Prospective Clinical Study on the Safety and Clinical Feasibility of Exploring TRISKELE® Transcatheter Aortic Valve System in the Treatment of Severe Aortic Stenosis
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Aortic Valve Disease
- Sponsor
- Shanghai Zhongshan Hospital
- Enrollment
- 7
- Locations
- 1
- Primary Endpoint
- Device success
- Last Updated
- 3 years ago
Overview
Brief Summary
This clinical study is a prospective、single arm and exploratory study, to explore the feasibility and safety of MitrAssist TRISKELE® transcatheter aortic valve system in the treatment of patients with severe aortic stenosis.
Detailed Description
This study was a prospective、single arm clinical trial design. For patients with surgical contraindications or high-risk symptomatic severe aortic stenosis, MitrAssist TRISKELE® transcatheter aortic valve system was performed by aortic valve replacement. Patients were followed up 30 days (± 7 days) after operation for the feasibility and safety analysis to explore the test device in patients with surgical contraindications or high-risk symptomatic severe aortic stenosis.In this study, a clinical trial institution meeting the national qualification is planned to be selected as the clinical research center, and 7 patients are planned to be selected. The success rate of operation 30 days after operation was taken as the main evaluation index and the success of device implantation, the result of echocardiography evaluation of valve function, the improvement rate of NYHA cardiac function classification, six minute walking distance and the score of Kansas City Cardiomyopathy Questionnaire were taken as the secondary evaluation indexes, to evaluate clinical effectiveness of TRISKELE® transcatheter aortic valve system; Adverse events, serious adverse events, major cardiovascular and cerebrovascular adverse events, device defects, vital signs and laboratory examination results were used as safety indicators to evaluate the safety of the test device .
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 70 years old;
- •Patients with symptomatic severe aortic stenosis (echocardiographic mean pressure gradient across aortic valve ≥ 40mmhg, or blood flow velocity across aortic valve ≥ 4.0m/s, or aortic valve area \< 0.8cm2, or effective aortic valve area index \< 0.5cm2/m2);
- •Patients with biological valve decay meeting the criteria in (2) above;
- •NYHA grade ≥ grade II;
- •The life expectancy after artificial valve implantation is more than 1 year;
- •Patients who are anatomically suitable for transcatheter aortic valve implantation;
- •Two or more cardiothoracic surgeons evaluate and record it as surgical contraindication or as high-risk surgery and unsuitable for routine surgery;
- •Patients who can understand the purpose of the trial, voluntarily participate in and sign informed consent, and are willing to accept relevant examination and clinical follow-up.
Exclusion Criteria
- •Acute myocardial infarction occurred within 30 days before this treatment (WHO definition: Q-wave MI, or non-Q-wave MI with elevated creatine kinase isoenzyme and troponin T);
- •Patients whose aortic root anatomy and lesions are not suitable for artificial valve implantation;
- •Compound aortic valve disease (aortic stenosis with severe regurgitation); Severe mitral regurgitation;
- •Hematological malignancies, hemophilia and other coagulation disorders;
- •Hemodynamic instability, requiring mechanical cardiac assistance;
- •Emergency operation for any reason;
- •Obstructive hypertrophic cardiomyopathy;
- •Severe left ventricular dysfunction, left ventricular ejection fraction (LVEF) \< 30%;
- •Severe right ventricular dysfunction;
- •Echocardiography showed the presence of intracardiac mass, thrombus or vegetations;
Outcomes
Primary Outcomes
Device success
Time Frame: within 30 days after operation
Technical success; Freedom from mortality; Freedom from surgery or intervention related to the device or to a major vascular or access-related or cardiac structural complication; Intended performance of the valve (mean gradient \<20 mmHg, peak velocity\<3 m/s, Doppler velocity index ≥0.25, and less than moderate aortic regurgitation)
Technical success
Time Frame: at exit from procedure room
Freedom from mortality; Successful access, delivery of the device, and retrieval of the delivery System; Correct positioning of a single prosthetic heart valve into the proper anatomical location; Freedom from surgery or intervention related to the device or to a major vascular or access-related, or cardiac structural complication
Secondary Outcomes
- six minute walk distance (6MWD) test(within 30 days after operation)
- Early safety endpoint(within 30 days after operation)
- The quality of life improved 30 days after operation(within 30 days after operation)