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As recruitment rate was lower than anticipated
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| Name | Class |
|---|---|
| Abbott | INDUSTRY |
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The primary objective of the MitraClip System Australia and New Zealand (ANZ) Clinical Trial is to gather real-world clinical and health-economic outcome data to support the long-term safety, efficacy and economic value of the MitraClip System in the continuum of therapies for treating MR. Specifically, the following clinical and economic data will be collected: New York Heart Association (NYHA) Functional Class, Six-Minute Walk Test (6MWT) distance, quality of life (QOL) information, echocardiographic measures of left ventricular size and function, and data associated with the index hospitalization, rehospitalizations, concomitant medications and discharge facility to support the MitraClip System economic analysis.
The MitraClip System ANZ Clinical Trial is a prospective, observational, single arm, multicenter trial to evaluate the MitraClip device for the treatment of mitral regurgitation (MR). Patients will be enrolled at up to 15 investigational sites throughout Australia and New Zealand. Up to 150 patients will be enrolled. Patients will be considered enrolled when local or general anesthesia is administered for the MitraClip procedure. Patients will be followed at discharge, 30 days, 6 months, 12 months and 24 months.
Investigational sites will recruit consecutive patients who meet trial enrollment criteria. Until enrollment in the MitraClip System ANZ Clinical Trial is closed, all patients who undergo a procedure for placement of a MitraClip device at an investigational site should be enrolled in the MitraClip System ANZ Clinical Trial.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MitraClip Implant | Eligible patients undergoing a MitraClip procedure in Australia and New Zealand |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MitraClip Implant | Device | Percutaneous mitral valve repair using MitraClip implant. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| Baseline |
| Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| 30 days |
| Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| 6 months |
| Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants With 0, 1, 2, and 3 MitraClip Devices Implanted | This is one of the Device and Procedure-Related Endpoints. Implant Rate is defined as the rate of successful delivery and deployment of MitraClip device implant(s) with echocardiographic evidence of leaflet approximation and retrieval of the delivery catheter. | Day 0 (On the day of procedure) |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive patients eligible to receive the MitraClip implant at the designated investigational sites in Australia and New Zealand.
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| Name | Affiliation | Role |
|---|---|---|
| David Muller, MD | St Vincent's Hospital - Sydney, Australia | Principal Investigator |
| Jurgen Passage, FRACs | Sir Charles Gairdner Hospital, Perth, Australia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Vincent's Hospital Sydney | Darlinghurst | New South Wales | 2010 | Australia | ||
| Macquarie University Hosptial |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20598968 | Background | Mauri L, Garg P, Massaro JM, Foster E, Glower D, Mehoudar P, Powell F, Komtebedde J, McDermott E, Feldman T. The EVEREST II Trial: design and rationale for a randomized study of the evalve mitraclip system compared with mitral valve surgery for mitral regurgitation. Am Heart J. 2010 Jul;160(1):23-9. doi: 10.1016/j.ahj.2010.04.009. | |
| 22222076 |
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Seventy eight (78) patients who met trial enrollment criteria were enrolled at 6 investigational sites throughout Australia and New Zealand. Enrollment period was November 24, 2011 to June 15, 2014.
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| ID | Title | Description |
|---|---|---|
| FG000 | MitraClip Implant | Eligible patients undergoing a MitraClip procedure in Australia and New Zealand MitraClip Implant: Percutaneous mitral valve repair using MitraClip implant. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | MitraClip Implant | Eligible patients undergoing a MitraClip procedure in Australia and New Zealand MitraClip Implant: Percutaneous mitral valve repair using MitraClip implant. |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| Posted | Number | percentage of participants | Baseline |
|
1 year
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | MitraClip Implant | Eligible patients undergoing a MitraClip procedure in Australia and New Zealand MitraClip Implant: Percutaneous mitral valve repair using MitraClip implant. |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina/Chest Pain | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina/Chest Pain | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Jeffrey T. Ellis | Abbott Vascular | (408) 845-8184 | jeffrey.ellis@av.abbott.com |
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| ID | Term |
|---|---|
| D008944 | Mitral Valve Insufficiency |
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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Clinical Endpoint.
|
| 12 months |
| Number of Participants With Acute Procedural Success Rate | Defined as successful MitraClip implantation with resulting MR of 2+ or less. | At day 0 (on the day of index procedure) |
| Procedure Time | This is one of the Device and Procedure-Related Endpoints. Procedure Time is defined as the time elapsed from the start of the transseptal procedure to the time the Steerable Guide Catheter is removed. | At day 0 (on the day of index procedure) |
| Device Time | This is one of the Device and Procedure-Related Endpoints. Device Time is defined as the time the Steerable Guide Catheter is placed in the intra-atrial septum until the time the MitraClip Delivery System (CDS) is retracted into the Steerable Guide Catheter. Device Time is shorter in duration than Procedure Time because it does not include the time required to perform transseptal access into the left atrium. | At day 0 (on the day of index procedure) |
| Fluoroscopy Duration | This is one of the Device and Procedure-Related Endpoints. Mean fluoroscopy duration during the MitraClip procedure. | At day 0 (on the day of index procedure) |
| Total Contrast Volume | This is one of the Device and Procedure-Related Endpoints. | At day 0 (on the day of index procedure) |
| Left Ventricle End Diastolic Volume (LVEDV) | Left Ventricular end-diastolic volume (LVEDV) as determined by the core echo laboratory. Left Ventricular end-diastolic volume (LVEDV) measured using 2-dimensional echocardiography. The endocardium is traced at end-diastole (frame before mitral valve closure or maximum cavity dimension) in the 2- and 4-chamber views to calculate volumes. | At Baseline and Discharge (≤7 days of index procedure) |
| Left Ventricle End Diastolic Volume (LVEDV) | Left Ventricular end-diastolic volume (LVEDV) as determined by the core echo laboratory. Left Ventricular end-diastolic volume (LVEDV) measured using 2-dimensional echocardiography. The endocardium is traced at end-diastole (frame before mitral valve closure or maximum cavity dimension) in the 2- and 4-chamber views to calculate volumes. | At Baseline and 30 Days |
