MedPath

CHoice of OptImal transCatheter trEatment for Mitral Insufficiency Registry

Recruiting
Conditions
Mitral Regurgitation
Registration Number
NCT04688190
Lead Sponsor
Universitätsklinikum Hamburg-Eppendorf
Brief Summary

This multinational, investigator-initiated, retrospective study aims to investigate outcomes of patients, who underwent transcatheter mitral valve implantation (TMVI), in comparison to those screened for TMVI but deemed ineligible, who subsequently underwent interventional mitral valve edge-to-edge repair, mitral valve surgery or medical/conservative therapy.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
800
Inclusion Criteria
  • clinically significant mitral insufficiency
  • patient underwent screening for TMVI
  • echocardiography data at baseline (and after TMVI, E2E and surgery)
  • follow-up of at least 30 days
Exclusion Criteria
  • age under 18 years

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Mitral insufficiency grade 2+ or more12 months

Mitral insufficiency measured by transthoracic echocardiography. Assessment of MI severity according to current guidelines (ESC/EACTS and ACC/AHA) for valvular heart disease.

Freedom from device-related complications30 days
Secondary Outcome Measures
NameTimeMethod
All-cause mortality12 months
Combined all-cause mortality or rehospitalization for congestive heart failure12 months
Rehospitalization for congestive heart failure12 months

Incidence of new-onset or worsening signs and symptoms of heart failure that required urgent therapy and resulted in hospitalization, e.g. as assessed by patient interviews.

Unplanned mitral valve intervention12 months

Incidence of unplanned surgical or transcatheter re-intervention, heart transplantation or left ventricular assist device implantation, e.g. as assessed by patient interviews.

Cardiovascular mortality12 months
Combined cardiovascular mortality or rehospitalization for congestive heart failure12 months
Combined all-cause mortality, rehospitalization for congestive heart failure or unplanned mitral valve intervention12 months
Combined cardiovascular mortality, rehospitalization for congestive heart failure or unplanned mitral valve intervention12 months
New York Heart Association (NYHA) stage III or IV12 months

Assessment of New York Heart Association (NYHA) classification stage (in- or outpatient) after 12 months follow-up, as assessed by patient interviews.

Trial Locations

Locations (26)

Cedars-Sinai Medical Center, Los Angeles

🇺🇸

Los Angeles, California, United States

Goethe-Universität - University Hospital Frankfurt

🇩🇪

Frankfurt, Germany

Civils Hospices of Lyon

🇫🇷

Lyon, France

HDZ Bad Oeynhausen

🇩🇪

Bad Oeynhausen, Germany

Heart Center Bonn

🇩🇪

Bonn, Germany

St. Paul's Hospital

🇨🇦

Vancouver, Canada

LMU Munich

🇩🇪

Munich, Germany

Rigshospitalet

🇩🇰

Copenhagen, Denmark

University Heart and Vascular Center Hamburg

🇩🇪

Hamburg, Germany

San Raffaele University Hospital

🇮🇹

Milan, Italy

University Hospital of Cologne

🇩🇪

Cologne, Germany

German Heart Center Berlin

🇩🇪

Berlin, Germany

Lille University Hospital

🇫🇷

Lille, France

Toronto Heart Center

🇨🇦

Toronto, Canada

German Heart Centre Munich

🇩🇪

Munich, Germany

Brigham and Women's Hospital

🇺🇸

Boston, Massachusetts, United States

Houston Methodist Hospital

🇺🇸

Houston, Texas, United States

St Vincent's Hospital

🇦🇺

Sydney, Australia

CHU Bordeaux

🇫🇷

Bourdeaux, France

Clinique Pasteur

🇫🇷

Toulouse, France

Inselspital Bern

🇨🇭

Bern, Switzerland

USZ Zurich

🇨🇭

Zürich, Switzerland

Rikshospitalet, Oslo University Hospital (OUS)

🇳🇴

Oslo, Norway

St Thomas' Hospital - London

🇬🇧

London, United Kingdom

Heart Center of the University Medical Center Mainz

🇩🇪

Mainz, Germany

Royal Brompton Hospital

🇬🇧

London, United Kingdom

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