This study aims to investigate the safety and efficacy of the PASCAL leaflet repair system in the treatment of tricuspid regurgitation in a commercial use setting including all consecutive patients at the participating Centers in an observational fashion.
Tricuspid regurgitation (TR) is associated with high morbidity and mortality, but many patients are ineligible for surgical treatment due to age and co-morbidities. As a consequence, transcatheter treatment techniques have evolved over the last years. Leaflet repair is one of the most commonly used techniques and has recently gained commercial approval for dedicated TR treatment. The PASCAL (Edwards Lifesciences, Irvine, USA) offers the possibility for independent leaflet grasping and a central spacer can bridge larger coaptation gaps. The hitherto evidence is mainly based on compassionate use data. This study aims to report the first commercial use in a multicenter study with a large patient cohort und long-term follow-up. Aim of the study is to investigate safety and efficacy of the PASCAL leaflet repair system in the treatment of TR in a commercial use setting. Study design is a multicenter, single-device, retro- and prospective, observational registry. All consecutive patients undergoing treatment with the PASCAL system for tricuspid regurgitation in a commercial setting are included.
Study Type
OBSERVATIONAL
Enrollment
1,000
transcatheter Implantation of one or more PASCAL devices in the tricuspid valve
Zentralklinik Bad Berka GmbH
Bad Berka, Germany
RECRUITINGHerz & Diabeteszentrum Nordrhein Westfalen
Bad Oeynhausen, Germany
RECRUITINGChange of TR severity
TR ≤ grade 2+ (moderate)
Time frame: 1 year
Rate of technical success
absence of procedural mortality, successful access, delivery and retrieval of the delivery system, successful deployment and positioning, freedom from emergency surgery
Time frame: 1 day
Rate of procedural safety
Absence of periprocedural and in-hospital adverse events
Time frame: 1 week
New York Heart Association (NYHA) functional class
Level of exertional dyspnea (I - IV)
Time frame: 1 year
6-minute walk distance (6MWD)
physical capacity measured by 6MWD in meters
Time frame: 1 year
NT-proBNP level
cardiac biomarker level (in pg/nl)
Time frame: last available follow-up (at least 1 year after intervention)
right heart dimension
Right ventricular end-diastolic Diameter (in mm)
Time frame: 1 year
right heart function
tricuspid annular plane systolic excursion (TAPSE, in mm)
Time frame: 1 year
tricuspid regurgitation severity
TR severity grading on a five-grade scheme (1-5)
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Universitätsklinikum Essen
Essen, Germany
RECRUITINGMarienkrankenhaus Hamburg
Hamburg, Germany
RECRUITINGUniversitäres Herz- und Gefäßzentrum Hamburg
Hamburg, Germany
RECRUITINGUniversitätsklinikum Heidelberg
Heidelberg, Germany
NOT_YET_RECRUITINGHerzzentrum Leipzig
Leipzig, Germany
RECRUITINGLMU University Hospital
Munich, Germany
RECRUITINGUniversitätsklinikum Siegburg
Siegburg, Germany
RECRUITINGUniversitätsklinikum Tübingen
Tübingen, Germany
RECRUITING...and 4 more locations
Time frame: last available follow-up (at least 1 year after intervention)
transtricuspid gradient
transvalvular antegrade gradient over tricuspid valve (in mmHg)
Time frame: 1 year
pulmonary artery pressure (PAP)
estimated PAP by echocardiography (in mmHg)
Time frame: 1 year
inferior vena cava (IVC) dimension
IVC Diameter during expiration (in mm)
Time frame: 1 year