| Left Ventricle End Diastolic Volume (LVEDV) | Left Ventricular end-diastolic volume (LVEDV) as determined by the core echo laboratory. Left Ventricular end-diastolic volume (LVEDV) measured using 2-dimensional echocardiography. The endocardium is traced at end-diastole (frame before mitral valve closure or maximum cavity dimension) in the 2- and 4-chamber views to calculate volumes. | At Baseline and 12 months |
| Left Ventricular End Systolic Volume (LVESV) | Left Ventricular end-systolic volume (LVESV) as determined by the core echo laboratory. Left Ventricular end-systolic volume (LVESV) measured using 2-dimensional echocardiography. The endocardium is traced at end-systole (frame prior to mitral valve opening or the minimum cavity area) in the 2- and 4-chamber views to calculate volumes. | At Baseline and Discharge (≤7 days of index procedure) |
| Left Ventricular End Systolic Volume (LVESV) | Left Ventricular end-systolic volume (LVESV) as determined by the core echo laboratory. Left Ventricular end-systolic volume (LVESV) measured using 2-dimensional echocardiography. The endocardium is traced at end-systole (frame prior to mitral valve opening or the minimum cavity area) in the 2- and 4-chamber views to calculate volumes. | At Baseline and 30 Days |
| Left Ventricular End Systolic Volume (LVESV) | Left Ventricular end-systolic volume (LVESV) as determined by the core echo laboratory. Left Ventricular end-systolic volume (LVESV) measured using 2-dimensional echocardiography. The endocardium is traced at end-systole (frame prior to mitral valve opening or the minimum cavity area) in the 2- and 4-chamber views to calculate volumes. | At Baseline and 12 months |
| Left Ventricular Ejection Fraction (LVEF) | Left ventricular ejection fraction is assessed by transthoracic echocardiography according to Simpson's rule (biplane method of disks). | At Baseline and Discharge (≤7 days of index procedure) |
| Left Ventricular Ejection Fraction (LVEF) | Left ventricular ejection fraction is assessed by transthoracic echocardiography according to Simpson's rule (biplane method of disks). | At Baseline and 30 Days |
| Left Ventricular Ejection Fraction (LVEF) | Left ventricular ejection fraction is assessed by transthoracic echocardiography according to Simpson's rule (biplane method of disks). | At Baseline and 12 months |
| Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | Baseline |
| Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | At discharge (≤7 days of index procedure) |
| Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | 30 days |
| Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | 6 months |
| Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | 12 months |
| Left Ventricular Internal Diameter End Diastole (LVIDd) | LVIDd is the measurements of the left ventricular internal dimension at end-diastole and normally corresponds to the largest cardiac dimension. LVIDd is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | At Baseline and Discharge (≤7 days of index procedure) |
| Left Ventricular Internal Diameter End Diastole (LVIDd) | LVIDd is the measurements of the left ventricular internal dimension at end-diastole and normally corresponds to the largest cardiac dimension. LVIDd is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | At Baseline and 30 Days |
| Left Ventricular Internal Diameter End Diastole (LVIDd) | LVIDd is the measurements of the left ventricular internal dimension at end-diastole and normally corresponds to the largest cardiac dimension. LVIDd is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | At Baseline and 12 Months |
| Left Ventricular Internal Diameter End Systole (LVIDs) | LVIDs is the measurements of the left ventricular internal dimension at end-systole and normally corresponds to the smallest cardiac dimension. LVIDs is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | At Baseline and Discharge (≤7 days of index procedure) |
| Left Ventricular Internal Diameter End Systole (LVIDs) | LVIDs is the measurements of the left ventricular internal dimension at end-systole and normally corresponds to the smallest cardiac dimension. LVIDs is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | At Baseline and 30 Days |
| Left Ventricular Internal Diameter End Systole (LVIDs) | LVIDs is the measurements of the left ventricular internal dimension at end-systole and normally corresponds to the smallest cardiac dimension. LVIDs is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | At Baseline and 12 Months |
| Regurgitant Volume | Regurgitant volume as determined by the core echo laboratory. In the presence of regurgitation of one valve, without any intracardiac shunt, the flow through the affected valve is larger than through other competent valves. The difference between the two represents the regurgitant volume. | At Baseline and Discharge (≤7 days of index procedure) |
| Regurgitant Volume | Regurgitant volume as determined by the core echo laboratory. In the presence of regurgitation of one valve, without any intracardiac shunt, the flow through the affected valve is larger than through other competent valves. The difference between the two represents the regurgitant volume. | At Baseline and 30 Days |
| Regurgitant Volume | Regurgitant volume as determined by the core echo laboratory. In the presence of regurgitation of one valve, without any intracardiac shunt, the flow through the affected valve is larger than through other competent valves. The difference between the two represents the regurgitant volume. | At Baseline and 12 Months |
| Regurgitant Fraction | Regurgitant fraction as determined by the core echo laboratory. Regurgitant fraction is defined as the regurgitant volume divided by the forward stroke volume through the regurgitant valve. | At Baseline and Discharge (≤7 days of index procedure) |
| Regurgitant Fraction | Regurgitant fraction as determined by the core echo laboratory. Regurgitant fraction is defined as the regurgitant volume divided by the forward stroke volume through the regurgitant valve. | At Baseline and 30 Days |
| Regurgitant Fraction | Regurgitant fraction as determined by the core echo laboratory. Regurgitant fraction is defined as the regurgitant volume divided by the forward stroke volume through the regurgitant valve. | At Baseline and 12 Months |
| Mitral Valve Area (MVA) by Pressure Half-time (PHT) | Measure of the area of the mitral valve orifice using transthoracic echocardiography. The pressure half time method is used to assess the presence and severity of mitral stenosis. Results are interpreted by the study's echocardiography core laboratory. | At Baseline and Discharge (≤7 days of index procedure) |
| Mitral Valve Area (MVA) by Pressure Half-time (PHT) | Measure of the area of the mitral valve orifice using transthoracic echocardiography. The pressure half time method is used to assess the presence and severity of mitral stenosis. Results are interpreted by the study's echocardiography core laboratory. | At Baseline and 30 Days |
| Mitral Valve Area (MVA) by Pressure Half-time (PHT) | Measure of the area of the mitral valve orifice using transthoracic echocardiography. The pressure half time method is used to assess the presence and severity of mitral stenosis. Results are interpreted by the study's echocardiography core laboratory. | At Baseline and 12 Months |
