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临床试验/NL-OMON55204
NL-OMON55204撤回不适用

A First-in-Human Study to Assess Safety and Performance of the Cardiac Implants Percutaneous Ring Annuloplasty System in the Treatment of Patients with Functional Tricuspid Regurgitation - Percutaneous Ring Annuloplasty System FIH Study

Cardiac Implants LLC.0 个研究点目标入组 10 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
撤回
入组人数
10

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

  • 1. Moderate to Severe functional tricuspid regurgitation (FTR) as defined by
  • 2. Symptoms of right ventricular (RV) failure despite guideline directed
  • medical therapy, NYHA Class II-IV.
  • 3. Multidisciplinary heart team (minimum of three physicians, including Imaging
  • and heart Failure cardiologists and cardiac surgery representatives) agree that
  • percutaneous tricuspid annuloplasty is a reasonable treatment option and
  • consider the subject to be a high risk for surgical annuloplasty.
  • 4. >=18 years old at time of enrollment.
  • 5. LVEF >= 30% within 45 days prior to index implant procedure.
  • 6. PASP < 70 mmHg within 90 days prior to index implant procedure.
  • 7. Right Ventricle TAPSE >= 13 mm within 45 days prior to index implant
  • 8. Tricuspid valve annular diameter >= 40 mm as measured by baseline TTE in the
  • 4 chamber view within 45 days prior to index implant procedure.
  • 9. Subject has provided written informed consent.
  • 10. Subject agrees to comply with all required post-procedure follow-up visits,
  • including device adjustment.

排除标准

  • 1. Acutely decompensated heart failure (i.e. hemodynamically unstable or on IV
  • inotropes).
  • 2. Severe RV dysfunction per ASE guidelines3.
  • 3. Primary tricuspid pathology (e.g. rheumatic, congenital, infective, etc.).
  • 4. Previous tricuspid valve repair or replacement.
  • 5. Transvalvular pacemaker or defibrillator lead is present.
  • 6. Severe left-sided valve disease.
  • 7. Right-sided intra-cardiac mass, thrombus or vegetation is present.
  • 8. Inability to properly guide the index implant procedure using TEE (e.g.
  • acoustic window not adequate).
  • 9. MI or known unstable angina within the 30-days prior to the implant index
  • 10. CVA within 3 months prior to index implant procedure.
  • 11. Bleeding disorders, active peptic ulcer or GI bleed.
  • 12. Contraindication to anticoagulation or antiplatelet medication, based on
  • investigator*s opinion.
  • 13. Chronic oral steroid or immunomodulator use (>= 6 months) or other condition
  • that could impair healing response (e.g. cardiac sarcoidosis or other chronic
  • inflammatory disease).
  • 14. Any condition that, in the opinion of the investigator, may render the
  • subject unable to complete the study (life expectancy < 1 year), or lead to
  • difficulties for subject compliance with study requirements.
  • 15. Subject is enrolled in another investigational study which has not
  • completed the required primary endpoint follow-up period (Note: patients
  • involved in a long-term surveillance phase of another study are eligible for
  • this study).
  • 16. Female patients who are pregnant or lactating.

研究者

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