The ASCEND post-market clinical follow-up study is undertaken to evaluate safety and clinical performance of the On-X Ascending Aortic Prosthesis (AAP) used in surgical aortic valve replacement.
In this study patients will be observed that receive an On-X AAP implant for the treatment of a diseased, damaged, or malfunctioning native or prosthetic heart valve. The On-X AAP will be implanted at the discretion of the treating physician. Participating physicians will be asked to provide their observations collected during routine care for patients he/she had decided to treat with the On-X AAP. Written informed consent, specifically allowing the use of clinical records for this observational study, will be obtained from every patient in Europe and every patient that is alive in the US prior to data collection where required. In Europe, every patient will be enrolled prospectively prior to the intervention. In the US, patients can be enrolled retrospectively after the intervention or prospectively prior to the intervention. The data from patients who have died following their implant will be recorded in the database without the requirement for written informed consent after IRB approval. The period of data collection will be approximately 60 + 6 months (depending on the date of the last follow-up visit) from the surgery for each patient. Echocardiography images at prior to discharge, at 12 months, 60 months will be evaluated by a CoreLab. All adverse events defined in the Clinical Event Committee (CEC) charter will be adjudicated by the CEC.
Study Type
OBSERVATIONAL
Enrollment
108
Open repair of the aortic heart valve and ascending thoracic aorta
Geisinger Health System
Danville, Pennsylvania, United States
Baylor College of Medicine
Houston, Texas, United States
VCU Medical Center Main Hospital
Richmond, Virginia, United States
Mortality
Rate of in-house all-cause mortality
Time frame: at discharge to home or to rehabilitation
All-cause Mortality
Rate of all-cause mortality
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Valve-related mortality
Rate of valve-related mortality
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Reoperation
Rate of patients with reoperation
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Explant
Rate of patients with explant of On-X AAP (including heart valve)
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Endocarditis
Rate of patients with endocarditis
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Embolism
Rate of patients with embolism
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Thromboembolism
Rate of patients with peripheral thromboembolism
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Bleeding
Rate of patients with major bleeding
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Medizinische Hochschule Hannover (MHH)
Hanover, Germany
University Hospital Magdeburg
Magdeburg, Germany
Policlinico S. Orsola-Malpighi
Bologna, Italy
Hospital Germans Trias i Pujol
Badalona, Spain
Hospital de la Santa Creu i Sant Pau
Barcelona, Spain
Castle Hill Hospital
Cottingham, United Kingdom
St Bartholomew's Hospital
London, United Kingdom
...and 1 more locations
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Transient ischemic attack
Rate of patients with transient ischemic attack (TIA)
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Stroke
Rate of patients with new stroke (ischemic and hemorrhagic) (mRS \> mRS at baseline)
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Ischemic stroke
Rate of patients with new ischemic stroke (mRS \> mRS at baseline)
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Hemorrhagic stroke
Rate of patients with new hemorrhagic stroke (mRS \> mRS at baseline)
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Valve deterioration
Rate of patients with structural valve deterioration
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Non-structural dysfunction
Rate of patients with non-structural dysfunction
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
Valve thrombosis
Rate of patients with valve thrombosis
Time frame: 30-day, 1 year, 2 years, 3 years, 4 years, 5 years
NYHA
NYHA Functional Class
Time frame: 1 year, 3 years, 5 years