| Mitral Valve Mean Gradient | Mitral valve mean gradient is defined as the mean pressure gradients across the mitral valve as measured by echocardiography. | At Baseline and Discharge (≤7 days of index procedure) |
| Mitral Valve Mean Gradient | Mitral valve mean gradient is defined as the mean pressure gradients across the mitral valve as measured by echocardiography. | At Baseline and 30 Days |
| Mitral Valve Mean Gradient | Mitral valve mean gradient is defined as the mean pressure gradients across the mitral valve as measured by echocardiography. | At Baseline and 12 Months |
| Left Atrial Volume | Left atrial volume is assessed by echocardiography. Using the single plane method of disks, the left atrial volume is derived by planimetry in the 4-chamber view at end-systole. | At Baseline and Discharge (≤7 days of index procedure) |
| Left Atrial Volume | Left atrial volume is assessed by echocardiography. Using the single plane method of disks, the left atrial volume is derived by planimetry in the 4-chamber view at end-systole. | At Baseline and 30 Days |
| Left Atrial Volume | Left atrial volume is assessed by echocardiography. Using the single plane method of disks, the left atrial volume is derived by planimetry in the 4-chamber view at end-systole. | At Baseline and 12 Months |
| Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | Baseline |
| Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | 30 days |
| Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | 6 months |
| Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | 12 months |
| Percentage of Participants With New York Heart Association (NYHA) Class |
| Baseline |
| Percentage of Participants With New York Heart Association (NYHA) Class |
| 30 days |
| Percentage of Participants With New York Heart Association (NYHA) Class |
| 6 months |
| Percentage of Participants With New York Heart Association (NYHA) Class |
| 12 months |
| Change in Minnesota Living With Heart Failure (MLWHF) Quality of Life (QOL) Score From Baseline to 30 Days | The Minnesota Living with Heart Failure Questionnaire(MLHFQ) is comprised of 21 questions.The response for each question ranges from 0(no affect on the patient's living) to 5(affected the patient's life very much during the past month).The total score for the 21 items can range from 0-105.A lower&higher MLHFQ score indicates less effect of heart failure&the worse impact of heart failure on a patient's QOL,respectively.Although the MLHFQ incorporates relevant aspects of the key dimensions of QOL (physical and emotional),the questionnaire was not designed to measure any particular dimension separately.The total score should be taken as the best measure of how heart failure and treatments impact QOL. The total score is the sum of a)the physical dimension,measured using 8 questions (possible subscale score range 0-40) b)the emotional dimension,measured using 5 questions(possible subscale score from 0-25)&c) other factors,measured using 8 questions (possible subscale score from 0-40). | 30 days |
| Change in Minnesota Living With Heart Failure (MLWHF) Quality of Life (QOL) Score From Baseline to 6 Months | The Minnesota Living with Heart Failure Questionnaire(MLHFQ) is comprised of 21 questions.The response for each question ranges from 0(no affect on the patient's living) to 5(affected the patient's life very much during the past month).The total score for the 21 items can range from 0-105.A lower&higher MLHFQ score indicates less effect of heart failure&the worse impact of heart failure on a patient's QOL,respectively.Although the MLHFQ incorporates relevant aspects of the key dimensions of QOL (physical and emotional),the questionnaire was not designed to measure any particular dimension separately.The total score should be taken as the best measure of how heart failure and treatments impact QOL. The total score is the sum of a)the physical dimension,measured using 8 questions (possible subscale score range 0-40) b)the emotional dimension,measured using 5 questions(possible subscale score from 0-25)&c) other factors,measured using 8 questions (possible subscale score from 0-40). | 6 months |
| Change in Minnesota Living With Heart Failure (MLWHF) Quality of Life (QOL) Score From Baseline to 12 Months | The Minnesota Living with Heart Failure Questionnaire(MLHFQ) is comprised of 21 questions.The response for each question ranges from 0(no affect on the patient's living) to 5(affected the patient's life very much during the past month).The total score for the 21 items can range from 0-105.A lower&higher MLHFQ score indicates less effect of heart failure&the worse impact of heart failure on a patient's QOL,respectively.Although the MLHFQ incorporates relevant aspects of the key dimensions of QOL (physical and emotional),the questionnaire was not designed to measure any particular dimension separately.The total score should be taken as the best measure of how heart failure and treatments impact QOL. The total score is the sum of a)the physical dimension,measured using 8 questions (possible subscale score range 0-40) b)the emotional dimension,measured using 5 questions(possible subscale score from 0-25)&c) other factors,measured using 8 questions (possible subscale score from 0-40). | 12 months |
| Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
B. Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | Baseline |
| Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
B. Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | 30 days |
| Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | 6 months |
| Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
B. Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | 12 months |
| Number of Participants With Mitral Valve Surgery | Mital Valve Surgery Post-MitraClip Procedure; Surgery Types includes Replacement and Repair. | 30 days of Post-MitraClip Procedure |
| Number of Participants With Second Intervention to Place an Additional MitraClip Device | Second MitraClip device interventions are reported by Abbott Vascular personnel on Procedural Observation Forms. A second MitraClip device intervention is a good option for patients with MR following placement of the original MitraClip device. | Through 12 months |
| Rate of Patients Rehospitalized | Defined as re-admission of patients to the hospital following discharge from the Clip procedure. | 30 days |
| Duration of Rehospitalization | 30 days |
| Number of Participants at Discharge Facility | This is the economic data reported to support the MitraClip System economic analysis. | < or = 12 days |
| Post-procedure Intensive Care Unit (ICU)/Critical Care Unit (CCU)/Post-anesthesia Care Unit (PACU) Duration | ICU and hospital stay is defined as the mean duration of time that patients spent in the ICU (Intensive Care Unit)/ CCU (Cardiac Care Unit)/ PACU (Post-Anesthesia Care Unit) following the MitraClip procedure. | Post index procedure within 30 days |
| Post-procedure Hospital Stay | This is the Economic data reported to support the MitraClip System economic analysis. It is defined as the mean duration of time that patients spent in hospital following the MitraClip procedure. | Post index procedure within 30 days |
| North Ryde |
| New South Wales |
| 2109 |
| Australia |
| North Shore Private Hospital | St Leonards | New South Wales | 2065 | Australia |
