Mitral Valve Regurgitation
Conditions
Brief summary
To evaluate the safety and performance of the Mi-thos® Mitral Heart Valve with the Mi-thos® Transcatheter Delivery System.
Detailed description
The Mi-thos® study is an multicenter, single-arm, prospective, safety and performance clinical study.
Interventions
Transcatheter mitral valve replacement system
Sponsors
Study design
Eligibility
Inclusion criteria
* Severe mitral valve regurgitation ≥ 3+; * High surgical risk fot open mitral valve surgery; * Age ≥ 65 years old; * Life expectancy \> 12 months; * As assessed by multidisciplinary cardiac team, patients who are not eligible for surgery; * Patients sign an informed consent form.
Exclusion criteria
* Previous cardiac mitral valve surgery; * Active infections requiring antibiotic therapy; * Clinically significant untreated Coronary Artery Disease (CAD); * Pulmonary hypertension (Pulmonary systolic pressure \> 70 mmHg); * Patients with severe right heart failure; * Left ventricular ejection fraction \<25%; * Diagnosis of hypertrophic cardiomyopathy, restrictive cardiomyopathy, constrictive pericarditis; * Dialysis patient; * Patients with severe coagulopathy; * Patients with contraindications to anticoagulant drugs; * Patients with stroke or transient ischemic within 30 days; * Echocardiography found any intracardiac mass, left ventricle or atrial thrombus; * Patients who require surgery or interventional therapy for other valvular lesions; * Patients with severe macrovascular disease requiring surgical treatment; * Patients with more than 70% of carotid stenosis; * To be allergic to contrast agents, nickel-titanium memory alloys or bovine-derived products; * Patients with severe neurological disorders affecting cognitive ability; * Patients with severe thoracic deformities.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Freedom from all-cause mortality | 1 year | All-cause mortality after TMVR |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Freedom from all-cause mortality | 30 days, 6months, 2-5 years | All-cause mortality after TMVR |
| Severe adverse event rate | 30 days, 6months, 1 year, 2-5 years | Severe adverse events rate after TMVR |
| NYHA Heart Function Rating | 30 days, 6months, 1 year, 2-5 years | NYHA Heart Function Rating after TMVR |
| Kansas City Cardiomyopathy score | 30 days, 6months, 1 year, 2-5 years | Kansas City Cardiomyopathy score after TMVR |
Countries
China