Percutaneous Treatment of Tricuspid Valve Regurgitation With the TriCinch System™ (PREVENT)

4Tech Cardio

Status and phase

Completed

Phase 1

Conditions

Tricuspid Regurgitation

Treatments

Device: TriCinch System

Study type

Interventional

Funder types

Industry

Identifiers

NCT02098200

PREVENT_001/2013

Details and patient eligibility

About

The TriCinch System™ is intended for percutaneous treatment of tricuspid regurgitation.

It is a percutaneous catheter-based device designed for tricuspid valve repair in order to decrease effective cross-sectional area and relieve symptoms in patients with tricuspid valve regurgitation.

Full description

Implantation Procedure: Unlike the standard open chest, arrested heart approach, the 4TECH TriCinch System™ provides a percutaneous solution for tricuspid valve regurgitation treatment: this procedure is performed through deep sedation, while the heart is beating, without the need for respiratory assistance.

The TriCinch System™ consists of a Delivery System that enables transcatheter placement of an implant that can be adjusted to correct Tricuspid valve regurgitation. The TriCinch Delivery System is inserted from the femoral vein to access the right atrium of the heart. At the end of the correction process, the TriCinch Delivery System and the venous introducer are removed and the procedure is concluded.

Enrollment

24 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Functional symptomatic tricuspid regurgitation (TR) 2+ to 4+ on a scale of 4+ (moderate to severe), with annular dilatation greater than 40mm.
Signed informed consent form prior to any study-related procedure.
Available and able to return to the study site for post-procedural follow-up examination
Eighteen (18) years of age or older.

Exclusion criteria

Requirement for concomitant cardiac procedure (other than atrial fibrillation correction surgery, closure of PFO (Patent Foramen Ovale) or ASD (Atrial Septal Defect), or PTCA (percutaneous treatment of coronary artery) or CAD (coronary artery bypass surgery) from 1 to 3 months after or before other procedure.
Presence of any known life threatening (non-cardiac major or progressive disease), non-cardiac disease that will limit the subject's life expectancy to less than one year.
Cerebro-vascular event within the past 6 months.
History of mitral/tricuspid endocarditis within the last 12 months.
Organic tricuspid disease.
Contraindication or known allergy to device's components, aspirin, anti-coagulation therapy or contrast media that cannot be adequately premeditated.
Severe hypertension (SBP ≥ 180 mmHg and/or DBP ≥ 110 mmHg, measurement done by sphygmomanometer with stethoscope, allow the patient to sit for at least 5 minutes before beginning BP measurements).
Female patient is pregnant (urine HCG test result positive) or lactating.
Known alcohol or drug abuser.
Currently participating in the study of an investigational drug or device.
At heart team's judgement, patient IVC dimension is not adequate for device implantation.