| The Prince Charles Hospital | Chermside | Queensland | 4032 | Australia |
| Flinders Medical Centre | Bedford Park | South Australia | 5042 | Australia |
| Sir Charles Gairdner Hospital | Nedlands | Western Australia | 6009 | Australia |
| Whitlow PL, Feldman T, Pedersen WR, Lim DS, Kipperman R, Smalling R, Bajwa T, Herrmann HC, Lasala J, Maddux JT, Tuzcu M, Kapadia S, Trento A, Siegel RJ, Foster E, Glower D, Mauri L, Kar S; EVEREST II Investigators. Acute and 12-month results with catheter-based mitral valve leaflet repair: the EVEREST II (Endovascular Valve Edge-to-Edge Repair) High Risk Study. J Am Coll Cardiol. 2012 Jan 10;59(2):130-9. doi: 10.1016/j.jacc.2011.08.067. |
| 20299349 | Background | Tamburino C, Ussia GP, Maisano F, Capodanno D, La Canna G, Scandura S, Colombo A, Giacomini A, Michev I, Mangiafico S, Cammalleri V, Barbanti M, Alfieri O. Percutaneous mitral valve repair with the MitraClip system: acute results from a real world setting. Eur Heart J. 2010 Jun;31(11):1382-9. doi: 10.1093/eurheartj/ehq051. Epub 2010 Mar 18. |
| 20336809 | Background | Ussia GP, Barbanti M, Tamburino C. Feasibility of percutaneous transcatheter mitral valve repair with the MitraClip system using conscious sedation. Catheter Cardiovasc Interv. 2010 Jun 1;75(7):1137-40. doi: 10.1002/ccd.22415. |
| 20583881 | Background | Jonsson A, Settergren M. MitraClip catheter-based mitral valve repair system. Expert Rev Med Devices. 2010 Jul;7(4):439-47. doi: 10.1586/erd.10.23. |
| 20103209 | Background | Argenziano M, Skipper E, Heimansohn D, Letsou GV, Woo YJ, Kron I, Alexander J, Cleveland J, Kong B, Davidson M, Vassiliades T, Krieger K, Sako E, Tibi P, Galloway A, Foster E, Feldman T, Glower D; EVEREST Investigators. Surgical revision after percutaneous mitral repair with the MitraClip device. Ann Thorac Surg. 2010 Jan;89(1):72-80; discussion p 80. doi: 10.1016/j.athoracsur.2009.08.063. |
| 20609795 | Background | Geidel S, Ostermeyer J, Lass M, Schmoeckel M. Complex surgical valve repair after failed percutaneous mitral intervention using the MitraClip device. Ann Thorac Surg. 2010 Jul;90(1):277-9. doi: 10.1016/j.athoracsur.2009.12.048. |
| 20806217 | Background | Kalarus Z, Kukulski T, Lekston A, Streb W, Sikora J, Nadziakiewicz P, Gasior M, Polonski L, Zembala M. [Methodology and safety of transvascular reduction of severe ischaemic mitral insufficiency with MitraClip in high-surgical-risk patients - first three cases in Poland]. Kardiol Pol. 2010 Jun;68(6):729-35. Polish. |
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| 20595625 | Background | Thompson KA, Philip KJ, Simsir S, Schwarz ER. The new concept of ''interventional heart failure therapy'': part 2--inotropes, valvular disease, pumps, and transplantation. J Cardiovasc Pharmacol Ther. 2010 Sep;15(3):231-43. doi: 10.1177/1074248410369111. Epub 2010 Jul 1. |
| 20385570 | Background | Vahanian A, Iung B. 'Edge to edge' percutaneous mitral valve repair in mitral regurgitation: it can be done but should it be done? Eur Heart J. 2010 Jun;31(11):1301-4. doi: 10.1093/eurheartj/ehq088. Epub 2010 Apr 11. No abstract available. |
| 21347599 | Background | Vahanian A, Iung B, Himbert D, Nataf P. Changing demographics of valvular heart disease and impact on surgical and transcatheter valve therapies. Int J Cardiovasc Imaging. 2011 Dec;27(8):1115-22. doi: 10.1007/s10554-011-9804-7. Epub 2011 Feb 24. |
| 21505057 | Background | van den Heuvel AF, Alfieri O, Mariani MA. MitraClip in end-stage heart failure: a realistic alternative to surgery? Eur J Heart Fail. 2011 May;13(5):472-4. doi: 10.1093/eurjhf/hfr038. No abstract available. |
| 21071008 | Background | Altiok E, Becker M, Hamada S, Grabskaya E, Reith S, Marx N, Hoffmann R. Real-time 3D TEE allows optimized guidance of percutaneous edge-to-edge repair of the mitral valve. JACC Cardiovasc Imaging. 2010 Nov;3(11):1196-8. doi: 10.1016/j.jcmg.2010.07.010. No abstract available. |
| 22204118 | Background | Avanzini A, Donzella G, Libretti L. Functional and structural effects of percutaneous edge-to-edge double-orifice repair under cardiac cycle in comparison with suture repair. Proc Inst Mech Eng H. 2011 Oct;225(10):959-71. doi: 10.1177/0954411911414803. |
| 21949284 | Background | Delgado V, Kapadia S, Marsan NA, Schalij MJ, Tuzcu EM, Bax JJ. Multimodality imaging before, during, and after percutaneous mitral valve repair. Heart. 2011 Oct;97(20):1704-14. doi: 10.1136/hrt.2011.227785. No abstract available. |
| 21359516 | Background | Ewe SH, Klautz RJ, Schalij MJ, Delgado V. Role of computed tomography imaging for transcatheter valvular repair/insertion. Int J Cardiovasc Imaging. 2011 Dec;27(8):1179-93. doi: 10.1007/s10554-011-9830-5. Epub 2011 Feb 26. |
| 20696550 | Background | Lin BA, Forouhar AS, Pahlevan NM, Anastassiou CA, Grayburn PA, Thomas JD, Gharib M. Color Doppler jet area overestimates regurgitant volume when multiple jets are present. J Am Soc Echocardiogr. 2010 Sep;23(9):993-1000. doi: 10.1016/j.echo.2010.06.011. Epub 2010 Aug 8. |
| 20870392 | Background | Pedrazzini GB, Klimusina J, Pasotti E, Moccetti T, Faletra FF. Complications of percutaneous edge-to-edge mitral valve repair: the role of real-time three-dimensional transesophageal echocardiography. J Am Soc Echocardiogr. 2011 Jun;24(6):706.e5-7. doi: 10.1016/j.echo.2010.08.017. Epub 2010 Sep 26. |
| 21344247 | Background | Siegel RJ, Luo H, Biner S. Transcatheter valve repair/implantation. Int J Cardiovasc Imaging. 2011 Dec;27(8):1165-77. doi: 10.1007/s10554-011-9833-2. Epub 2011 Feb 23. |
| 20219746 | Background | Franzen O, Baldus S, Rudolph V, Meyer S, Knap M, Koschyk D, Treede H, Barmeyer A, Schofer J, Costard-Jackle A, Schluter M, Reichenspurner H, Meinertz T. Acute outcomes of MitraClip therapy for mitral regurgitation in high-surgical-risk patients: emphasis on adverse valve morphology and severe left ventricular dysfunction. Eur Heart J. 2010 Jun;31(11):1373-81. doi: 10.1093/eurheartj/ehq050. Epub 2010 Mar 10. |
| 21301624 | Background | Yong ZY, Bouma BJ, Koch KT, Baan J. Immediate reduction of mitral regurgitation by percutaneous mitral valve repair with the MitraClip(R). Neth Heart J. 2010 Dec;18(12):606. doi: 10.1007/s12471-010-0843-9. No abstract available. |
| Lost to Follow-up |
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| Sex: Female, Male | Count of Participants | Participants |
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| Region of Enrollment | Total patient population was enrolled from Australia. No patients were enrolled from New Zealand. The study recruitment rate was lower than anticipated. | Number | participants |
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| Primary | Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| Two patient were lost to follow-up at the 30-day time point and were not included in the "at risk" population in the Kaplan-Meier freedom from mortality analysis. | Posted | Number | percentage of participants | 30 days |
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| Primary | Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| At the 6-month time point, 17 subjects had been censored and 4 had died, leaving 57 subjects "at risk" in the Kaplan-Meier freedom from mortality analysis at 6 months. | Posted | Number | percentage of participants | 6 months |
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| Primary | Percentage of Participants Experiencing Death (Kaplan-Meier Analysis) | Clinical Endpoint.
