Percutaneous Left Ventricular Reshaping to Reduce Functional Mitral Regurgitation and Improve LV Function (LVRESTORESA)
A Study of Percutaneous Left Ventricular Reshaping of Mitral Apparatus to Reduce Functional Mitral Regurgitation and Improve LV Function Using the Accucinch® System
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Medellin, Colombia
- Clinica CardioVID
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age >18 years
- Subjects with clinically significant mitral regurgitation (MR 2+ and above)
- Ejection Fraction ≥ 25%
- Stable cardiac medical regimen for heart failure for at least 1 month
- Stable NYHA Classification for at least 1 month
- Subject is eligible for cardiac surgery
- The subject has been informed of the nature of the study, agrees to its provisions, and has provided written informed consent
Exclusion Criteria:
- Myocardial infarction within 90 days of the intended treatment with the device
- Prior surgical, transcatheter, or percutaneous mitral valve intervention
- Any intervention for coronary artery disease (CAD) within the last 30 days prior to treatment, or unrevascularized multivessel coronary disease
- Hemodynamic instability or the need for emergent surgery
- Non-ambulatory NYHA Class IV symptoms of heart failure or subjects requiring IV inotropic support
- Subjects in whom sufficient quality of echocardiography (TTE and TEE) cannot be obtained
- Echocardiography evidence of primary mitral valve disease causing MR or MS,
- Evidence of mitral valve stenosis with an estimated valve area less than 3.0 cm2
- Mitral valve prosthesis or pathology that would prevent adequate function of the GDS Accucinch System
- Estimated GFR of <30ml/min/1.73m2
- Greater than mild mitral annular calcification observed by fluoroscopy
- Presence of aortic valve prosthesis
- Moderate to severe aortic valve stenosis or calcification observed by echocardiography or fluoroscopy
- Severe aortic arch calcification or mobile aortic atheroma observed by echocardiography or fluoroscopy
- Active bacterial endocarditis
- History of bleeding diathesis or coagulopathy
- History of stroke within the prior 6 months
- Subjects in whom anticoagulation is contraindicated
- Any clinical evidence that the investigator feels would place the subject at increased risk with the placement of the device.
- Concurrent medical condition with a life expectancy of less than 12 months
- Currently participating in an investigational study
- Co-morbid conditions that place the subject at an unacceptable surgical risk (e.g. severe chronic obstructive pulmonary disease, hepatic failure, immunological abnormalities, and hematological abnormalities)
- Subjects with indication for concomitant surgery such as coronary artery bypass graft (CABG), aortic valve reconstruction or replacement, tricuspid repair or replacement, left ventricular remodeling surgery and congenital repair
- Any cardiac resynchronization therapy within the last 3 months prior to treatment
- Subjects on high dose steroids or immunosuppressant therapy
- Female subjects who are pregnant, of child bearing potential or lactating
- Subjects who are unable or unwilling to comply with the follow-up schedule and requirements
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
EXPERIMENTAL: Treatment
|
Percutaneous intervention for the treatment of functional mitral regurgitation
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Major adverse cardiac and cardiovascular events
Time Frame: 30 day
|
30 day
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (ACTUAL)
Primary Completion
Study Completion (ACTUAL)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
First Posted
Study Record Updates
Last Update Posted (ACTUAL)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 3566
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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