跳至主要内容
临床试验/NL-OMON42009
NL-OMON42009撤回不适用

Assessment of the St. Jude Medical Portico (TM) Re-sheathable Transapical Aortic Valve System (PORTICO TA EU) - PORTICO TA E

St. Jude Medical0 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 64(—)

入选标准

  • 1. Subject has given written study Informed Consent.
  • 2. Subject is 65 years of age or older at the time of index procedure, and/or has comorbidities that, in the opinion of the Principle Investigator or the Subject Selection Committee, preclude surgical valve replacement.
  • 3. Subject*s aortic annulus diameter meets the range indicated in the Instructions for Use as measured by multi-slice CT conducted within the past 120 days prior to the index procedure.
  • 4. Subject has senile degenerative aortic stenosis with echocardiography within 30 days of index procedure defined by at least 1 of the following:
  • derived mean gradient >40mmHg OR
  • jet velocity greater than 4.0 m/s OR
  • aorta valve area of *1.0 cm2 OR
  • aortic valve area index * 0.6 cm2/m2).
  • 5. Subject has symptomatic aortic stenosis as demonstrated by NYHA Functional Classification of II, III or IV.
  • 6. Subject is deemed high operable risk and delivery route is suitable for TAVI per the
  • medical opinion of the Subject Selection Committee.
  • 7. Subject*s predicted operative mortality or serious, irreversible morbidity risk is less than 50% at 30 days post index procedure

排除标准

  • 1. Subject is unwilling or unable to comply with all study-required follow-up evaluations
  • 2. Subject has a documented history of a cerebral vascular accident (CVA) or transient ischemic attack (TIA) within 6 months (*180 days) prior to the index procedure.
  • 3. Subject has hostile chest or other condition that complicates transapical access
  • 4. Subject has carotid artery disease requiring intervention.
  • 5. Evidence of a myocardial infarction (MI) within 180 days prior to patient providing consent (defined as: ST Segment elevation as evidenced on 12 Lead ECG) .
  • 6. Subject has a native aortic valve that is congenitally unicuspid, bicuspid, quadricuspid or non-calcified as seen by echocardiography.
  • 7. Subject has mitral valvular regurgitation greater than grade III)
  • 8. Subject has moderate to severe mitral stenosis.
  • 9. Subject has aortic root angulation greater than (>)70 degrees (horizontal aorta).
  • 10. Distance from the left ventricular apex tothe aortic annulus is less than 45mm (4.5cm).
  • 11. Subjetcs has pre-existing prosthetic valve or prosthetic ring in any position.
  • 12. Subject refuses blood transfusion
  • 13. Subject refuses surgical valve replacement.
  • 14. Subject has resting left ventricular ejection fraction (LVEF) less than 20%.
  • 15. The subject has documented, untreated symptomatic coronary artery disease (CAD) requiring revascularization.
  • 16. Subject has had a percutaneous interventional or other invasive cardiac or peripheral procedure * 14 days of the index procedure.
  • 17. Subject has severe basal septal hypertrophy that would interfere with transcatheter valve placement.
  • 18. Subject has a history of or has active endocarditis.
  • 19. There is imaging evidence of intracardiac mass, thrombus, or vegetation.
  • 20. Subject is considered hemodynamic unstable (requiring inotropic support or mechanical heart assistance).
  • 21. Subject is in acute pulmonary edema or requiring intravenous diuretic therapy to stabilize heart failure.
  • 22. Subject with significant pulmonary disease as determined and documented by the Investigator.
  • 23. Subject has significant chronic steroid use as determined and documented by the Investigator.
  • 24. Subject has a documented hypersensitivity or contraindication to anticoagulant or antiplatelet medication.
  • 25. Subject has renal insufficiency as evidenced by a serum creatinine > 3.0mg/dL (265.5 *mol/L) or end-stage renal disease requiring chronic dialysis.
  • 26. Subject has morbid obesity defined as BMI * 40.
  • 27. Subject has ongoing infection or sepsis.
  • 28. Subject has blood dyscrasias (leukopenia, acute anemia, thrombocytopenia, bleeding diathesis, or coagulopathy).
  • 29. Subject has a current autoimmune disease that, in the opinion of the Principal Investigator or Subject Selection Committee, precludes the subject from study participation.
  • 30 Significant ascending aortic disease documented by diameter greater than 40mm.
  • 31. Subject has an active peptic ulcer or has had gastrointestinal (GI) bleeding within 90 days prior to the index procedure.
  • 32. Subject is currently participating in another investigational drug or device study.
  • 33. Subject requires emergency surgery for any reason within 30 days of the index procedure.
  • 34. Subject has a life expectancy < 12 months.
  • 35. Subject has other medical, social or psychological conditions that, in the opinion of the Subject Selection Committee, pr

研究者

相似试验