| A total of 32 patients were analyzed because 41 subjects had been censored and 5 had died at 12 months time frame. | Posted | Number | percentage of participants | 12 months |
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| Secondary | Number of Participants With 0, 1, 2, and 3 MitraClip Devices Implanted | This is one of the Device and Procedure-Related Endpoints. Implant Rate is defined as the rate of successful delivery and deployment of MitraClip device implant(s) with echocardiographic evidence of leaflet approximation and retrieval of the delivery catheter. | Posted | Count of Participants | Participants | Day 0 (On the day of procedure) |
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| Secondary | Number of Participants With Acute Procedural Success Rate | Defined as successful MitraClip implantation with resulting MR of 2+ or less. | Posted | Count of Participants | Participants | At day 0 (on the day of index procedure) |
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| Secondary | Procedure Time | This is one of the Device and Procedure-Related Endpoints. Procedure Time is defined as the time elapsed from the start of the transseptal procedure to the time the Steerable Guide Catheter is removed. | Procedure time was not available for 1 patient. | Posted | Mean | Standard Deviation | Minutes | At day 0 (on the day of index procedure) |
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| Secondary | Device Time | This is one of the Device and Procedure-Related Endpoints. Device Time is defined as the time the Steerable Guide Catheter is placed in the intra-atrial septum until the time the MitraClip Delivery System (CDS) is retracted into the Steerable Guide Catheter. Device Time is shorter in duration than Procedure Time because it does not include the time required to perform transseptal access into the left atrium. | Device time was not available for 1 patient. | Posted | Mean | Standard Deviation | Minutes | At day 0 (on the day of index procedure) |
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| Secondary | Fluoroscopy Duration | This is one of the Device and Procedure-Related Endpoints. Mean fluoroscopy duration during the MitraClip procedure. | Fluoroscopy duration was not available for 3 patient. | Posted | Mean | Standard Deviation | Minutes | At day 0 (on the day of index procedure) |
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| Secondary | Total Contrast Volume | This is one of the Device and Procedure-Related Endpoints. | Total volume of contrast was not available for 5 patients. | Posted | Mean | Standard Deviation | Milliliters | At day 0 (on the day of index procedure) |
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| Secondary | Left Ventricle End Diastolic Volume (LVEDV) | Left Ventricular end-diastolic volume (LVEDV) as determined by the core echo laboratory. Left Ventricular end-diastolic volume (LVEDV) measured using 2-dimensional echocardiography. The endocardium is traced at end-diastole (frame before mitral valve closure or maximum cavity dimension) in the 2- and 4-chamber views to calculate volumes. | A total of 65 patients had paired left ventricular end diastolic volume (LVEDV) measurements at both baseline and discharge. Thirteen patients had missing LVEDV at either baseline, discharge, or both time points. | Posted | Mean | Standard Deviation | Milliliters | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Left Ventricle End Diastolic Volume (LVEDV) | Left Ventricular end-diastolic volume (LVEDV) as determined by the core echo laboratory. Left Ventricular end-diastolic volume (LVEDV) measured using 2-dimensional echocardiography. The endocardium is traced at end-diastole (frame before mitral valve closure or maximum cavity dimension) in the 2- and 4-chamber views to calculate volumes. | A total of 61 patients had paired left ventricular end diastolic volume (LVEDV) measurements at both baseline and 30 days. Six patients missed the 30-day visit and 11 patients had missing LVEDV at either baseline, the 30-day visit, or both time points. | Posted | Mean | Standard Deviation | ml | At Baseline and 30 Days |
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| Secondary | Left Ventricle End Diastolic Volume (LVEDV) | Left Ventricular end-diastolic volume (LVEDV) as determined by the core echo laboratory. Left Ventricular end-diastolic volume (LVEDV) measured using 2-dimensional echocardiography. The endocardium is traced at end-diastole (frame before mitral valve closure or maximum cavity dimension) in the 2- and 4-chamber views to calculate volumes. | A total of 41 patients were excluded from total analysis population as 5 patients died, 1 patient missed the 12-month visit, 6 patients had missing LVEDV at either baseline, the 12-month visit, or both time points, and finally 29 subjects 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | ml | At Baseline and 12 months |
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| Secondary | Left Ventricular End Systolic Volume (LVESV) | Left Ventricular end-systolic volume (LVESV) as determined by the core echo laboratory. Left Ventricular end-systolic volume (LVESV) measured using 2-dimensional echocardiography. The endocardium is traced at end-systole (frame prior to mitral valve opening or the minimum cavity area) in the 2- and 4-chamber views to calculate volumes. | A total of 65 patients had paired left ventricular end systolic volume (LVESV) measurements at both baseline and discharge. Thirteen patients had missing LVESV at either baseline, discharge, or both time points. | Posted | Mean | Standard Deviation | Milliliter | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Left Ventricular End Systolic Volume (LVESV) | Left Ventricular end-systolic volume (LVESV) as determined by the core echo laboratory. Left Ventricular end-systolic volume (LVESV) measured using 2-dimensional echocardiography. The endocardium is traced at end-systole (frame prior to mitral valve opening or the minimum cavity area) in the 2- and 4-chamber views to calculate volumes. | A total of 61 patients had paired left ventricular end systolic volume (LVESV) measurements at both baseline and 30 days. Six patients missed the 30-day visit and 11 patients had missing LVESV at either baseline, the 30-day visit, or both time points. | Posted | Mean | Standard Deviation | ml | At Baseline and 30 Days |
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| Secondary | Left Ventricular End Systolic Volume (LVESV) | Left Ventricular end-systolic volume (LVESV) as determined by the core echo laboratory. Left Ventricular end-systolic volume (LVESV) measured using 2-dimensional echocardiography. The endocardium is traced at end-systole (frame prior to mitral valve opening or the minimum cavity area) in the 2- and 4-chamber views to calculate volumes. | Of total 78 subjects, 37 patients were analyzed because 5 patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 6 patients had missing LVESV at either baseline, the 12-month visit, or both time points, and finally 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | ml | At Baseline and 12 months |
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| Secondary | Left Ventricular Ejection Fraction (LVEF) | Left ventricular ejection fraction is assessed by transthoracic echocardiography according to Simpson's rule (biplane method of disks). | A total of 73 patients had paired left ventricular ejection fraction (LVEF) measurements at both baseline and discharge. Five patients had missing LVEF at either baseline, discharge, or both time points. | Posted | Mean | Standard Deviation | percent | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Left Ventricular Ejection Fraction (LVEF) | Left ventricular ejection fraction is assessed by transthoracic echocardiography according to Simpson's rule (biplane method of disks). | A total of 67 patients had paired left ventricular ejection fraction (LVEF) measurements at both baseline and 30 days. Six patients missed the 30-day visit and 5 patients had missing LVEF at either baseline, the 30-day visit, or both time points. | Posted | Mean | Standard Deviation | percent | At Baseline and 30 Days |
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| Secondary | Left Ventricular Ejection Fraction (LVEF) | Left ventricular ejection fraction is assessed by transthoracic echocardiography according to Simpson's rule (biplane method of disks). | A total of 40 patients included in analysis population because 5 patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 3 patients had missing LVEF at either baseline, the 12-month visit, or both time points and 29 patients 12-month visits were either expected/not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | percent | At Baseline and 12 months |
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| Secondary | Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | Mitral regurgitation severity is missing in 1 patient at Baseline. | Posted | Count of Participants | Participants | Baseline |
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| Secondary | Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | Mitral regurgitation severity is missing in 4 patient at Discharge. | Posted | Count of Participants | Participants | At discharge (≤7 days of index procedure) |
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| Secondary | Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | Mitral regurgitation severity is available for 69 patients at 30 days. Six patients missed the 30-day visit and 3 patients had not evaluated for MR severity at 30 days. | Posted | Count of Participants | Participants | 30 days |
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| Secondary | Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | Mitral regurgitation severity is available for 60 patients at 6 months. Four patients died prior the 6-month visit, 1 patient missed the 6-month visit, 1 patient had missing MR severity at 6 months, and finally 12 patients 6-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Count of Participants | Participants | 6 months |
