MedPath

MitraClip® After Surgical Mitral Valve Repair

Conditions
Mitral Regurgitation
Registration Number
NCT02853955
Lead Sponsor
LMU Klinikum
Brief Summary

Percutaneous edge-to-edge repair of the mitral valve has been shown to be a safe and effective alternative treatment option for selected patients at high risk for cardiac surgery. Patients with recurrent mitral regurgitation after surgical mitral valve repair (sMVR) are per se at increased risk for another cardiac surgery. The purpose of this multicenter retrospective analysis of patients treated with a MitraClip® after sMVR, is to evaluate the effectiveness and durability of this minimally invasive treatment option in this subset of patients.

Detailed Description

In this multicenter retrospective analysis of MitraClip® cases after MVR the effectiveness and durability of this minimally invasive treatment option in this subset of patients will be evaluated.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
30
Inclusion Criteria
  • All patients with recurrent mitral regurgitation treated with a MitraClip®.
Exclusion Criteria
  • Patient with endocarditis,
  • Patients with torn mitral valve ring.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Survival1 year
MR (mitral regurgitation) grade after clip treatment1 year

Scale 0-4

Secondary Outcome Measures
NameTimeMethod
NYHA status at latest follow up1 year
Distance in 6 minute walk test at latest follow up1 year
MR (mitral regurgitation) grade at latest follow up1 year

Scale 0-4

LVEF (left ventricular ejection fraction) at latest follow up1 year
LVEDV (left ventricular enddiastolic volume) at latest follow up1 year
LVEDD (lef ventricular enddiastolic diameter) at latest follow up1 year
Mean mitral valve gradient1 year
Death, recurrent mitral regurgitation grade > 2, repeat intervention/operation of mitral valve1 year

combined endpoint defined as freedom from each Event (death, MR grade \>2 or reintervention/Operation)

Procedural complicationsindex procedure
Clip success based on type of sMVRindex procedure

success defined as reduction of 1 MR grade (scale 0-4)

Trial Locations

Locations (1)

Munich University Hospital

🇩🇪

Munich, Bavaria, Germany

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