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临床试验/DRKS00008923
DRKS00008923进行中(未招募)4 期

High and Intermediate Risk Degenerative Mitral Regurgitation Treatment: a Randomized Controlled Trial Comparing MitraClip® to Surgical Therapy - HiRiDe Trial

Klinikdirektor, Klinik für Herz- und Gefäßchirurgie0 个研究点目标入组 5 人开始时间: 2015年7月29日最近更新:
适应症

试验速览

阶段
4 期
状态
进行中(未招募)
发起方
入组人数
5

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Randomized controlled study
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 one(—)
性别
All

入选标准

  • Severe (4+) DMR (degenerative mitral regurgitation), or 3+ DMR
  • - NYHA Functional Class III or IV
  • - Mitral valve anatomy should be suitable for both MitraClip® and Mitral valve surgery (repair or replacement)
  • - Subjects meet the following conditions:
  • Age >=18 and high or intermediate risk with STS calculated mortality (using the repair calculator) >=3% and <=10% or as determined by the local Heart Team (which should include a surgeon and a cardiologist), based on the evidence that STS risk calculator may not identify possible risk factors
  • - Patient is operable
  • - Signed by the subject and dated approved informed consent prior to any study related procedure
  • - Available and able to return to study site for post-procedural follow-up examination

排除标准

  • - Patient incapable to approve the informed consent or Emergency Cases
  • - functional mitral valve pathology
  • - evolving endocarditis or active endocarditis in the last 3 months
  • - heavily calcified leaflets
  • - subjects in whom transesophageal echocardiography is contraindicated
  • - subjects in whom transseptal catheterisation is contraindicated
  • - presence of any known life threatening (non-cardiac major or progressive disease), non-cardiac disease that will limit the subject's life expectancy to less than one year
  • - currently participating in the study of an investigational drug or device
  • - untreated clinically significant CAD requiring revascularisation
  • - any percutaneous coronary, carotid, endovascular intervention or carotid surgery within 30 days or any coronary or endovascular surgery within 3 months
  • - prior mitral valve leaflet surgery or any currently implanted prosthetic mitral valve, or any prior transcatheter mitral valve procedure
  • - concomitant and significant aortic or tricuspid valve pathology
  • - CVA or TIA within 6 months or severe carotid stenosis (>70% assessed by Ultrasound)
  • - contraindication or known allergy to device's components, aspirin, anti-coagulation therapy or contrast media that cannot be adequately managed with premedication

研究者

发起方
Klinikdirektor, Klinik für Herz- und Gefäßchirurgie

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