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| Secondary | Number of Participants With MR Severity | Mitral regurgitation severity was determined based on the American Society of Echocardiography (ASE) Recommendations for Evaluation of The Severity of Native Valvular Regurgitation with Two-Dimensional and Doppler Echocardiography. MR severity was scored using the integrative method based on qualitative and quantitative echocardiographic parameters as described in the ASE guidelines.Site-assessed mitral regurgitation severity using echocardiography. MR severity was graded as follows: 0: None, 1+: Mild, 2+: Moderate, 3+: Moderate-to-Severe, 4+: Severe. | Mitral regurgitation severity is available for 42 patients at 12 months. Five patients died prior the 12-month visit, 1 patient missed the 12-month visit, 1 patient had missing MR severity at 12 months, and finally 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Count of Participants | Participants | 12 months |
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| Secondary | Left Ventricular Internal Diameter End Diastole (LVIDd) | LVIDd is the measurements of the left ventricular internal dimension at end-diastole and normally corresponds to the largest cardiac dimension. LVIDd is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | A total of 72 patients had paired left ventricular internal diameter in diastole (LVIDd) measurements at both baseline and discharge. Six patients had missing LVIDd at either baseline, discharge, or both time points. | Posted | Mean | Standard Deviation | cm | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Left Ventricular Internal Diameter End Diastole (LVIDd) | LVIDd is the measurements of the left ventricular internal dimension at end-diastole and normally corresponds to the largest cardiac dimension. LVIDd is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | A total of 67 patients had paired left ventricular internal diameter in diastole (LVIDd) measurements at both baseline and 30 days. Six patients missed the 30-day visit and 5 patients had missing LVIDd at either baseline, the 30-day visit, or both time points. | Posted | Mean | Standard Deviation | cm | At Baseline and 30 Days |
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| Secondary | Left Ventricular Internal Diameter End Diastole (LVIDd) | LVIDd is the measurements of the left ventricular internal dimension at end-diastole and normally corresponds to the largest cardiac dimension. LVIDd is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | A total of 40 patients were included in analysis because 5 patients died prior to the 12-month visit,1 patient missed the 12-month visit,3 patients had missing LVIDd at either baseline,the 12-month visit,or both time points & 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | cm | At Baseline and 12 Months |
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| Secondary | Left Ventricular Internal Diameter End Systole (LVIDs) | LVIDs is the measurements of the left ventricular internal dimension at end-systole and normally corresponds to the smallest cardiac dimension. LVIDs is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | A total of 71 patients had paired left ventricular internal diameter in systole (LVIDs) measurements at both baseline and discharge. Seven patients had missing LVIDs at either baseline, discharge, or both time points. | Posted | Mean | Standard Deviation | cm | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Left Ventricular Internal Diameter End Systole (LVIDs) | LVIDs is the measurements of the left ventricular internal dimension at end-systole and normally corresponds to the smallest cardiac dimension. LVIDs is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | A total of 61 patients had paired left ventricular internal diameter in systole (LVIDs) measurements at both baseline and 30 days. Six patients missed the 30-day visit and 11 patients had missing LVIDs at either baseline, the 30-day visit, or both time points. | Posted | Mean | Standard Deviation | cm | At Baseline and 30 Days |
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| Secondary | Left Ventricular Internal Diameter End Systole (LVIDs) | LVIDs is the measurements of the left ventricular internal dimension at end-systole and normally corresponds to the smallest cardiac dimension. LVIDs is measured by transthoracic echocardiography and the results are interpreted by the study's echocardiography core laboratory. | A total of 36 patients had paired LVIDs measurements Because 5 patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 7 patients had missing LVIDs at either baseline, the 12-month visit, or both time points and 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | cm | At Baseline and 12 Months |
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| Secondary | Regurgitant Volume | Regurgitant volume as determined by the core echo laboratory. In the presence of regurgitation of one valve, without any intracardiac shunt, the flow through the affected valve is larger than through other competent valves. The difference between the two represents the regurgitant volume. | A total of 45 patients had paired regurgitant volume measurements at both baseline and discharge. Regurgitant volume data at either baseline, discharge, or both time points is missing for 33 patients. | Posted | Mean | Standard Deviation | ml | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Regurgitant Volume | Regurgitant volume as determined by the core echo laboratory. In the presence of regurgitation of one valve, without any intracardiac shunt, the flow through the affected valve is larger than through other competent valves. The difference between the two represents the regurgitant volume. | A total of 36 patients had paired regurgitant volume measurements at both baseline and 30 days. Six patients missed the 30-day visit and regurgitant volume data at either baseline, 30 days, or both time points is missing for 36 patients. | Posted | Mean | Standard Deviation | ml | At Baseline and 30 Days |
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| Secondary | Regurgitant Volume | Regurgitant volume as determined by the core echo laboratory. In the presence of regurgitation of one valve, without any intracardiac shunt, the flow through the affected valve is larger than through other competent valves. The difference between the two represents the regurgitant volume. | A total of 20 patients were included in analysis because 5 patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 23 patients have missing regurgitant volume data at either baseline, 12 months, or both time points & 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | ml | At Baseline and 12 Months |
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| Secondary | Regurgitant Fraction | Regurgitant fraction as determined by the core echo laboratory. Regurgitant fraction is defined as the regurgitant volume divided by the forward stroke volume through the regurgitant valve. | A total of 18 patients had paired regurgitant fraction measurements at both baseline and discharge. Regurgitant fraction data at either baseline, discharge, or both time points is missing for 60 patients. | Posted | Mean | Standard Deviation | Percentage | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Regurgitant Fraction | Regurgitant fraction as determined by the core echo laboratory. Regurgitant fraction is defined as the regurgitant volume divided by the forward stroke volume through the regurgitant valve. | A total of 16 patients had paired regurgitant fraction measurements at both baseline and 30 days. Six patients missed the 30-day visit. Whereas, regurgitant fraction data at either baseline, 30 days, or both time points is missing for 56 patients. | Posted | Mean | Standard Deviation | Percentage | At Baseline and 30 Days |
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| Secondary | Regurgitant Fraction | Regurgitant fraction as determined by the core echo laboratory. Regurgitant fraction is defined as the regurgitant volume divided by the forward stroke volume through the regurgitant valve. | Few patients excluded from analysis population because 5 patients died prior to the 12-month visit,1 patient missed the 12-month visit, 38 patients have missing regurgitant fraction data at either baseline, 12 months, or both time points and 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | Percentage | At Baseline and 12 Months |
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| Secondary | Mitral Valve Area (MVA) by Pressure Half-time (PHT) | Measure of the area of the mitral valve orifice using transthoracic echocardiography. The pressure half time method is used to assess the presence and severity of mitral stenosis. Results are interpreted by the study's echocardiography core laboratory. | A total of 54 patients had paired mitral valve area (MVA) by pressure half-time measurements at both baseline and discharge. MVA data at either baseline, discharge, or both time points is missing for 24 patients. | Posted | Mean | Standard Deviation | cm^2 | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Mitral Valve Area (MVA) by Pressure Half-time (PHT) | Measure of the area of the mitral valve orifice using transthoracic echocardiography. The pressure half time method is used to assess the presence and severity of mitral stenosis. Results are interpreted by the study's echocardiography core laboratory. | A total of 50 patients had paired mitral valve area (MVA) by pressure half-time measurements at both baseline and 30 days. Six patients missed the 30-day visit. Where as, regurgitant fraction data at either baseline, 30 days, or both time points is missing for 22 patients. | Posted | Mean | Standard Deviation | cm^2 | At Baseline and 30 Days |
