ACURATE TF™ Transfemoral Aortic Bioprosthesis for Implantation in Patients With Severe Aortic Stenosis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Aortic Stenosis Symptomatic
- Sponsor
- Symetis SA
- Enrollment
- 140
- Locations
- 5
- Primary Endpoint
- Freedom from all-cause mortality
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
First-In-Man Study on the ACURATE TF™ Transfemoral Aortic Bioprosthesis Implantation in Patients with Severe Aortic Stenosis to collect human feasibility data pertaining to the safety and performance of the device.
Detailed Description
A single arm, prospective, multicenter, non-randomized, open trial, up to 5 Years follow-up with the Symetis ACURATE TF™ Transfemoral Aortic Bioprosthesis for minimal invasive implantation via transfemoral access to treat patients with severe aortic stenosis where conventional aortic valve replacement (AVR) via open heart surgery is considered to be associated with high risk.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients 75 years of age and older
- •Logistic EuroSCORE ≥ 20%
- •Severe aortic stenosis characterized by mean aortic gradient \> 40 mmHg or peak jet velocity \> 4.0 m/s or aortic valve area \< 1.0 cm2
- •New York Heart Association (NYHA) Functional Class \> II
- •Aortic annulus diameter from ≥ 21mm up to ≤ 27mm measured by TEE
- •Patient not a surgical candidate due to significant co-morbid conditions unrelated to aortic stenosis
- •Patient willing to participate in the study and provide signed informed consent
Exclusion Criteria
- •Unicuspid or bicuspid aortic valve
- •Extreme eccentricity of calcification
- •Severe mitral regurgitation ( \>2+)
- •Pre-existing prosthetic heart valve in any position and / or prosthetic ring
- •Aortic or peripheral anatomy NOT appropriate for transfemoral implant
- •Thoracic (TAA) or abdominal (AAA) aortic aneurysm
- •Presence of endovascular stent graft for treatment of TAA or AAA
- •Trans-esophageal echocardiogram (TEE) is contraindicated
- •Left Ventricle Ejection Fraction (LVEF) \< 30% by echocardiography (ECHO)
- •ECHO evidence of intracardiac mass, thrombus, or vegetation
Outcomes
Primary Outcomes
Freedom from all-cause mortality
Time Frame: 30-Days
Rate of all-cause mortality
Secondary Outcomes
- Rate of MACCE (major cardiac and cerebrovascular event)(30-Days and 12-Months)