A Feasibility Study to Evaluate the Safety and Short-term Effectiveness of Transcatheter Pulmonary Valve (TPV)

Seoul National University

Status

Completed

Conditions

Congenital Heart Defects

Cardiovascular Abnormalities

Pulmonary Valve Stenosis

Pulmonary Valve Insufficiency

Treatments

Device: Transcatheter Pulmonary Valve (TPV)

Study type

Interventional

Funder types

Other

Identifiers

NCT02555319

TPV-001

Details and patient eligibility

About

The purpose of this study is to evaluate the safety and short-term effectiveness of implantation of Transcatheter Pulmonary Valve (TPV) for the treatment of congenital heart disease with pulmonary valve disease.

Full description

Diverse congenital heart diseases involving the pulmonary artery, such as Tetralogy of Fallot (TOF) with or without pulmonary atresia, or transposition of the great arteries with pulmonary stenosis, require implantation of an artificial conduit between the right ventricle and the pulmonary artery(PA). Because these conduits finally degenerate and result in pulmonary regurgitation and/or stenosis and progressive right ventricle (RV) dilation and eventual failure, patients need repetitive surgery for conduit revision. Transcatheter pulmonary valve implantation (TPVI) is a less invasive alternative to surgery in patients with dysfunctional right ventricular outflow tract (RVOT). TPV is a large-diameter (up to 28 mm) self-expandable stent with a relatively low profile from a nitinol wire backbone with valve leaflets made from porcine pericardial tissue. The TPV is indicated for use in patients with previous undergone replacement of bioprosthetic valve or conduit due to either pulmonary valve atresia, stenosis, regurgitation or a combination of them and present with dysfunctional RVOT requiring treatment for severe pulmonary regurgitation and/or RVOT conduit obstruction. Consecutive subject data should be collected at discharge, 1, 3, 6 month, and 1-5 years post TPV implantation.

Enrollment

10 patients

Sex

All

Ages

10+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Age greater than or equal to 10 years of age
Body weight greater than or equal to 30 kilograms
Pulmonary regurgitation ≥moderate pulmonary regurgitation (PR) (≥3+) or RVOT conduit obstruction with mean gradient >35mmHg by echocardiography
pulmonary artery annulus or in situ conduit size ≥16 and ≤26mm
Patient willing to provide written informed consent and comply with follow-up requirements

Exclusion criteria

Pre-existing mechanical heart valve in any position
Obstruction of the central veins (pulmonic bioprosthesis delivery system to the heart)
Coronary artery compression
A known hypersensitivity to Aspirin or Heparin
Immunosuppressive disease
Active infectious disease (e.g. endocarditis, meningitis)
Estimated survival less than 6 months
Female of child-bearing potential who are unable to take adequate contraceptive precautions, are known to be pregnant, or are currently breastfeeding an infant.