Phase
Condition
Vascular Diseases
Chest Pain
Heart Valve Disease
Treatment
Optimal Medical Therapy
Edwards EVOQUE System
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Age ≥ 18 years old
Despite medical therapy (OMT) per the local Heart Team, patient has signs of TR,symptoms from TR, or prior heart failure hospitalization from TR. Patient must be onOMT per the local heart team at the time of TR assessment for trial eligibility (TTE). OMT includes stable oral diuretic medications, unless patient has adocumented history of intolerance.
Functional and/or degenerative TR graded as at least severe on a transthoracicechocardiogram (assessed by the echo core lab using a 5-grade classification)
The Local Heart Team determines that the patient is appropriate for transcathetertricuspid valve replacement
Patient is willing and able to comply with all study evaluations and provideswritten informed consent.
Exclusion
Exclusion Criteria:
Anatomy precluding proper device delivery, deployment and/or function
LVEF < 25%
Evidence of severe right ventricular dysfunction
Any of the following pulmonary pressure parameters:
PASP >60 mmHg by echo Doppler (unless RHC demonstrates PASP ≤70 mmHg)
PASP >70 mmHg by RHC
PVR >5 Wood units by RHC (unless PVR ≤5 Wood units and systolic BP >85 mmHgafter vasodilator challenge)
Previous tricuspid surgery or intervention
Presence of trans-tricuspid pacemaker or defibrillator lead with any of thefollowing:
Implanted in the RV within the last90 days
Patient is pacemaker dependent5 on trans-tricuspid lead without alternativepacing option
Has delivered appropriate ICD therapy
Severe aortic, mitral and/or pulmonic valve stenosis and/or regurgitation.
Active endocarditis within the last 90 days or infection requiring antibiotictherapy (oral or intravenous) within the last 14 days
Hemodynamically significant pericardial effusion
Significant intra-cardiac mass, thrombus, or vegetation.
Clinically significant, untreated coronary artery disease requiringrevascularization, evidence of acute coronary syndrome, recent myocardial infarctionwithin the last 30 days.
Any of the following cardiovascular procedures:
Percutaneous coronary, intracardiac, or endovascular intervention within thelast 30 days
Carotid surgery within the last 30 days
Direct current cardioversion within the last 30 days
Leadless RV pacemaker implant within the last 30 days
Cardiac surgery within the last 90 days
Known history of untreated severe symptomatic carotid stenosis (>50% by ultrasound)or asymptomatic carotid stenosis (>70% by ultrasound)
Need for emergent or urgent surgery for any reason, any planned cardiac surgerywithin the next 12 months (365days), or any planned percutaneous cardiac procedurewithin the next 90 days
Hypotension (systolic pressure <90 mmHg) or requirement for inotropic support orhemodynamic support within the last 30 days
Patient with refractory heart failure requiring or which required advancedintervention (i.e. left ventricular assist device, transplantation) (ACC/AHA/ESC/EACTS Stage D heart failure)
Deep vein thrombosis (DVT) or pulmonary embolism (PE) in the last 6 months (180days)
Stroke within the last 90 days
Modified Rankin Scale ≥ 4 disability
Severe renal insufficiency with estimated glomerular filtration rate (eGFR) ≤ 25mL/min/1.73m2 or requiring chronic renal replacement therapy.
Patients with hepatic insufficiency or cirrhosis with Child-Pugh score class C
Patient is oxygen-dependent or requires continuous home oxygen
Chronic anemia with transfusion dependency or Hgb < 9 g/dL not corrected bytransfusion
Unable to walk at least 100 meters in a 6-minute walk test
Thrombocytopenia (Platelet count < 75,000/mm3) or thrombocytosis (Platelet count > 750,000/mm3)
Known bleeding or clotting disorders or patient refuses blood transfusion
Active gastrointestinal (GI) bleeding within the last 90 days
Pregnant, breastfeeding, or planning pregnancy within the next 12 months (365 days).
Patients in whom (any of the following):
TEE is contraindicated or cannot be completed
tricuspid valve anatomy is not evaluable by TTE or TEE
In the opinion of the investigator, access to and through the femoral vein/IVC witha guide sheath and delivery catheter is deemed not feasible (e.g. occluded femoralveins, occluded or thrombosed IVC filter)
Untreatable hypersensitivity or contraindication to any of the following: allantiplatelets, all anticoagulants, nitinol alloys (nickel and titanium), bovinetissue, glutaraldehyde, or contrast media
Currently participating in another investigational biologic, drug or device study
Co-morbid condition(s) that, in the opinion of the Investigator, limit lifeexpectancy to < 12 months (365 days).
