跳至主要内容
临床试验/NL-OMON50054
NL-OMON50054撤回不适用

A Study to Evaluate the Feasibility and Safety of the Millipede Transcatheter Annuloplasty Ring System in Patients with Functional Mitral Regurgitation - Millipede Feasibility Study

Boston Scientific Cooperation International0 个研究点目标入组 10 人开始时间: 待定最近更新:
适应症

试验速览

阶段
不适用
状态
撤回
发起方
入组人数
10

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

年龄范围
18 至 99(—)

入选标准

  • IC1: Subject is 18 Years of age or older
  • IC2: Subject (or legal guardian) understands the trial requirements and the
  • treatment procedures and provides informed consent before any trial -specific
  • tests or procedures are performed
  • IC3: Subject has moderate to severe (3+) or severe (4+) functional mitral
  • regurgitation(a) confirmed by the echocardiography core lab.
  • IC4: Subject is symptomatic (NYHA Class II-IV) despite guidelines directed
  • medical therapy, including CRT if indicated
  • IC5. The local site heart team concurs that mitral valve surgery will not be
  • offered as a first-line treatment option
  • IC6. Subject is a candidate for annuloplasty based on the criteria below as
  • assessed by the investigative site (and confirmed by the Case Review
  • Committee):
  • LVEF >= 25%
  • LVEDD <= 65 mm
  • Coaptation distance (i.e. tenting height) < 10 mm
  • Absence of posterior wall aneurysm
  • (a): Assessment per the American Society of Echocardiography mitral
  • regurgitation grading criteria [24, 25]
  • Abbreviations: CRT=cardiac resynchronization therapy; LVEDD=left ventricular
  • end diastolic diameter; LVEF=left ventricular ejection fraction; NYHA=New York
  • Heart Association

排除标准

  • EC1. Subject has severe calcification of the mitral annulus or leaflets, other
  • anatomic features that makes the patient unsuitable for annuloplasty with the
  • Millipede System in the judgment of the treating physician or subject does not
  • have suitable mitral annular diameter (determined by computed tomography) as
  • per the Instructions For Use).
  • EC2. Transfemoral venous and transseptal access determined not to be feasible
  • EC3. Subject is on the waiting list for a transplant or has had a prior heart
  • EC4. Subject has had a cerebrovascular accident (CVA) or transient ischemic
  • attack (TIA) within 30 days prior to study enrollment
  • EC5. Subject has had any percutaneous coronary, carotid, or other endovascular
  • intervention within 30 days prior to study enrollment
  • EC6. Subject has had carotid surgery within 30 days prior to study enrollment
  • EC7. Subject has had any open coronary or vascular surgery (other than carotid
  • surgery) within 3 months prior to study enrollment
  • EC8. Subject has had a cardiac resynchronization therapy (CRT) device
  • implantation within 3 months prior to study enrollment
  • EC9. Subject has untreated clinically significant coronary artery disease
  • requiring revascularization
  • EC10. Any planned cardiac surgery within the next 12 months
  • EC11. Need for emergent or urgent surgery for any reason
  • EC12. Subject has severe aortic valve stenosis and/or aortic valve
  • regurgitation
  • EC13. Subject has physical evidence of right-sided congestive heart failure
  • (CHF) plus echocardiographic evidence of moderate or severe right ventricular
  • dysfunction and/or severe tricuspid valve regurgitation
  • EC14. Subject has the presence of prosthetic heart valve in any position
  • EC15. Subject has renal insufficiency (eGFR <20 mL/min) and is not on dialysis
  • EC16. Subject has a life expectancy less than 12 months
  • EC17. Subjects in whom trans-esophageal ECHO/Doppler is contraindicated or in
  • which mitral regurgitation is not measurable by transthoracic echocardiogram
  • EC18: Subject has a prior history of atrial septal defect (ASD) closure or
  • patent foramen ovale (PFO) closure.
  • EC19: Subject has a fixed pulmonary artery systolic pressure >70 mmHg.
  • EC20: Subject has known hypersensitivity or contraindication to protocol
  • required procedural or post procedural medication (e.g., anticoagulation
  • therapy) or hypersensitivity to nickel or titanium
  • EC21. Subject has known hypersensitivity to contrast that cannot be adequately
  • premedicated
  • EC22. Female subject who is breast feeding or pregnant or planning to become
  • pregnant within the study period.
  • EC23. Subject is participating in another investigational drug or device study
  • that has not reached its primary endpoint or subject intends to participate in
  • another investigational device clinical trial within 12 months after index
  • EC24. Subject has a history of endocarditis within 6 months of index procedure
  • or evidence of an active systemic infection or sepsis.
  • EC25. Subject has oxygen-dependent chronic obstructive pulmonary disease.
  • EC26. Subject has documented severe liver disease.
  • EC27. Subject has Hgb <8 g/dL, platelet count <50,000 cells/mm3 or >700,000
  • cells/mm3, or white blood cell count <1,000 cells/mm3.
  • EC28. Subject has any evidence of intracardiac thrombus.

研究者

发起方
Boston Scientific Cooperation International

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