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PremiCron Suture for Cardiac Valve Repair

Completed
Conditions
Aortic Valve Stenosis
Registration Number
NCT04096859
Lead Sponsor
Aesculap AG
Brief Summary

The study is a voluntary study, initiated by B. Braun to collect clinical data for PremiCron® suture concerning its key indication.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
198
Inclusion Criteria
  • Patients undergoing an elective primary open or minimal invasive surgery for a single or multiple cardiac valve reconstruction or / and replacement.
  • Age ≥18 years
  • Written informed consent
Exclusion Criteria
  • Patients undergoing an elective primary cardiac valve reconstruction or / and replacement in combination with a coronary arterial bypass graft surgery.
  • Emergency surgery
  • Pregnancy
  • Infective endocarditis
  • Previous cardiac surgical intervention
  • Known immunodeficiency or immunosuppression
  • Participation or planned participation in another cardiovascular study before study follow-up is completed.
  • Inability to give informed consent due to mental condition, mental retardation, or language barrier.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
a composite endpoint of Myocardial infarction, Stroke, Mortality until discharge and rate of Endocarditis of the replaced / reconstructed valve until 6 monthsfrom intervention up to 6 months postoperative

a composite endpoint of

* Myocardial infarction until discharge

* Stroke until discharge

* Mortality until discharge

* Endocarditis of the replaced / reconstructed valve until 6 months

Secondary Outcome Measures
NameTimeMethod
Comparison of renal failure at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of renal failure until discharge, 30 days and 6 months postop

Comparison of mortality at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of mortality until discharge, 30 days and 6 months postop

Comparison of stroke at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of stroke until discharge, 30 days and 6 months postop

Comparison of pneumonia at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of pneumonia until discharge, 30 days and 6 months postop

Comparison of atrial fibrillation valve at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of atrial fibrillation until discharge, 30 days and 6 months postop

Intraoperative handling of the suture materialintraoperative

Intraoperative handling of the suture material using a questionnaire containing different dimension and a 5 point assessment level (Likert Scale), including pledget assessment

Comparison of myocardial infarction (MI) at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of myocardial infarction (MI) until discharge, 30 days and 6 months postop

Rate of adverse eventsuntil 6 months postop

valve related reoperation, haemothorax, paravalvular leak, pacemaker insertion, embolism, valve insufficiency, gastrointestinal bleeding, surgery not valve related

Employment statuspreoperative and 6 months postoperative

The employment status of the patient before / after the intervention to evaluate the influence of cardiac valve reconstruction or / and replacement on employment

Comparison of endocarditis of the replaced / reconstructed valve at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of endocarditis of the replaced / reconstructed valve until discharge, 30 days and 6 months postop

Comparison of superficial and deep chest wound infections valve at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of superficial and deep chest wound infections until discharge, 30 days and 6 months postop

Comparison of mediastinitis at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of mediastinitis until discharge, 30 days and 6 months postop

Length of hospital stayuntil discharge (approximately 10 days postoperative)

Number of days the patient has to stay in hospital

Course of Health Statusuntil 6 months postoperative

EQ-5D is a standardized measure of health status developed by EuroQol Group in order to provide a simple, generic measure of health for clinical and economic appraisal. EQ-5D is designed for self-completion by respondents and it takes only a few minutes to complete. Instructions to respondents are included in the questionnaire. EQ-5D-5L consists of 2 pages - descriptive system and the EQ visual Analogue scale (EQ-VAS). The descriptive system comprises 5 dimensions (mobility, self care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The EQ VAS records the respondents self rated health on a 20 cm vertical , visual analogue scale with endpoints labelled "the best health you can imagine" and " the worst health you can imagine"

Comparison of bleeding at different timepoints in postoperative courseuntil discharge (approximately 10 days postoperative), 30 days and 6 months postop

Incidence of bleeding until discharge, 30 days and 6 months postop

Length of intensive care unit stayuntil discharge (approximately 10 days postoperative)

Number of days the patient has to stay in intensive care unit after intervention

Trial Locations

Locations (2)

Hospital de la Santa Creu I Sant Pau

🇪🇸

Barcelona, Spain

Robert Bosch KH Stuttgart

🇩🇪

Stuttgart, Germany

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