The study collects real-world data of patients who were treated with the Acurate Neo TAVI System and evaluates early and midterm clinical outcomes.
The study collects real-world data of patients who were treated with the Acurate Neo TAVI System and evaluates early and midterm clinical outcomes.
Study Type
OBSERVATIONAL
Enrollment
300
Implantation of the Acurate Neo Transcatheter Heart Valve
Hospital Universitari Germans Trias I Pujol
Badalona, Barcelona, Spain
Hospital Universitari Vall D'Hebron
Barcelona, Spain
Hospital Universitari de Bellvitge
Barcelona, Spain
Hospital Universitario de Burgos
Device success of implantation
Proportion of patients with device success of implantation defined as: * absence of procedural mortality AND * correct positioning of a single prosthetic heart valve into the proper anatomical location AND * no prosthesis - patient mismatch AND * mean aortic valve gradient \<20 mmHg, AND * no moderate or severe prosthetic valve regurgitation
Time frame: 7 days
Cardiovascular death
Cumulative incidence of a combination of all cause Cardiovascular death
Time frame: 30 days post-index procedure
Assessment of early safety
Proportion of patients with early safety defined by the Valve Academic Research Consortium-2 (VARC-2) as: * All-cause mortality * All stroke (disabling and non-disabling) * Life-threatening bleeding * Acute kidney injury-Stage 2 or 3 (including renal replacement therapy) * Coronary artery obstruction requiring intervention * Major vascular complication * Valve-related dysfunction requiring repeat procedure
Time frame: 30 days
Assessment of time-related valve safety
Proportion of patients with structural valve deterioration as defined by: * Requiring repeat procedure (transcatheter or surgical heart valve replacement) * Valve-related dysfunction defined by * mean aortic valve gradient ≥20 mmHg and * no moderate or severe prosthetic valve regurgitation * Prosthetic valve endocarditis * Prosthetic valve thrombosis * Thrombo-embolic events (e.g. stroke) * VARC bleeding, unless clearly unrelated to valve therapy
Time frame: 30 days
Assesment of NYHA (New York Heart Association ) classification
Assesment of NYHA classification
Time frame: 7 days, 30 days, 12 month
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Burgos, Spain
Hospital Universitario Virgen de Las Nieves
Granada, Spain
Hospital Universitario Ramon Y Cajal
Madrid, Spain
Hospital Clinico de San Carlos
Madrid, Spain
Hospital Universitario de La Paz
Madrid, Spain
Hospital Universitari I Politècnic de La Fé
Valencia, Spain
Hospital Clinico Universitario de Valladolid
Valladolid, Spain
Assessment of mean aortic gradient post-implantation
Assessment of mean aortic gradient post-implantation
Time frame: up to one year
Death during the hospitalization of the patient
Proportion of patients with death during the hospitalization designated by the VARC-2 criteria
Time frame: date of procedure till date of estimated discharge, assessed up to two weeks