Transcatheter Tricuspid Valve Interventions and Right Ventricular Function: Evaluation with Magnetic Resonance Imaging
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Tricuspid Valve Insufficiency
- Sponsor
- Heart and Diabetes Center North-Rhine Westfalia
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Influence of transcatheter tricuspid intervention on right ventricular basal diameter excursion in resonance tomography and echocardiography
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
There is an urgent need for transcatheter tricuspid interventions, as pharmaceutical therapy becomes ineffective in advanced disease stages and surgery remains associated with high mortality rates. Despite the promising results, in some patients, although good procedural results were achieved, no clinical improvements were measured. Right ventricular dysfunction is suspected to be the cause of the failed therapeutic strategy. Therefore this study aims to analyze right ventricular function with magnet resonance imaging before and 3-months after the procedure in order to gain insight into the prevalence and dynamics of right ventricular dysfunction in severe tricuspid regurgitation and to identify possible predictors for treatment failure.
Investigators
Muhammed Gerçek
Principal Investigator
Heart and Diabetes Center North-Rhine Westfalia
Eligibility Criteria
Inclusion Criteria
- •Patients with severe tricuspid regurgitation undergoing transcatheter tricuspid intervention.
Exclusion Criteria
- •Patient with Incompatibility with magnetic resonance imaging or echocardiography
- •Another valve disorder that requires treatment
- •Severe precapillary pulmonary hypertension
- •Unstable angina or percutaneous coronary intervention within the last 30 days
- •Previous pacemaker/defibrillator implantation with intracardiac leads
- •Patients with cardiac cachexia or a life expectancy less then 12 months
- •Allergies to the material used.
Outcomes
Primary Outcomes
Influence of transcatheter tricuspid intervention on right ventricular basal diameter excursion in resonance tomography and echocardiography
Time Frame: 3 Month
Changes on right ventricular basal diameter in resonance tomography and echocardiography after transcatheter tricuspid intervention
Influence of transcatheter tricuspid intervention on right ventricular global longitudinal strain resonance tomography and echocardiography
Time Frame: 3 Month
Changes on right ventricular global longitudinal in resonance tomography and echocardiography after transcatheter tricuspid intervention
Influence of transcatheter tricuspid intervention on tricuspid regurgitant fraction resonance tomography and echocardiography
Time Frame: 3 Month
Changes on tricuspid regurgitant fraction in resonance tomography and echocardiography after transcatheter tricuspid intervention
Influence of transcatheter tricuspid intervention on tricuspid annular plane systolic excursion resonance tomography and echocardiography
Time Frame: 3 month
Changes on tricuspid annular plane systolic excursion in magnet resonance tomography and echocardiography after of transcatheter tricuspid intervention
Influence of transcatheter tricuspid intervention on right ventricular stroke volume resonance tomography and echocardiography
Time Frame: 3 Month
Changes on right ventricular stroke volume in resonance tomography and echocardiography after transcatheter tricuspid intervention
Influence of transcatheter tricuspid intervention on right ventricular fractional area change resonance tomography and echocardiography
Time Frame: 3 Month
Changes on right ventricular fractional area change in resonance tomography and echocardiography after transcatheter tricuspid intervention
Influence of transcatheter tricuspid intervention on right ventricular ejection fraction resonance tomography and echocardiography
Time Frame: 3 Month
Changes on right ventricular ejection fraction in resonance tomography and echocardiography after transcatheter tricuspid intervention
Secondary Outcomes
- rehospitalization rate(3 month)
- Exercise Testing with 6 min walking test(3 month)
- Stroke(3 month)
- Death due to cardiovascular complication(3 month)
- Influence of transcatheter tricuspid intervention on the cardiopulmonary exercise capacity(3 month)