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临床试验/NL-OMON40520
NL-OMON40520已完成2 期

REPRISE II: Repositionable Percutaneous Replacement of Stenotic Aortic Valve through Implantation of Lotus Valve System - Evaluation of Safety and Perfomance - REPRISE II

Boston Scientific International0 个研究点目标入组 20 人开始时间: 待定最近更新:
适应症

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
20

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

  • IC1. Subject is >=70 years of age
  • IC2. Subject has documented calcific native aortic valve stenosis with an initial aortic valve area (AVA) of <1.0 cm2 (or AVA index of <0.6 cm2/m2) and either a mean pressure gradient >40 mm Hg or a jet velocity >4 m/s, as measured by echocardiography
  • IC3. Subject has a documented aortic annulus size between >=20 and <=27 mm based on pre-procedure diagnostic imaging
  • IC4. Symptomatic aortic valve stenosis with NYHA Functional Class >= II
  • IC5. Subject is considered high risk for surgical valve replacement based on at least one of the following:
  • a. Society of Thoracic Surgeons (STS) score >=8%, AND/OR
  • b. Agreement by the heart team (which must include an in-person evaluation by an experienced cardiac surgeon) that subject is at high operative risk of serious morbidity or mortality with surgical valve replacement
  • IC6. Heart team (which must include an experienced cardiac surgeon) assessment that the subject is likely to benefit from valve replacement.
  • IC7. Subject (or legal representative) understands the study requirements and the treatment procedures, and provides written informed consent.
  • IC8. Subject, family member, and/or legal representative agree(s) and subject is capable of returning to the study hospital for all required scheduled follow up visits.

排除标准

  • EC1. Subject has a congenital unicuspid or bicuspid aortic valve.
  • EC2. Subject with an acute myocardial infarction within 30 days of the index procedure (defined as Q-wave MI or non-Q-wave MI with total CK elevation >= twice normal in the presence of CK-MB elevation and/or troponin elevation).
  • EC3. Subject has had a cerebrovascular accident or transient ischemic attack within the past 6 months, or has any permanent neurologic defect prior to study enrollment.
  • EC4. Subject is on dialysis or has serum creatinine level >3.0 mg/dL or 265 µmol/L.
  • EC5. Subject has a pre-existing prosthetic heart valve (aortic or mitral) or a prosthetic ring in any position.
  • EC6. Subject has >=3+ mitral regurgitation, >=3+ aortic regurgitation or >=3+ tricuspid regurgitation (i.e., subject cannot have more than moderate mitral, aortic or tricuspid regurgitation).
  • EC7. Subject has a need for emergency surgery for any reason.
  • EC8. Subject has a history of endocarditis within 12 months of index procedure or evidence of an active systemic infection or sepsis.
  • EC9. Subject has echocardiographic evidence of intra-cardiac mass, thrombus or vegetation.
  • EC10. Subject has Hgb <9 g/dL, platelet count <50,000 cells/mm3 or >700,000 cells/mm3, or white blood cell count <1,000 cells/mm3.
  • EC24. Subject has untreated conduction system disorder (e.g., Type II second degree atrioventricular block) that in the opinion of the treating physician is clinically significant and requires a pacemaker implantation.

研究者

发起方
Boston Scientific International

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