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VitaFlow™ Transcatheter Aortic Valve System Post-market Study-The LAUNCH Study

Recruiting
Conditions
Aortic Valve Stenosis
Interventions
Device: VitaFlow™ Transcatheter Aortic Valve System
Registration Number
NCT04414865
Lead Sponsor
Shanghai MicroPort CardioFlow Medtech Co., Ltd.
Brief Summary

The study objective is to evaluate safety and effectiveness/performance of the Microport™ CardioFlow VitaFlow™ Transcatheter Aortic Valve System for the treatment of severe aortic stenosis in the real world settings.

Detailed Description

This is a prospective, single-arm, multi-center, observational, post-market registry study. The purpose is to evaluate the safety, performance, and effectiveness of the VitaFlow™ Transcatheter Aortic Valve System in the real world settings.Patients will be seen at pre and post procedure, discharge, 30 days, 1 year and annually up to 5 years.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Age≥70 years;
  • Symptomatic , calcified, severe, degenerative, native aortic valve stenosis : peak velocity ≥4.0m/s, or mean transvalvular gradient ≥40mmHg(1 mmHg=0.133kPa), or aortic valve area<0.8cm² (or EOA index<0.5cm²/m²);
  • The patients considered to be not suitable for surgical aortic valve replacement (SAVR);
  • The patient has been informed of the nature of the study, is willing to enroll in the study by signing a patient informed consent and agreeing to the scheduled follow up requirement.
Exclusion Criteria
  • Aortic root anatomy not suitable for the implantation of the transcatheter aortic valve;
  • Vascular diseases or anatomical condition preventing the device access;
  • Previous implantation of mechanical or bioprosthesis valve in the aortic position;
  • Known hypersensitivity or contraindication to all anticoagulation/antiplatelet regimens, to nitinol, contrast media or other relevant elements;
  • Ongoing sepsis, including active endocarditis;
  • Estimated Life expectancy< 12 months;
  • Participating in another trial and the primary endpoint is not achieved.
  • Inability to comply with the clinical investigation follow-up or other requirements.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
single arm, treatment groupVitaFlow™ Transcatheter Aortic Valve SystemSubjects in the treatment group will be implanted with the VitaFlow™ Transcatheter Aortic Valve System
Primary Outcome Measures
NameTimeMethod
Rate of all-cause mortality at 12 months post implantation12 months post implantation

Rate of all-cause mortality including cardiovascular and non-cardiovascular death

Secondary Outcome Measures
NameTimeMethod
Rate of safety events according to VARC2at immediate, 30 days, 1 year and annually up to 5 years post implantation

Rate of safety events according to VARC2 including all-cause mortality, myocardial infarction, stroke, bleeding, acute kidney injury, vascular complications, new permanent pacemaker implantation

Rate of balloon pre-dilatation successat immediate post implantation

Rate of balloon pre-dilatation success, assessed by the access, delivery, pre-dilatation and retrieval of the balloon catheter

Rate of balloon post-dilatation successat immediate post implantation

Rate of balloon pre-dilatation success, assessed by the access, delivery, post-dilatation and retrieval of the balloon catheter

Rate of device successat immediate post implantation

Rate of device success, assessed by the access, delivery, deployment and implantation of the device and the prosthetic valve function

Rate of procedure successat immediate post implantation

Rate of procedure success, assessed by the device success and peri-procedural complications

Rate of other TAVI-related complicationsat immediate, 30 days, 1 year and annually up to 5 years post implantation

Rate of other TAVI-related complications including conversion to open surgery, unplanned use of cardiopulmonary bypass, coronary obstruction, ventricular septal perforation, mitral valve apparatus damage or dysfunction, cardiac tamponade, endocarditis, valve thrombosis, valve mal-positioning, TAV-in-TAV, valve related dysfunction requiring repeat procedure (TAVI,SAVR,BAV)

Valve function-mean transvalvular gradientat discharge, 30 days, 1 year and annually up to 5 years post implantation

Mean transvalvular gradient measured by transthoracic echocardiography (TTE)(in mmHg)

Valve function-effective orifice areaat discharge, 30 days, 1 year and annually up to 5 years post implantation

Effective orifice area measured by transthoracic echocardiography (TTE)(in cm\^2)

Valve function-degree of prosthetic valve regurgitationat discharge, 30 days, 1 year and annually up to 5 years post implantation

Degree of prosthetic valve regurgitation, including paravalvular leak and intravalvular regurgitation measured by transthoracic echocardiography (TTE)

Trial Locations

Locations (2)

Zhongshan Hospital

🇨🇳

Shanghai, Shanghai, China

Ruijing Hospital,Jiaotong University School of Medicine

🇨🇳

Shanghai, Shanghai, China

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