Mitral Regurgitation Mitral Insufficiency Annuloplasty Ring Mitral Valve Dysfunction Mitralis Regurgitatie Mitralis Insufficientie Annuloplastiek Ring Mitraal Klep Dysfunctioneren
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient requires mitral valve repair with or without concomitant procedures such as coronary artery bypass or another valve reconstruction or replacement; 2. patient has been diagnosed with a diseased natural valve, based on echocardiography and is a candidate for mitral valve repair; 3. patient is in satisfactory condition, based on the physical exam and investigator's experience, to be an average or better operative risk. (i.e., likely to survive one year postoperatively); 4. patient is geographically stable and willing to return to the implant center for follow-up visits; 5. Documentation signed and dated confirming that this patient has been adequately informed of his/her participation in the clinical study, and of what will be required of him/her, in order to comply with the protocol.
Exclusion criteria
Exclusion criteria: 1. Patient is less than eighteen (18) years of age; 2. patient has a non-cardiac major or progressive disease, which in the investigators experience produces an unacceptable increased risk to the patient, or results in a life expectancy of less than twelve months; 3. patient has an ejection fraction 2.0 mg/dl; 11. patient has had congestive heart failure within the past 6 months requiring surgical treatment; 12. patient has had a coronary artery ischemic event within the past 6 months requiring surgical treatment; 13. patient has a known life threatening, non-cardiac disease that will limit the patients life expectancy to less than one year; 14. patient is unable to take antiaggregant medications; 15. patient has a known untreatable allergy to contrast media or nickel; 16. patient has had a cerebral vascular event within the past 6 months; 17. patient is a prisoner (U.S.A. Only); 18. patient is participating in concomitant research studies of investigational products; 19. patient will not agree to return to the implant center for the required number of follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary safety endpoint is the occurrence of; death, endocarditis, ring dehiscence, systolic anterior motion (SAM), embolic event, pulmonary edema, heart block, arrhythmia, hemolysis, or myocardial infarction (MI) at 30 days post-procedure. The primary efficacy endpoint is the ability to reduce mitral regurgitation to less than 2+ immediately following surgical implantation of the annuloplasty device. | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary safety endpoint is the occurrence of; death, endocarditis, ring dehiscence, systolic anterior motion (SAM), embolic event, pulmonary edema, heart block, arrhythmia, hemolysis or myocardial infarction (MI) at 6 months post-procedure. The secondary efficacy endpoint is the ability to further reduce residual regurgitation following annuloplasty ring implantation and /or to enhance coaptation distance using intra-operative activation of the device. | — |
Contacts
Erasmus University Medical Center PO Box 2040