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临床试验/NL-OMON45758
NL-OMON45758已完成不适用

MISSION-Registry: Assessing clinical outcomes using the EDWARDS INTUITY Elite Valve Systyem in isolated AVR using Minimally InvaSive Surgery In a EurOpean multi-ceNter, active, post-market registry. - MISSION-Registry

Edwards Lifesciences SA0 个研究点目标入组 30 人开始时间: 待定最近更新:

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
30

研究概览

简要总结

暂无简介。

研究设计

研究类型
Observational

入排标准

年龄范围
18 至 99(—)

入选标准

  • 1. Subject is 18 years or older
  • 2. Subject is symptomatic for aortic stenosis (AS) or mixed aortic stenosis and aortic insufficiency (AS/AI) disease for which isolated surgical aortic valve replacement without concomitant procedures is indicated according to International guidelines.
  • 3. Surgery starts with and is intended to be completed via a minimal invasive surgical approach. MIS is defined as a non-full sternotomy approach such as partial hemi-sternotomy, right anterior thoracotomy.
  • 4. Subject has signed and dated the investigation informed consent forms prior to any study-specific procedures are performed.
  • 5. Subject is geographically stable and agrees to attend follow-up assessments as specified in the protocol and informed consent.

排除标准

  • 1. Subject is diagnosed with pure aortic insufficiency.
  • 2. Subject requires multiple valve replacement/repair
  • 3. Subject has Type 0 congenital true bicuspid aortic valve (i.e. absence of raphe and commissures are positioned about 180 degrees apart) or unicuspid aortic valve.
  • 4. Subject has severe ventricular dysfunction defined as LVEF < 25%.
  • 5. Subject has a history of active endocarditis and/or myocarditis * 3 months before the intended treatment/scheduled surgery.
  • 6. Subject has had an acute MI * 3 months before the intended treatment.
  • 7. Subject had a stroke or transient ischemic attack within six months prior to scheduled aortic valve replacement surgery.
  • 8. Subject is oxygen or ventilator dependent.
  • 9. Subject has life expectancy < 12 months.
  • 10. Female subject is pregnant or lactating.
  • 11. Subject with documented leukopenia (WBC < 3.5x 103/*L), acute anemia (Hb < 10.0 gm/dL or < 6.2 mmol/L), thrombocytopenia (platelet count < 100x 103/mL), or history of bleeding diathesis or coagulopathy.
  • 12. Subject has hemodynamic or respiratory instability requiring inotropic support, mechanical circulatory support, or mechanical ventilation within 1 month of procedure.
  • 13. Subject has documented echocardiographic evidence of intracardiac mass, thrombus or vegetation.
  • 14. Subject has renal insufficiency as determined by Serum creatinine * 200 *mol/L (2.27 mg/dL) at screening or end-stage renal disease requiring chronic dialysis.
  • 15. Subject with documented hyperparathyroidism.
  • 16. Subject is currently participating in an investigational drug or device trial for which follow-up has not yet been completed.
  • 17. Minimally Invasive access to the heart is not possible due to anatomical constraints or any other pre-existing condition.
  • 18. Aneurysm of the aortic root and/or ascending aorta;Intra-operative exclusion criteria:
  • 1. Subject has Type 0 congenital true bicuspid aortic valve (i.e. absence of raphe and commissures are positioned about 180 degrees apart) or unicuspid aortic valve. (A non-congenital bicuspid valve without a distorted annulus would not be cause for exclusion.)
  • 2. Subject has calcium on the anterior mitral leaflet which cannot be removed.
  • 3. Subject has extensive calcification of the aortic root.
  • 4. Annular deformation which may or may not be caused by too extensive decalcification of the aortic annulus.
  • 5. The position of the coronary ostia relative to the EDWARDS INTUITY Elite Aortic Valve could result in obstruction of blood flow.
  • 6. Minimally Invasive access to the heart is not possible due to anatomical constraints or any other condition (including patient switched to a full sternotomy approach).
  • 7. The device is not available in the correct size for the subject.

研究者

发起方
Edwards Lifesciences SA

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