This study aims to collect post-market safety and performance data related to the procedure and follow-up of the VIVERE Bovine Pericardial Bioprosthetic Valve, when used in accordance with the product's Instructions for Use (IFU).
A multicenter, observational, retrospective, single-arm study. This study will include patients who underwent valve replacement (native or bioprosthetic) of the aortic or mitral valves using the VIVERE Bovine Pericardial Bioprosthetic Valve, between 2017 and 2022. Data will be collected up to 3 years post-procedure.
Study Type
OBSERVATIONAL
Enrollment
150
Replacement of the native valve or bioprosthesis
Hospital Nossa Senhora (Fundação Pio Xii)
Barretos, São Paulo, Brazil
Hospital de Caridade São Vicente de Paulo
Jundiaí, São Paulo, Brazil
Hospital Beneficência Portuguesa
São José do Rio Preto, São Paulo, Brazil
Safety performance
Procedure- or device-related mortality
Time frame: Hospital discharge or within 30 days of the procedure, whichever occurs first.
Efficacy outcome
Percentage of patients in NYHA (New York Heart Association functional classification) Class I or II at 3 years post-implant.
Time frame: 3 years post-implant
Clinical success
Defined as valve implantation without complications and without serious adverse events up to hospital discharge
Time frame: Hospital discharge
Composite serious valve-related adverse events (non-linearized)
Defined as death, stroke, and/or reintervention within 3 years of valve implantation
Time frame: From immediately after the intervention until study completion, with an average follow-up of 3 years
Hemodynamic Performance
Effective orifice area (cm²), mean pressure gradient (mmHg) and paravalvular leak.
Time frame: From immediately after the intervention until study completion, with an average follow-up of 3 years
Structural Valve Deterioration
Defined as calcification, fibrosis, and/or leaflet fracture.
Time frame: 30 days, 1 year, 2 years, and 3 years
Serious Adverse Events (linearized rates)
Bleeding, thromboembolism, valve thrombosis (thrombus formation with prosthetic dysfunction), endocarditis (infection leading to prosthetic dysfunction), non-structural valve dysfunction (leak, mismatch, and/or late embolization), and structural valve deterioration (calcification, fibrosis, and/or leaflet fracture), paravalvular leak, need for reintervention, and valve-related or non-valve-related death.
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Time frame: 30 days, 1 year, 2 years, and 3 years
All-Cause Mortality
Including cardiovascular and non-cardiovascular causes, within 3 years after implantation.
Time frame: 3 years post-valve implantation