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| Secondary | Mitral Valve Area (MVA) by Pressure Half-time (PHT) | Measure of the area of the mitral valve orifice using transthoracic echocardiography. The pressure half time method is used to assess the presence and severity of mitral stenosis. Results are interpreted by the study's echocardiography core laboratory. | A total of 29 patients were analyzed because 5 patients died prior to the 12-month visit,1 patient missed the 12-month visit, 14 patients have missing MVA data at either baseline, 12 months, or both time points. Finally 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | cm^2 | At Baseline and 12 Months |
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| Secondary | Mitral Valve Mean Gradient | Mitral valve mean gradient is defined as the mean pressure gradients across the mitral valve as measured by echocardiography. | A total of 65 patients had paired mitral valve mean gradient (MVG) measurements at both baseline and discharge. MVG data at either baseline, discharge, or both time points is missing for 13 patients. | Posted | Mean | Standard Deviation | mmHg | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Mitral Valve Mean Gradient | Mitral valve mean gradient is defined as the mean pressure gradients across the mitral valve as measured by echocardiography. | A total of 59 patients had paired mitral valve mean gradient (MVG) measurements at both baseline and 30 days. Six patients missed the 30-day visit. MVG data at either baseline, 30 days, or both time points are missing for 13 patients. | Posted | Mean | Standard Deviation | mmHg | At Baseline and 30 Days |
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| Secondary | Mitral Valve Mean Gradient | Mitral valve mean gradient is defined as the mean pressure gradients across the mitral valve as measured by echocardiography. | A total of 34 patients had paired MVG measurements because 5 patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 9 patients have missing MVG data at either baseline, 12 months, or both time points. Finally 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | mmHg | At Baseline and 12 Months |
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| Secondary | Left Atrial Volume | Left atrial volume is assessed by echocardiography. Using the single plane method of disks, the left atrial volume is derived by planimetry in the 4-chamber view at end-systole. | A total of 67 patients had paired left atrial (LA) volume measurements at both baseline and discharge. LA volume data at either baseline, discharge, or both time points are missing for 11 patients. | Posted | Mean | Standard Deviation | ml | At Baseline and Discharge (≤7 days of index procedure) |
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| Secondary | Left Atrial Volume | Left atrial volume is assessed by echocardiography. Using the single plane method of disks, the left atrial volume is derived by planimetry in the 4-chamber view at end-systole. | A total of 62 patients had paired left atrial (LA) volume measurements at both baseline and 30 days. Six patients missed the 30-day visit, Where as LA volume data at either baseline, 30 days, or both time points are missing for 10 patients. | Posted | Mean | Standard Deviation | ml | At Baseline and 30 Days |
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| Secondary | Left Atrial Volume | Left atrial volume is assessed by echocardiography. Using the single plane method of disks, the left atrial volume is derived by planimetry in the 4-chamber view at end-systole. | A total of 39 patients had paired LA volume measurements because 5 patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 4 patients have missing LA volume data at either baseline, 12 months, or both time points and 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | ml | At Baseline and 12 Months |
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| Secondary | Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | Six-minuted walk test (6MWT) distance is available for 76 patients at baseline because 2 patients did not complete the 6MWT at baseline. | Posted | Mean | Standard Deviation | Meters | Baseline |
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| Secondary | Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | Six-minuted walk test (6MWT) distance is available for 68 patients at 30 days. Six patients missed the 30-day visit and 4 patients did not complete the 6MWT at 30-days. | Posted | Mean | Standard Deviation | Meters | 30 days |
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| Secondary | Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | Six-minuted walk test (6MWT) distance is available for 60 patients at 6 months. Four patients died prior to the 6-month visit, 1 patient missed the 6-month visit, 1 patient did not complete the 6MWT at 6-months, and finally, 12 patients 6-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | Meters | 6 months |
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| Secondary | Six Minute Walking Distance | The six-minute walk test (6MWT) measures the distance an individual is able to walk over a total of six minutes on a hard, flat surface. It is a measure of a patient's exercise capacity. | Six-minuted walk test (6MWT) distance is available for 39 patients at 12 months. Five patients died prior to the 12-month visit, 1 patient missed the 12-month visit, 4 patients did not complete the 6MWT at 12 months, and finally 29 patients 6-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | Meters | 12 months |
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| Secondary | Percentage of Participants With New York Heart Association (NYHA) Class |
| Posted | Number | percentage of participants | Baseline |
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| Secondary | Percentage of Participants With New York Heart Association (NYHA) Class |
| A total of 69 patients were included in analysis population because 6 patients had lost-to-follow up at 30 days and 3 patients did not have a NYHA functional class assessment. | Posted | Number | percentage of participants | 30 days |
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| Secondary | Percentage of Participants With New York Heart Association (NYHA) Class |
| NYHA functional class assessment is available for 60 patients at 6 months. Four patients died prior to the 6-month visit, 1 patient missed the 6-month visit, 1 patient did not have a NYHA functional class assessment at 6-months, and finally 12 patients 6-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Number | percentage of participants | 6 months |
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| Secondary | Percentage of Participants With New York Heart Association (NYHA) Class |
| NYHA functional class assessment is available for 40 patients at 12 months.Five patients died prior to the 12-month visit,1 patient missed the 12-month visit, 3 patients did not have a NYHA functional class assessment and finally 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Number | percentage of participants | 12 months |
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| Secondary | Change in Minnesota Living With Heart Failure (MLWHF) Quality of Life (QOL) Score From Baseline to 30 Days | The Minnesota Living with Heart Failure Questionnaire(MLHFQ) is comprised of 21 questions.The response for each question ranges from 0(no affect on the patient's living) to 5(affected the patient's life very much during the past month).The total score for the 21 items can range from 0-105.A lower&higher MLHFQ score indicates less effect of heart failure&the worse impact of heart failure on a patient's QOL,respectively.Although the MLHFQ incorporates relevant aspects of the key dimensions of QOL (physical and emotional),the questionnaire was not designed to measure any particular dimension separately.The total score should be taken as the best measure of how heart failure and treatments impact QOL. The total score is the sum of a)the physical dimension,measured using 8 questions (possible subscale score range 0-40) b)the emotional dimension,measured using 5 questions(possible subscale score from 0-25)&c) other factors,measured using 8 questions (possible subscale score from 0-40). | Paired Minnesota Living with Heart Failure Questionnaire (MLHFQ) quality of life data was available for 70 patients at Baseline and 30 days. Six patients missed their 30-day visit and 2 patients did not complete the MLHFQ at either baseline, 30 days, or both time points. | Posted | Mean | Standard Deviation | scores on a scale | 30 days |
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| Secondary | Change in Minnesota Living With Heart Failure (MLWHF) Quality of Life (QOL) Score From Baseline to 6 Months | The Minnesota Living with Heart Failure Questionnaire(MLHFQ) is comprised of 21 questions.The response for each question ranges from 0(no affect on the patient's living) to 5(affected the patient's life very much during the past month).The total score for the 21 items can range from 0-105.A lower&higher MLHFQ score indicates less effect of heart failure&the worse impact of heart failure on a patient's QOL,respectively.Although the MLHFQ incorporates relevant aspects of the key dimensions of QOL (physical and emotional),the questionnaire was not designed to measure any particular dimension separately.The total score should be taken as the best measure of how heart failure and treatments impact QOL. The total score is the sum of a)the physical dimension,measured using 8 questions (possible subscale score range 0-40) b)the emotional dimension,measured using 5 questions(possible subscale score from 0-25)&c) other factors,measured using 8 questions (possible subscale score from 0-40). | Paired Minnesota Living with Heart Failure Questionnaire (MLHFQ) quality of life data was available for 61 patients at Baseline and 6 months. Four patients died prior to the 6-month visit,1 patient missed the 6-month visit and 12 patients 6-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | scores on a scale | 6 months |
