Mitral Regurgitation
Conditions
Brief summary
This multinational, non-interventional, investigator-initiated, retrospective study aims to investigate outcomes of patients, who underwent mitral valve transcatheter edge-to-edge repair (M-TEER) for primary mitral regurgitation (PMR).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* clinically significant primary mitral regurgitation * patient underwent M-TEER * echocardiography data at baseline, procedure and follow-up * follow-up of at least 12 months
Exclusion criteria
* age under 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| All-cause mortality | 12 months | Incidence of death from any cause. |
| Cardiovascular mortality | 12 months | Incidence of cardiovascular death, defined as death attributable to myocardial ischemia and infarction, heart failure, cardiac arrest because of other or unknown cause, or cerebrovascular accident. |
| Rehospitalization for congestive heart failure | 12 months | Incidence of new-onset or worsening signs and symptoms of heart failure that required urgent therapy and resulted in hospitalization, e.g. as assessed by patient interviews or medical records. |
| Re-do mitral valve procedure | 12 months | Incidence of unplanned surgical (mitral valve repair or replacement) or transcatheter re-intervention (re-do transcatheter edge-to-edge repair), e.g. as assessed by patient interviews or medical records. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| MVARC (Mitral Valve Academic Research Consortium) Technical success | 1 day (at exit from the catheterization laboratory) | All of the following must be present: 1. Absence of procedural mortality 2. Successful access, delivery, and retrieval 3. Successful deployment and correct positioning of the first device 4. Freedom from emergency surgery or reintervention related to the device or access procedure |
| Functional success | 1 day (at exit from the catheterization laboratory) | If one of the following is present: 1. Residual mitral regurgitation ≤2+ 2. Effective regurgitant orifice area ≤15 mm2 3. Transmitral gradient \<5 mmHg |
| Residual mitral regurgitation | up to 30 days | Mitral regurgitation severity (0, 1+, 2+, 3+, 4+) as assessed by transthoracic echocardiography at discharge. |
Countries
France, Germany, United States