Stent Implantation of Polyurethane Expandable Valve, by Catheter, in Patients With Pulmonary Valve Dysfunction

NCT ID: NCT05289622

Last Updated: 2022-04-01

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-31

Study Completion Date

2023-02-28

Brief Summary

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Prospective Study, Single Arm to evaluate the safety and efficacy of polyurethane expandable valve implantation in the pulmonary position, in 5 patients over 18 years of age, with pulmonary valve dysfunction and moderate to severe impairment of Right Ventricular function. During throughout the study, safety parameters related to valve operation will be evaluated (patient's Functional Class), in addition to the occurrence of Serious Adverse Events. After the procedure, the patient must be hospitalized in the Intensive Care Unit until the complete hemodynamic stabilization and normalization of lung function and in good general condition (2 to 3 days of stay) and then transferred to the ward (2 to 3 days and stay) before hospital discharge. A formal Statistical Analysis Plan (SAP) will be developed and finalized before closing the database. Full details of data presentations and analysis will be provided in SAP.

Additional statistical analyses, other than those described in this section, may be performed if deemed appropriate and included in SAP. Any deviations from the final analysis plan or what is presented in the protocol will be discussed in the final study report. No formal inferential statistics will be applied to the data collected in the study.

Detailed Description

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Conditions

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Valvulopathy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Prospective, Single Arm Safety and Efficacy Study to evaluate the expandable polyurethane valve in the pulmonary position, in 5 patients over 18 years of age, with pulmonary valve dysfunction and moderate to severe impairment of cardiac ventricular function.
Primary Study Purpose

DEVICE_FEASIBILITY

Blinding Strategy

NONE

Study Groups

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Polyurethane expandable valve stent implant surgery

Valve stent implantation will be performed under general anesthesia with transesophageal echocardiography monitoring, with thoracotomy approach median and circulation aid extracorporeal.

Group Type EXPERIMENTAL

Polyurethane expandable valve stent implant

Intervention Type DEVICE

The baseline assessment of patients will include the admission of patients and the performance of preoperative exams (cardiological imaging for the correct selection). An estimated surgery time of 5 hours. During the entire procedure, patients will be under general anesthesia and controlled mechanical ventilation. The material collected in the laboratory will be processed, the result released and discarded. After the patient enters the operating room, hemodynamic monitoring, ECG, arterial saturation, with peripheral sensor, central venous access with double lumen catheter will be carried out; blood pressure monitoring by radial artery puncture, bladder catheter and thermometer in the nasopharynx and rectum. After preoperative preparation, patients will undergo a surgical approach by median thoracotomy and installation of the Cardiopulmonary bypass (ECC) circuit, by placing a cannula in the ascending aorta, Superior Vena Cava (SVC) and Inferior Vena Cava (IVC).

Interventions

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Polyurethane expandable valve stent implant

The baseline assessment of patients will include the admission of patients and the performance of preoperative exams (cardiological imaging for the correct selection). An estimated surgery time of 5 hours. During the entire procedure, patients will be under general anesthesia and controlled mechanical ventilation. The material collected in the laboratory will be processed, the result released and discarded. After the patient enters the operating room, hemodynamic monitoring, ECG, arterial saturation, with peripheral sensor, central venous access with double lumen catheter will be carried out; blood pressure monitoring by radial artery puncture, bladder catheter and thermometer in the nasopharynx and rectum. After preoperative preparation, patients will undergo a surgical approach by median thoracotomy and installation of the Cardiopulmonary bypass (ECC) circuit, by placing a cannula in the ascending aorta, Superior Vena Cava (SVC) and Inferior Vena Cava (IVC).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patients aged 18 years or older;
* Pulmonary valve dysfunction and moderate to severe impairment of Right Ventricle function;
* Functional Class II to IV New York Heart Association (NYHA) classification of heart failure.

Exclusion Criteria

* Impairment of cardiovascular function;
* Neurological impairment;
* Syndromes without prognosis or survival of less than 1 year;
* Carriers of infection undergoing medical treatment;
* Patients undergoing artificial life support;
* Known hypersensitivity to aspirin or heparin;
* Positive urine or serum test for pregnancy in female patients of reproductive age.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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SYNTHETIC HEART TECHNOLOGY

UNKNOWN

Sponsor Role collaborator

Dr. Miguel Angel Maluf

OTHER

Sponsor Role lead

Responsible Party

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Dr. Miguel Angel Maluf

Principal Investigator

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Miguel Angel Maluf

Role: PRINCIPAL_INVESTIGATOR

Hospital Alemão Oswaldo Cruz

Locations

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Hospital Alemão Oswaldo Cruz

São Paulo, , Brazil

Site Status

Countries

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Brazil

Central Contacts

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Dayane Correa Vila Nova

Role: CONTACT

+55 11 3549-0729

Facility Contacts

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Dayane Correa Vila Nova

Role: primary

+55 11 3549-0729

Other Identifiers

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43624621.7.0000.0070

Identifier Type: -

Identifier Source: org_study_id

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