Rhythm Control and Potential Early Surgery for Tricuspid Regurgitation

NCT ID: NCT05045079

Last Updated: 2024-05-21

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

4 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-20

Study Completion Date

2023-08-09

Brief Summary

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The purpose of this study is to understand the clinical impact of non-surgical and surgical treatment in atrial fibrillation induced tricuspid regurgitation (AFTR).

Detailed Description

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Conditions

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Severe Tricuspid Valve Regurgitation (Disorder)

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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Severe tricuspid regurgitation due to atrial fibrillation

Subjects will receive standard of care procedure right heart catheterization with a inferior vena caval (IVC) occlusion maneuver.

Group Type OTHER

Inferior Vena Caval (IVC) Occlusion maneuver

Intervention Type PROCEDURE

During standard of care right heart catheterization (RHC), a second catheter will be inserted next to the catheter that was placed for the RHC in the jugular vein or femoral vein to assess the degree of pericardial restraint from the severe tricuspid regurgitation that may increase left sided filling pressures.

Interventions

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Inferior Vena Caval (IVC) Occlusion maneuver

During standard of care right heart catheterization (RHC), a second catheter will be inserted next to the catheter that was placed for the RHC in the jugular vein or femoral vein to assess the degree of pericardial restraint from the severe tricuspid regurgitation that may increase left sided filling pressures.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years.
* Moderate-severe or severe TR while in atrial fibrillation.
* Ambulatory (not wheelchair/scooter dependent).

Exclusion Criteria

* Systolic pulmonary artery pressure\>70 mmHg with a fixed pulmonary vascular resistance \>7 Wood units by catheterization.
* Ejection fraction \<40%.
* Obstructive hypertrophic cardiomyopathy.
* Constrictive pericarditis or tamponade.
* Active myocarditis.
* Complex congenital heart disease.
* Other valve disease requiring surgical intervention.
* Terminal illness (other than HF) with expected survival of less than 1 year.
* Pregnancy or breastfeeding mothers.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Yogesh Reddy

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Yogesh Reddy, MBBS

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic in Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

Related Links

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Other Identifiers

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21-000537

Identifier Type: -

Identifier Source: org_study_id

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