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NCT04433065NARecruiting

TTVR Early Feasibility Study

Medtronic Cardiovascular

Start Date

10/20/2020

Completion Date

7/30/2031

Summary

The objective of this early feasibility study is to gain early clinical insight into the performance of the Intrepid transcatheter tricuspid valve replacement (TTVR) system intended for transfemoral access to deliver a self-expanding bioprosthetic valve within the tricuspid valve.

Detailed Description

Multi-center, prospective, non-randomized, investigational, and pre-market.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Heart Team agrees that patient is deemed symptomatic despite medical therapy (including obligatory diuretic) and a candidate for bioprosthetic tricuspid valve replacement * Subject is at an intermediate or greater estimated risk of mortality with tricuspid valve surgery as determined by the local Heart Team * Subjects with severe symptomatic primary and / or secondary tricuspid regurgitation determined by the Echocardiography Core Lab assessment of a qualifying transthoracic echocardiogram (TTE) and transesophageal echocardiogram (TEE) * New York Heart Association (NYHA) Function Class II or greater * Subject anatomically suitable for the Intrepid TTVR delivery system including transfemoral access * Subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits * Subject meets the legal minimum age to provide informed consent based on local regulatory requirements Exclusion Criteria: * Estimated life expectancy of less than 24 months due to associated non-cardiac co-morbid conditions * Anatomic contraindications for Intrepid™ TTVR (e.g., annular dimensions) * Evidence of intracardiac mass, inferior vena cava, or femoral venous mass or thrombus * Implanted with venous stents (iliac and/or femoral) or inferior vena cava (IVC) filter or congenital abnormalities of the IVC that would preclude ability for transfemoral access of delivery system * Echocardiographic evidence of severe right ventricular dysfunction * Left ventricular ejection fraction (LVEF) \<30 as measured by resting echocardiogram within 30 days of the Index Procedure * Need for emergent or urgent surgery * Untreated clinically significant coronary artery disease requiring revascularization * Carcinoid tricuspid regurgitation

Interventions

DEVICE

Intrepid™ TTVR System

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Conditions

Tricuspid Regurgitation

Locations

University of Alabama at Birmingham (UAB) Hospital

Birmingham, Alabama 35233

United States

Abrazo Arizona Heart Hospital

Phoenix, Arizona 85016

United States

Cedars Sinai Medical Center

Los Angeles, California 90048

United States

California Pacific Medical Center

San Francisco, California 94115

United States

Hartford Hospital

Hartford, Connecticut 06102

United States

Emory University Hospital Midtown

Atlanta, Georgia 30308

United States

University of Michigan Health System - University Hospital

Ann Arbor, Michigan 48109

United States

Corewell Health

Grand Rapids, Michigan 49503

United States

Abbott Northwestern Hospital

Minneapolis, Minnesota 55407

United States

Providence Saint Patrick Hospital

Missoula, Montana 59802

United States

The Mount Sinai Hospital

New York, New York 10029

United States

New York-Presbyterian Hospital Columbia University Medical Center

New York, New York 10032

United States

Montefiore Medical Center

The Bronx, New York 10467

United States

The Christ Hospital

Cincinnati, Ohio 45242

United States

University Hospitals Cleveland Medical Center

Cleveland, Ohio 44106

United States

OhioHealth Riverside Methodist Hospital

Columbus, Ohio 43214

United States

Oregon Health & Science University Hospital

Portland, Oregon 97239

United States

UPMC Pinnacle Harrisburg Campus

Harrisburg, Pennsylvania 17101

United States

Houston Methodist Hospital

Houston, Texas 77030

United States

Aurora Saint Lukes Medical Center

Milwaukee, Wisconsin 53125

United States