Presence of infiltrative cardiomyopathy or valvulopathy (including carcinoid,amyloidosis, sarcoidosis, hemochromatosis) or significant uncorrected congenitalheart disease (including but not limited to hemodynamically significant atrialseptal defect, RV dysplasia, and arrhythmogenic RV)
Any condition, in the opinion of the investigator, making it unlikely the patientwill be able to complete all protocol procedures and follow-ups
Other medical, social, or psychological conditions that preclude appropriate consentand follow-up, including patients under guardianship
Any patient considered to be vulnerable
Study Design
Study Description
Connect with a study center
Herz- und Diabeteszentrum NRW, Bad Oeynhausen
Bad Oeynhausen, 32545
GermanySite Not Available
Herzzentrum Universitätsklinik Bonn
Bonn, 53105
GermanySite Not Available
Herzzentrum Dresden Universitätsklinik
Dresden, 01307
GermanySite Not Available
Herzzentrum der Uniklinik Köln
Köln, 50937
GermanySite Not Available
Herzzentrum Leipzig GmbH
Leipzig, 04289
GermanySite Not Available
Johannes Gutenberg-Universität Mainz
Mainz, 55131
GermanySite Not Available
Klinikum der Universität München - Großhadern
München, 81377
GermanySite Not Available
SJHMC Heart and Vascular Institute
Phoenix, Arizona 85013
United StatesSite Not Available
Tucson Medical Center
Tucson, Arizona 85712
United StatesSite Not Available
Scripps Memorial Hospital La Jolla
La Jolla, California 92037
United StatesSite Not Available
Cedars-Sinai Medical Center
Los Angeles, California 90048
United StatesSite Not Available
UC Davis Medical Center
Sacramento, California 95817
United StatesSite Not Available
Kaiser Permanente San Francisco
San Francisco, California 94118
United StatesSite Not Available
University of California San Francisco
San Francisco, California 94143
United StatesSite Not Available
Stanford University
Stanford, California 94305
United StatesSite Not Available
Medical Center of the Rockies
Loveland, Colorado 80538
United StatesSite Not Available
Florida Heart & Vascular Care - JFK
Atlantis, Florida 33462
United StatesSite Not Available
The Cardiac & Vascular Institute Research Foundation
Gainesville, Florida 32605
United StatesSite Not Available
NCH Heart Institute
Naples, Florida 34102
United StatesSite Not Available
Emory University
Atlanta, Georgia 30308
United StatesSite Not Available
Piedmont Heart Institute
Atlanta, Georgia 30309
United StatesSite Not Available
Northwestern University
Chicago, Illinois 60611
United StatesSite Not Available
St. Vincent Heart Center of Indiana
Indianapolis, Indiana 46290
United StatesSite Not Available
Kansas University Medical Center
Kansas City, Kansas 66160
United StatesSite Not Available
Ascension Via Christi St. Francis
Wichita, Kansas 67214
United StatesSite Not Available
Cardiovascular Research Institute of Kansas
Wichita, Kansas 67226
United StatesSite Not Available
Johns Hopkins Hospital
Baltimore, Maryland 21287
United StatesSite Not Available
University of Maryland
Baltimore, Maryland 21201
United StatesSite Not Available
Beth Israel Deaconess Medical Center
Boston, Massachusetts 02215
United StatesSite Not Available
Brigham and Women's Hospital
Boston, Massachusetts 02115
United StatesSite Not Available
Massachusetts General Hospital
Boston, Massachusetts 02114
United StatesSite Not Available
University of Michigan Hospital and Health Systems
Ann Arbor, Michigan 48109
United StatesSite Not Available
Henry Ford Health System
Detroit, Michigan 48202
United StatesSite Not Available
Mayo Clinic
Rochester, Minnesota 55905
United StatesSite Not Available
Saint Luke's Hospital of Kansas City
Kansas City, Missouri 64111
United StatesSite Not Available
Washington University Barnes-Jewish Hospital
Saint Louis, Missouri 63110
United StatesSite Not Available
Morristown Medical Center
Morristown, New Jersey 07960
United StatesSite Not Available
Rutgers Robert Wood Johnson Medical School
New Brunswick, New Jersey 08903
United StatesSite Not Available
Montefiore Medical Center
Bronx, New York 10461
United StatesSite Not Available
State University of New York at Buffalo
Buffalo, New York 14203
United StatesSite Not Available
North Shore University Hospital
Manhasset, New York 11030
United StatesSite Not Available
Columbia University Medical Center/NYPH
New York, New York 10032
United StatesSite Not Available
Lenox Hill Hospital
New York, New York 10075
United StatesSite Not Available
NYU Langone Health
New York, New York 10016
United StatesSite Not Available
Weill Cornell Medicine-New York Presbyterian Hospital
New York, New York 10021
United StatesSite Not Available
Rochester General Hospital
Rochester, New York 14621
United StatesSite Not Available
St. Francis Hospital
Roslyn, New York 11576
United StatesSite Not Available
University of North Carolina - Chapel Hill
Chapel Hill, North Carolina 27599
United StatesSite Not Available
Carolinas Medical Center
Charlotte, North Carolina 28203
United StatesSite Not Available
The Christ Hospital
Cincinnati, Ohio 45219
United StatesSite Not Available
Cleveland Clinic
Cleveland, Ohio 44195
United StatesSite Not Available
Oklahoma Heart Institute
Tulsa, Oklahoma 74104
United StatesSite Not Available
Oregon Health & Science University
Portland, Oregon 97293
United StatesSite Not Available
University of Pennsylvania
Philadelphia, Pennsylvania 19104
United StatesSite Not Available
Lankenau Heart Institute
Wynnewood, Pennsylvania 19096
United StatesSite Not Available
Saint Thomas Health
Nashville, Tennessee 37205
United StatesSite Not Available
Vanderbilt University Medical Center
Nashville, Tennessee 37232
United StatesSite Not Available
HCA Houston Healthcare
Houston, Texas 77004
United StatesSite Not Available
The University of Texas Health Science Center at Houston
Houston, Texas 77030
United StatesSite Not Available
Baylor Heart Hopsital Plano
Plano, Texas 75093
United StatesSite Not Available
Intermountain Medical Center
Murray, Utah 84107
United StatesSite Not Available
University of Virginia Health System
Charlottesville, Virginia 22908
United StatesSite Not Available
Sentara Norfolk General Hospital
Norfolk, Virginia 23507
United StatesSite Not Available
Swedish Medical Center
Seattle, Washington 98122
United StatesSite Not Available
University of Washington
Seattle, Washington 98195
United StatesSite Not Available
Virginia Mason Franciscan Health
Seattle, Washington 98101
United StatesSite Not Available
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