Transcatheter Tricuspid Valve Replacement: Replacement of the tricuspid valve through a transcatheter approach
Study summary
Prospective, multi-center study to assess safety and performance of the Edwards EVOQUE Tricuspid Valve Replacement System
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key Inclusion Criteria:
* Functional or degenerative TR moderate or greater
* Symptomatic despite medical therapy or prior HF hospitalization from TR
* The Local Site Heart Team determines that the patient is appropriate for transcatheter tricuspid valve replacement
Key Exclusion Criteria:
* Tricuspid valve anatomic contraindications
* Need for emergent or urgent surgery or any planned cardiac surgery within the next 12 months
* Hemodynamic instability
* Refractory heart failure requiring advanced intervention
* Currently participating in another investigational study in which the patient has not reached a primary endpoint
Primary outcome measure(s)
Composite Major Adverse Events (MAEs) — 30 Days Composite of major adverse events (MAE) defined as cardiovascular mortality, myocardial infarction, stroke, renal complications requiring unplanned dialysis or renal replacement therapy, severe bleeding, unplanned or emergency tricuspid valve re-intervention, major access site and vascular complications, major access site and vascular complications, and device-related pulmonary embolism at 30 days.
Device Success — Intraprocedural Study device is deployed as intended and the delivery system is successfully retrieved as intended at the time of the patient's exit from the cardiac catheterization laboratory.
Procedure Success — Discharge (Up to 7 days post procedure) Device success without clinically significant paravalvular leak (PVL) on a transthoracic echocardiogram (assessed by the echo core lab) at time of discharge.
Clinical Success — 30 Days Procedural success without MAEs at 30 days.
Tricuspid Regurgitation Reduction — Discharge (Up to 7 days post procedure) Percentage of patients with at least 1 grade reduction in tricuspid regurgitation (TR) as measured by using a 5-grade classification system (mild, moderate, severe, massive, torrential). TR grade is assessed by an independent echocardiography core laboratory.
Trial sites (20)
Facility
City
Region
Status
Cedars-Sinai Medical Center
Los Angeles
California
Stanford University
Stanford
California
Emory University
Atlanta
Georgia
Piedmont Heart Institute
Atlanta
Georgia
Northwestern University
Evanston
Illinois
Massachusetts General Hospital Boston
Boston
Massachusetts
Brigham and Women's Hospital
Boston
Massachusetts
Henry Ford Hospital
Detroit
Michigan
Columbia University Irving Medical Center / NYPH
New York
New York
Montefiore Medical Center
The Bronx
New York
Oregon Health & Science University
Portland
Oregon
Hospital of the University of Pennsylvania
Philadelphia
Pennsylvania
Baylor Heart Hopsital Plano
Plano
Texas
University of Virginia Health System
Charlottesville
Virginia
St. Paul's Hospital Vancouver
Vancouver
British Columbia
St. Michael's Hospital
Toronto
Ontario
Institut universitaire de cardiologie et de pneumologie de Québec - Université Laval (IUCPQ-ULaval)
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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