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Clinical Trials/NCT03604484
NCT03604484
Completed
N/A

Prophylactic Tricuspid Annuloplasty During Mitral Valve Surgery

Université Catholique de Louvain0 sites106 target enrollmentMay 1, 2009

Overview

Phase
N/A
Intervention
Not specified
Conditions
Tricuspid Valve Insufficiency
Sponsor
Université Catholique de Louvain
Enrollment
106
Primary Endpoint
Incidence of more than mild tricuspid insufficiency
Status
Completed
Last Updated
7 years ago

Overview

Brief Summary

Single center randomized study to test whether a prophylactic tricuspid annuloplasty at the time of mitral valve procedure can improve clinical and echocardiographical outcomes.

Detailed Description

The optimal management of functional tricuspid regurgitation (FTR) in the setting of mitral valve operations remains controversial. The current practice is both center- and surgeon-specific with guidelines based on non-randomized data. A prospective randomized trial was performed to evaluate the worth of less-than-severe FTR repair during mitral valve procedures. A single center randomized study was designed to allocate patients with less-than-severe FTR undergoing mitral valve surgery to be prophylactically treated + tricuspid valve annuloplasty (TVP- or TVP+). These patients were analysed using longitudinal cardiopulmonary exercise capacity, echocardiographic follow-up, and cardiac magnetic resonance (CMR). The primary outcome was more than mild tricuspid regurgitation (TR) recurrence with vena contracta \>3mm. Secondary outcomes were maximal oxygen uptake (VO2 max) and right ventricular (RV) dimension and function.

Registry
clinicaltrials.gov
Start Date
May 1, 2009
End Date
January 1, 2017
Last Updated
7 years ago
Study Type
Interventional
Study Design
Parallel
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Pettinari Matteo

Principal Investigator

Université Catholique de Louvain

Eligibility Criteria

Inclusion Criteria

  • patients undergoing mitral valve surgery with less than sever tricuspid insufficiency

Exclusion Criteria

  • presence of pacemaker lead through the tricuspid valve
  • acute endocarditis
  • minimally invasive approach
  • Functional mitral valve insufficiency

Outcomes

Primary Outcomes

Incidence of more than mild tricuspid insufficiency

Time Frame: 5 year

Secondary Outcomes

  • VO2 max(1 year)
  • Right ventricular function(5 year)

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