The purpose of this early feasibility study is to determine how a new transcatheter pulmonary valve will move and perform once implanted in the right ventricular outflow tract.
Medtronic, Inc. is in the process of developing a novel transcatheter device option for patients with congenital heart disease, without right ventricle-to-pulmonary artery conduits, called the Native Outflow Tract Transcatheter Pulmonary Valve. Given limitations in the animal model to confirm device boundary conditions, this feasibility study is proposed to characterize that information as well as evaluate safety, procedural feasibility and performance data to be used for future development of the device.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DEVICE_FEASIBILITY
Masking
NONE
Enrollment
20
Transcatheter placement of a pulmonary valve
Boston Children's Hospital
Boston, Massachusetts, United States
Nationwide Children's Hospital
Columbus, Ohio, United States
The Hospital for Sick Children
Toronto, Ontario, Canada
Measurement of radial, linear and axial compression, bending and torsion of device
The following variables will be measured: radial compression, linear compression, axial compression, device bending and device torsion using the discharge CT. The degree of deformation of the device will be reported.
Time frame: 4 Days Post-Implant
Number of Patients with Procedural Success
The number of patients who are successfully implanted with the device will be reported. This is measured by meeting all of the following criteria: Confirmation that the device is fixated within the desired location, RV-PA peak-to-peak gradient is less than 25 mmHg, Pulmonary regurgitation is moderate or less, and the subject is free of explantation at 24 hours post-implant.
Time frame: 24 hours post-implant
Number of Patients with Serious Procedural Adverse Events
The number of patients that experience a serious procedural adverse event, as defined per the study protocol, will be reported.
Time frame: Through 5 year follow-up
Number of Patients with Device-related Adverse Events
The number of patients that experience a device-related adverse event, as defined per the study protocol, will be reported.
Time frame: Through 5 years
Number of Patients with Stent Fracture
The number of patients that experience a stent fracture of their device will be reported.
Time frame: Through 5 years
Number of Patients with Catheter Re-intervention on the TPV
The number of patients that experience a catheter re-intervention will be reported.
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Time frame: Through 5 years
Assessment of Surgical Intervention on the TPV
The number of patients that undergo a surgical intervention will be reported.
Time frame: Through 5 years
Number of Patient Deaths (all-cause, procedural, and device-related)
Any patient deaths that occur during the study will be reported.
Time frame: Through 5 years
Pulmonary Regurgitant Fraction (%) as measured by cardiac MRI
The pulmonary regurgitant fraction for all patients, as measured by cardiac MRI, will be reported.
Time frame: Through 5 years
Pulmonary Regurgitation Severity as Measured by Echocardiography
The pulmonary regurgitation severity for all patients, as measured by echocardiography, will be reported.
Time frame: Through 5 years
Right Ventricular Volume (ml) as Measured by Cardiac MRI
The right ventricular volumes for all patients, as measured by cardiac MRI, will be reported.
Time frame: Through 5 years
Mean RVOT Gradient (mmHg) as Measured by Color Wave Doppler
The mean RVOT gradient for all patients, as measured by Color Wave Doppler, will be reported.
Time frame: Through 5 years