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| Secondary | Change in Minnesota Living With Heart Failure (MLWHF) Quality of Life (QOL) Score From Baseline to 12 Months | The Minnesota Living with Heart Failure Questionnaire(MLHFQ) is comprised of 21 questions.The response for each question ranges from 0(no affect on the patient's living) to 5(affected the patient's life very much during the past month).The total score for the 21 items can range from 0-105.A lower&higher MLHFQ score indicates less effect of heart failure&the worse impact of heart failure on a patient's QOL,respectively.Although the MLHFQ incorporates relevant aspects of the key dimensions of QOL (physical and emotional),the questionnaire was not designed to measure any particular dimension separately.The total score should be taken as the best measure of how heart failure and treatments impact QOL. The total score is the sum of a)the physical dimension,measured using 8 questions (possible subscale score range 0-40) b)the emotional dimension,measured using 5 questions(possible subscale score from 0-25)&c) other factors,measured using 8 questions (possible subscale score from 0-40). | Paired MLHFQ quality of life data was available for 40 patients at Baseline and 12 months.Five patients died prior to the 12-month visit,1 patient missed the 12-month visit,3 patients did not complete the MLHFQ assessment. Finally, 29 patients 12-month visits were either expected or not due at the time that the ANZ trial was terminated. | Posted | Mean | Standard Deviation | scores on a scale | 12 months |
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| Secondary | Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
B. Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | Posted | Number | percentage of participants | Baseline |
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| Secondary | Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
B. Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | Two patient were lost to follow-up at the 30-day time point and 1 had been censored at Baseline. Therefore, 73 patients were included in the "at risk" population in the Kaplan-Meier freedom from death and congestive heart failure analysis at 30 days. | Posted | Number | percentage of participants | 30 days |
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| Secondary | Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | At 6 months, 55 patients were considered "at risk" because 17 had been censored, and 6 patients experienced an event (i.e. death or CHF event). | Posted | Number | percentage of participants | 6 months |
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| Secondary | Percentage of Participants Experiencing Freedom From Death and Congestive Heart Failure (Kaplan-Meier Curve Analysis) | Death: Defined as all causes of death for the primary safety Major Adverse Event (MAE) Endpoint. Death is further divided into 2 categories: A. Cardiac death is defined as death due to any of the following:
B. Non-cardiac death is defined as a death not due to cardiac causes (as defined above). Congestive Heart Failure (CHF): Defined as a documented diagnosis of CHF on the hospital admission report or discharge summary. | At 12 months, 31 patients were considered "at risk" because 38 had been censored and 9 patients experienced an event (i.e. death or CHF event). | Posted | Number | percentage of participants | 12 months |
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| Secondary | Number of Participants With Mitral Valve Surgery | Mital Valve Surgery Post-MitraClip Procedure; Surgery Types includes Replacement and Repair. | Posted | Count of Participants | Participants | 30 days of Post-MitraClip Procedure |
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| Secondary | Number of Participants With Second Intervention to Place an Additional MitraClip Device | Second MitraClip device interventions are reported by Abbott Vascular personnel on Procedural Observation Forms. A second MitraClip device intervention is a good option for patients with MR following placement of the original MitraClip device. | Posted | Count of Participants | Participants | Through 12 months |
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| Secondary | Rate of Patients Rehospitalized | Defined as re-admission of patients to the hospital following discharge from the Clip procedure. | Posted | Count of Participants | Participants | 30 days |
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| Secondary | Duration of Rehospitalization | Posted | Mean | Standard Deviation | Days | 30 days |
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| Secondary | Number of Participants at Discharge Facility | This is the economic data reported to support the MitraClip System economic analysis. | Posted | Count of Participants | Participants | < or = 12 days |
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| Secondary | Post-procedure Intensive Care Unit (ICU)/Critical Care Unit (CCU)/Post-anesthesia Care Unit (PACU) Duration | ICU and hospital stay is defined as the mean duration of time that patients spent in the ICU (Intensive Care Unit)/ CCU (Cardiac Care Unit)/ PACU (Post-Anesthesia Care Unit) following the MitraClip procedure. | Post-Procedure ICU/CCU/PACU duration was not available for 4 patients. | Posted | Mean | Standard Deviation | Hours | Post index procedure within 30 days |
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| Secondary | Post-procedure Hospital Stay | This is the Economic data reported to support the MitraClip System economic analysis. It is defined as the mean duration of time that patients spent in hospital following the MitraClip procedure. | Duration of post-procedure hospital stay was not available for 3 patients. | Posted | Mean | Standard Deviation | Days | Post index procedure within 30 days |
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|
| 0 |
| 78 |
| 37 |
| 78 |
| 52 |
| 78 |
| Arrhythmias | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Bleeding | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
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| Fever or Hyperthermia | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Hematoma | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
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| Hypotension/Hypertension | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
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| Mitral Valve/Leaflet Injury | Injury, poisoning and procedural complications | MedDRA 10.0 | Systematic Assessment |
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| Other | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Renal Insufficiency or Failure | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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| Respiratory Failure/Atelectasis/Pneumonia | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Septicemia | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Shortness of Breath | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Stroke | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Urinary Tract Infection | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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| Arrhythmias | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Bleeding | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
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| Coagulopathy | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
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| Fever or Hyperthermia | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Hematoma | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
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| Hypotension/Hypertension | Vascular disorders | MedDRA 10.0 | Systematic Assessment |
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| Infection at Access Site | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Mitral Valve/Leaflet Injury | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Nausea/Vomiting | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Other | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Pain at Incision Site | General disorders | MedDRA 10.0 | Systematic Assessment |
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| Renal Insufficiency or Failure | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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| Respiratory Failure/Atelectasis/Pneumonia | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Septicemia | Infections and infestations | MedDRA 10.0 | Systematic Assessment |
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| Shortness of Breath | Respiratory, thoracic and mediastinal disorders | MedDRA 10.0 | Systematic Assessment |
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| Stroke | Cardiac disorders | MedDRA 10.0 | Systematic Assessment |
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| Urinary Tract Infection | Renal and urinary disorders | MedDRA 10.0 | Systematic Assessment |
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Not provided
| Title | Measurements |
|---|---|
|
| 3 Mitra Clip devices |
|
| Title | Measurements |
|---|
|
| 3+: Moderate-to-Severe |
|
| 4+: Severe |
|
| Not Evaluable |
|
| Title | Measurements |
|---|
|
| 3+: Moderate-to-Severe |
|
| 4+: Severe |
|
| Not Evaluable |
|
| Title | Measurements |
|---|
|
| 3+: Moderate-to-Severe |
|
| 4+: Severe |
|
| Not Evaluable |
|
| Title | Measurements |
|---|
|
| 3+: Moderate-to-Severe |
|
| 4+: Severe |
|
| Not Evaluable |
|
| Title | Measurements |
|---|
|
| 3+: Moderate-to-Severe |
|
| 4+: Severe |
|
| Not Evaluable |
|
| Title | Measurements |
|---|
|
| NYHA IV |
|
| Title | Measurements |
|---|
|
| NYHA IV |
|
| Title | Measurements |
|---|
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| NYHA IV |
|
| Title | Measurements |
|---|
|
| NYHA IV |
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
| Title | Measurements |
|---|---|
|
|
| Other non-cardiac-related re-hospitalizations |
|
| Nursing home |
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| Death |
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| Other |
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