NL-OMON53564招募中不适用
InvEstigation of the safety and perforMance of the NVT ALLEGRA THV System with a new delivery system in Patients with severe calcified aortIc stenosis or failed suRgical aortic bioprosthEsis - EMPIRE Study
VT GmbH0 个研究点目标入组 36 人开始时间: 待定最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 36
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18 至 99(—)
入选标准
- •Inclusion Criteria:
- •Patients will be included if ALL of the following criteria are met:
- •1. Symptomatic severe calcific stenosis of a native aortic valve with an AVA
- •<=1.0 cm2 (or AVA index <=0.6 cm2/m2), AND mean aortic pressure gradient >= 40mmHg
- •OR maximal transaortic velocity >=4.0m/s OR Doppler velocity index <=0.25 on
- •site-reported echocardiography OR symptomatic patients with degeneration of a
- •surgical bioprosthetic valve (stenosis and/or insufficiency) on sitereported
- •echocardiography
- •2. Local multi-disciplinary Heart Team and Central Screening Committee (CSC)
- •agree on indication and eligibility for TAVI
- •3. Age >=18 years
- •4. Patient has signed the Patient Informed Consent Form
- •5. Patient is willing and able to comply with requirements of the study,
- •including all follow-up visits
排除标准
- •Exclusion Criteria
- •1. Mean aortic annulus diameter as measured by preprocedural CT or internal
- •diameter of the bioprosthesis is <16.5 mm or >27 mm
- •2. Echocardiographic evidence of intracardiac thrombus or vegetation
- •(site-reported)
- •3. Significant disease of the aorta that would preclude safe advancement of the
- •ALLEGRA THV System
- •4. Severe ilio-femoral vessel disease that would preclude safe placement of an
- •18 Fr introducer sheath or make endovascular access impossible
- •5. Severe tricuspid regurgitation and/or failing right heart (site-reported)
- •6. Severe left ventricular dysfunction with ejection fraction (EF) <20%
- •(site-reported)
- •7. Evidence of active endocarditis or other acute infections
- •8. Renal failure requiring continuous renal replacement therapy
- •9. Untreated clinically significant coronary artery disease requiring
- •revascularization
- •10. Any percutaneous interventional procedure (e.g. PCI with stenting) within
- •14 days prior of the index procedure
- •11. Acute MI <=30 days prior to the index procedure
- •12. Symptomatic carotid or vertebral artery disease requiring intervention or
- •carotid/vertebral intervention within the preceding 45 days
- •13. Cerebrovascular accident (CVA) or transient ischemic attack (TIA) <=6 months
- •or prior CVA with moderate or severe disability (e.g. modified Rankin scale
- •score >2)
- •14. History of bleeding diathesis or coagulopathy; acute blood dyscrasias as
- •defined: thrombocytopenia (platelets <80,000/µl), acute anemia (hemoglobin <10
- •g/dl), leukopenia (WBC <3000/ µl)
- •15. Active peptic ulcer or gastrointestinal (GI) bleeding <=3 months
- •16. Severe (greater than 3+) mitral insufficiency (sitereported)
- •16a. Pre-existing prosthetic heart valve in any position other than aortic
- •17. Uncontrolled atrial fibrillation
- •18. Required emergency surgery for any reason
- •19. Known hypersensitivity to contrast media, which cannot be adequately
- •pre-medicated or contraindication to anticoagulant or anti-platelet medication
- •or to nitinol alloy or to bovine tissue
- •20. Life expectancy <=12 months due to other medical illness
- •21. Currently participating in another investigational drug or device study
- •22. Pregnancy or intend to become pregnant during study participation
- •Specific exclusions in patients with native aortic valve disease
- •(site-reported):
- •23. Unicuspid or bicuspid aortic valve
- •24. Non-calcified aortic stenosis
- •25. Predominant aortic regurgitation > grade 3
- •26. Distance between native aortic valve basal plane and the orifice of the
- •lowest coronary artery <8 mm
- •Specific exclusions in patients with degenerated surgical bioprosthetic aortic
- •valves (valve-in-valve) (site-reported):
- •27. Low position of the coronary ostia, especially in combination with shallow
- •sinuses (high risk of coronary occlusion)
- •28. Partially detached leaflets that may obstruct a coronary ostium
- 另有 1 项未显示
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