CARDINAL Adjustable Annuloplasty Ring System For Treatment of Mitral Regurgitation

NCT ID: NCT01137734

Last Updated: 2021-11-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-03-31

Study Completion Date

2014-01-31

Brief Summary

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Annuloplasty device for repair of mitral valve regurgitation with option to adjust device post implant off pump, to optimize correction of mitral regurgitation. Unlike conventional annuloplasty ring, the Cardinal system offers the clinician the opportunity to make adjustments after weaning from cardiopulmonary bypass. Adjustability is expected to reduce the number of patients leaving the operating room with residual regurgitation after mitral valve repair.

Detailed Description

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Conditions

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Mitral Valve Insufficiency

Keywords

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Heart Diseases Heart Valve Diseases Cardiovascular Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Valtech Cardinal Mitral Annuloplasty Ring

All subjects enrolled in the study are implanted with the Valtech Cardinal Mitral Annuloplasty ring.

Group Type EXPERIMENTAL

Adjustable Annuloplasty Ring with option to adjust off pump.

Intervention Type DEVICE

Annuloplasty device repair of mitral valve regurgitation with option to adjust device post implant off pump, to optimize correction of mitral regurgitation. Unlike conventional annuloplasty repair, the Cardinal system offers the clinician the opportunity to make adjustments after weaning from cardiopulmonary bypass. Adjustability is expected to reduce the number of patients leaving the operating room with residual regurgitation after mitral valve repair.

Device: Adjustable Annuloplasty Ring (with option to adjust off-pump)

Intervention Type DEVICE

Evaluate the performance and safety of the investigational adjustable annuloplasty ring device for the treatment of mitral regurgitation, with option to adjust on and off-pump.

Interventions

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Adjustable Annuloplasty Ring with option to adjust off pump.

Annuloplasty device repair of mitral valve regurgitation with option to adjust device post implant off pump, to optimize correction of mitral regurgitation. Unlike conventional annuloplasty repair, the Cardinal system offers the clinician the opportunity to make adjustments after weaning from cardiopulmonary bypass. Adjustability is expected to reduce the number of patients leaving the operating room with residual regurgitation after mitral valve repair.

Intervention Type DEVICE

Device: Adjustable Annuloplasty Ring (with option to adjust off-pump)

Evaluate the performance and safety of the investigational adjustable annuloplasty ring device for the treatment of mitral regurgitation, with option to adjust on and off-pump.

Intervention Type DEVICE

Other Intervention Names

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Valtech Cardinal Adjustable ring

Eligibility Criteria

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Inclusion Criteria

* Patient is a candidate for mitral valve repair.
* Patient able and willing to return to the implant center for follow-up visits.
* Able and willing to give informed consent and follow protocol procedures.

Exclusion Criteria

* Severe organic lesions with retraction of chordate tendineae, severly fibrotic and immobile leaflets, severely deformed subvalvular apparatus.
* Evolving endocarditis or active endocarditis in the last 3 months.
* Heavily calcified annulus or leaflets.
* Congenital malformation with limited valvular tissue
* Patient requires mitral valve replacement.
* Previously implanted prosthetic mitral valve or annuloplasty ring/band.
* Patient requires aortic or pulmonic valve replacement or repair.
* Patient is pregnant (urine HCG test result positive) or lactating.
* Patient has a major cardiac or non-cardiac disease, which in the investigator's experience produces an unacceptable surgical risk.
* Life expectancy of less than twelve months.
* Patient is participating in concomitant research studies of investigational products
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Edwards Lifesciences

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Hugo Vanermen, Prof, MD

Role: PRINCIPAL_INVESTIGATOR

Hospital Onze-Lieve-Vrouw-Ziekenhuis, Aalst , Belgium

Fredrich Mohr, Prof,MD

Role: PRINCIPAL_INVESTIGATOR

University Leipzig, Germany

Volkmar Falk, Prof, MD

Role: PRINCIPAL_INVESTIGATOR

University Zurich, Switzerland

Locations

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Hugo Vanermen

Aalst, , Belgium

Site Status

Hospital San Raffaele

Milan, , Italy

Site Status

Countries

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Belgium Italy

References

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Si MS, Conte JV, Romano JC, Romano MA, Andersen ND, Gerdisch MW, Kupferschmid JP, Fiore AC, Bakhos M, Bonilla JJ, Burke JR, Rankin JS, Wei LM, Badhwar V, Turek JW. Unicuspid Aortic Valve Repair Using Geometric Ring Annuloplasty. Ann Thorac Surg. 2021 Apr;111(4):1359-1366. doi: 10.1016/j.athoracsur.2020.04.147. Epub 2020 Jun 30.

Reference Type BACKGROUND
PMID: 32619617 (View on PubMed)

Czesla M, Gotte J, Voth V, Doll N. Single-Center Experience With Adjustable Annuloplasty Ring in Degenerative Mitral Regurgitation. Innovations (Phila). 2015 Jul-Aug;10(4):248-51; discussion 251. doi: 10.1097/IMI.0000000000000186.

Reference Type BACKGROUND
PMID: 26371453 (View on PubMed)

Kolsut P, Juraszek A, Brzozowski P, Dabrowski M, Witkowski A, Rozanski J, Kusmierczyk M. Case report on successful 'bail out' aortic homograft implantation in a 81-year old woman with aortic ring rupture after double TAVI procedure. J Cardiothorac Surg. 2015 Mar 4;10:28. doi: 10.1186/s13019-015-0233-x.

Reference Type BACKGROUND
PMID: 25887519 (View on PubMed)

Maisano F, Falk V, Borger MA, Vanermen H, Alfieri O, Seeburger J, Jacobs S, Mack M, Mohr FW. Improving mitral valve coaptation with adjustable rings: outcomes from a European multicentre feasibility study with a new-generation adjustable annuloplasty ring system. Eur J Cardiothorac Surg. 2013 Nov;44(5):913-8. doi: 10.1093/ejcts/ezt128. Epub 2013 Mar 25.

Reference Type BACKGROUND
PMID: 23530026 (View on PubMed)

Other Identifiers

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VC1-1

Identifier Type: -

Identifier Source: org_study_id