leakage After Transcatheter or Surgical Valve replacement_Pilot Study

Status
Withdrawn
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03793296
Acronym
PVL closure
Enrollment
0
Registered
2019-01-04
Start date
2019-01-31
Completion date
2026-12-31
Last updated
2019-02-01

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cardiac Valves, Heart Valve Diseases, Valvular Insufficiency

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

DEVICEPercutaneous Device Closure: Vascular plug

percutaneous transcatheter approach into cardiac valve

Sponsors

CardioVascular Research Foundation, Korea
CollaboratorOTHER
Seung-Jung Park
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

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

MeasureTime frameDescription
Degree of para-valvular leakage1 monthclassified as none, mild, moderate or severe by doppler echocardiography according to Valve Academic Research Consortium-2(VARC-2)

Secondary

MeasureTime frameDescription
Event rate of cardiac deathup to 5 years
Event rate of strokeup to 5 years
Event rate of myocardial infarctionup to 5 years
Event rate of rehospitalizationup to 5 years
Event rate of all cause deathup to 5 years
Event rate of acute kidney injury1 month
Event rate of vascular complication1 month
Event rate of bleeding1 month
Event rate of device success1 month
Event rate of infectionup to 5 yearsValve related infection or infective endocarditis

Countries

South Korea

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026