The purpose of the study is to determine the long-term follow-up clinical outcomes, effectiveness, and safety data of the PULSTA Transcatheter Pulmonary Valve (TPV) implantation in a real-world situation
The PULSTA TPV is a self-expandable valve with flared-ends to adapt to the larger native right ventricular outflow tract (RVOT) and is using a relatively low profile delivery catheter from knitted nitinol wire backbone and trileaflets made from treated porcine pericardial tissue, and a delivery system, which provides access to the right ventricular outflow tract through blood vessels. This registry will collect real-world clinical data on patients undergoing PULSTA TPV implantation at discharge and at 1 month, 6 months, and annually for up to 5 years after implantation.
Study Type
OBSERVATIONAL
Enrollment
200
Deutsches Herzzentrum München
Munich, Bavaria, Germany
Ospedale Niguarda (Milano)
Milan, Lombardy, Italy
Polish Mother's memorial hospital
Lodz, Łódź Voivodeship, Poland
Bucheon Sejong Hospital
Bucheon-si, Gyeonggi-do, South Korea
Procedural / device-related serious adverse events at 12 months
Time frame: 12 months
Hemodynamic functional improvement at 12 months
Hemodynamic functional improvement is defined as the achievement of both of the following criteria: * Mild or less pulmonary regurgitation measured by echocardiography AND * Mean Right Ventricular Outflow Tract(RVOT) pressure gradient measured by echocardiography ≤35mmHg
Time frame: 12 months
Procedural success
Procedural success is defined as the Transcatheter Pulmonary Valve(TPV) implant in on the desired site, Right ventricle-Pulmonary artery (RV-PA) peak systolic pressure gradient \<35mmHg by cardiac catheterization, less mild pulmonary regurgitation by angiography, and freedom from explantation of the TPV at 24 hours following implantation.
Time frame: 24 hours
Hemodynamic function at all follow-up visits
Hemodynamic function will be assessed including: * Peak RVOT pressure gradient (by echocardiography) * Mean RVOT pressure gradient (by echocardiography)
Time frame: 5 years
Severity of pulmonary regurgitation (by echocardiography)
Severity of pulmonary regurgitation will be measured by Doppler echocardiography and classified into none, trace/trivial, mild, moderate, and severe.
Time frame: 5 years
NYHA functional classification
Clinical outcome will be assessed as per the New York Heart Association (NYHA) functional classification at all follow-up visits and will be compared to baseline values.
Time frame: 5 years
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Seoul National University Hospital (Seoul)
Seoul, South Korea
Severance Hospital (Seoul)
Seoul, South Korea
La Paz Hospital (Madrid)
Madrid, Madrid, Spain
Koc University Hospital (Istanbul)
Istanbul, Istanbul, Turkey (Türkiye)
Siyami Ersek Hospital (Istanbul)
Istanbul, Istanbul, Turkey (Türkiye)
Freedom from death
Frequency of all cause / cardiac / non-cardiac / procedural-related / device-related deaths during the 5-year follow-up period
Time frame: 5 years
Freedom from re-operation
Reoperation is defined as open surgery that alters or adjusts, or replaces a previously implanted PULSTA
Time frame: 5 years
Freedom from catheter re-intervention
Any interventional catheter procedure (e.g. balloon angioplasty) that alters or adjusts, or replaces a previously implanted PULSTA TPV
Time frame: 5 years
Freedom from TPV dysfunction
Moderate or greater pulmonary regurgitation, clinically significant RVOT obstruction (mean RVOT gradient \>35 mmHg), or any valve-related event requiring re-intervention or re-operation
Time frame: 5 years
Incidence of procedural- and device-related adverse events
Time frame: 5 years