Viewing Study NCT06633159



Ignite Creation Date: 2024-10-26 @ 3:42 PM
Last Modification Date: 2024-10-26 @ 3:42 PM
Study NCT ID: NCT06633159
Status: RECRUITING
Last Update Posted: None
First Post: 2024-09-23

Brief Title: MitraClip in Patients With Heart Failure
Sponsor: None
Organization: None

Study Overview

Official Title: Register of Patients With Heart Failure Who Underwent Surgery to Correct Mitral Regurgitation by Percutaneous Catheter Implantation of MitraClip on the Mitral Valve
Status: RECRUITING
Status Verified Date: 2024-09
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: MitraClip
Brief Summary: Multicenter observational study The study does not involve any interventions in routine clinical practice the choice of treatment method including the type of medical device used and the method of surgical intervention and the methods of examination and postoperative management of patients will not differ from the standard of care for patients requiring percutaneous transcatheter edge-to-edge mitral valve reconstruction by implantation of the MitraClip clip on the mitral valve leaflets used in the daily medical practice of a medical institution All medical devices under study delivery device with the MitraClip clip on the mitral valve leaflets are registered in the territory of the Russian Federation and are used in the conditions of routine medical practice The study will include patients who have undergone surgical intervention to correct mitral regurgitation by percutaneous transcatheter implantation of the MitraClip G4 clip on the mitral valve leaflets It is expected to include at least 196 patients at least 98 prospective patients and at least 98 retrospective patients The planned number of research centers is 11 outpatient clinics presumably in 6 regions of the Russian Federation
Detailed Description: Mitral regurgitation MR may result from either degenerative lesions of the mitral valve MV leaflets - degenerative MR DMR - or pathological dilation of the left ventricle LV - functional MR FMR In DMR the MV apparatus itself is compromised by affected leaflets chords etc In contrast FMR is usually associated with cardiomyopathy usually of ischemic etiology with this type of MR being secondary to LV dysfunction In both cases there is a violation of leaflet co-optation and reverse blood flow from the LV into the left atrium According to existing guidelines surgical reconstruction plastic surgery is the preferred treatment option for DMR Indications for invasive treatment of FMR are not so clear-cut due to the high rate of postoperative MR recurrence and the lack of reliable evidence of a positive effect of FMR correction on long-term survival The greatest complexity is presented by the group of patients with severe MR and high or unacceptable surgical risk of open surgery

For the treatment of severe MR in such patients the method of transcatheter MV repair was proposed which is an endovascular analogue of the suture edge-to-edge repair according to Alfieri MitraClip system is approved in the European Union the USA the Middle East and the CIS Kazakhstan Belarus for the treatment of high surgical risk patients with DMR and FMR with symptomatic heart failure of II-IV functional class according to the classification of the New York Heart Association NYHA persisting despite optimal drug therapy

The aim of this study is to evaluate the safety and effectiveness of the procedure of percutaneous transcatheter implantation of the MitraClip G4 clip on the mitral valve leaflets in a population of patients from the Russian Federation for the treatment of mitral regurgitation Information on the health status of patients who have undergone the procedure of percutaneous transcatheter edge-to-edge mitral valve reconstruction by implanting the MitraClip clip on the mitral valve leaflets will be of high scientific and practical interest

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None