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The primary objective of the registry is to investigate and follow all patients treated with the MitraClip System in Belgium. This information is intended to contribute to decision making with regards to MitraClip therapy selection in patients with mitral regurgitation: (a) by establishing the clinical value of the MitraClip therapy in the continuum of care; and (b) by providing practical information that will allow physicians to make therapeutic decisions, assist hospitals to make purchasing decisions, and assist insurers/government in making coverage decisions.
In addition national data will be shared with European registries in order to increase the knowledge about the efficacy of this new technique.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mitraclip patients | Patients with severe mitral regurgitation in whom decision for mitraclip implantation was made by the heart team. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mitraclip | Device | The decision to implant mitraclip is not part of this observational study but is made by the heart-team. |
|
| Measure | Description | Time Frame |
|---|---|---|
| residual mitral regurgitation (MR) post mitraclip | MR grade 1 tot 4, as assessed on echocardiography | at day 3-5 post mitraclip implantation |
| cardiac mortality | 2 years | |
| surgical mitral valve intervention | 2 years | |
| hospitalization for heart failure | heart failure as primary reason of hospitalization | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| pericardial effusion | peri-procedural pericardial effusion with hemodynamic impact as assessed on echocardiography | day 1-2 after mitraclip implantation |
| change in New York Heart Association (NYHA) classification |
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Inclusion Criteria:
Exclusion Criteria:
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Patient with symptomatic severe mitral regurgitation at too high risk voor cardiac surgery and with suitable anatomy for mitraclip implantation
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University hospital Antwerp | Edegem | Antwerp | 2070 | Belgium | ||
| OLV Aalst |
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| ID | Term |
|---|---|
| D008944 | Mitral Valve Insufficiency |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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serum sample
NYHA 1-4 as assessed by the clinician at baseline and 1 month, 6 month, 1 year and 2 year after mitraclip implantation
| 2 years |
| distance during 6 min walking test | distance expressed in meters assessed baseline, 6 month and 1 y after mitraclip implantation. | 1 year |
| Left ventricular (LV) remodeling | echocardiac evaluation of LV end diastolic volume (LVEDV) with calculation of LV remodeling according to following formula: (LVEDV at six month - LVEDV baseline)/ LVEDV baseline | 6 month |
| Acute renal failure requiring dialysis | Acute renal failure requiring dialysis | up to one month after mitraclip implantation |
| urgent surgical mitral valve intervention | urgent surgical mitral valve intervention | within 24h after procedure |
| Change in Left ventricular ejection fraction (LVEF) | echocardiac evaluation of LV end systolic volume ( LVESV) and LV end diastolic volume (LVEDV) with calculation of LVEF according to following formula: (LVEDV - LVESV)/ LVEDV . LVEF measured at baseline and 6 month after mitraclip implantation | 6 month |
| Aalst |
| Belgium |