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NCT07605715Recruiting

Transcatheter vs. Surgical Treatment of Degenerative Mitral Regurgitation

Cedars-Sinai Medical Center

Start Date

2/19/2025

Completion Date

8/1/2027

Summary

The goal of this observational study is to compare the outcomes of transcatheter edge-to-edge repair (TEER) versus surgical mitral valve repair for degenerative mitral regurgitation (DMR) over the long term. The study aims to: 1. Evaluate the effectiveness and safety of TEER versus surgery in patients with DMR over long term. 2. Investigate the predictors of left ventricular dysfunction and clinical outcomes using advanced imaging techniques, such as cardiac MRI 3. Assess patient-reported recovery and quality of life outcomes using validated tools. The study focuses on improving care strategies for patients with DMR, particularly those at higher surgical risk, by identifying optimal treatment approaches and predictors of recovery.

Detailed Description

This is an ambispective, (prospective and retrospective) cohort study collecting clinical, procedural, and follow-up data to compare the outcomes of transcatheter edge-to-edge repair (TEER) versus surgical mitral valve repair for degenerative mitral regurgitation (DMR) over the long term.

Eligibility Criteria

Age Range: 60 years to No maximum

Inclusion Criteria: * Patients older than 60 years who have DMR will be included in the study Exclusion Criteria: * Patients with prior history of mitral intervention or surgery will be excluded. * Patient records flagged "break the glass" or "research opt out" will be excluded. * Persons with allergy to animal dander or animal-instigated asthma will be excluded.

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Conditions

Degenerative Mitral Valve Disease

Locations

Smidt Heart Institute, Cedars Sinai Medical Center

Los Angeles, California 90048

United States