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This study will confirm the safety and effectiveness of the Edwards Lifesciences SAPIEN XT Transcatheter Heart Valve (THV) System in patients with a dysfunctional right ventricular outflow tract (RVOT) conduit with a clinical indication for intervention in a post-market setting.
The study is a prospective, non-randomized, multi-center clinical study to assess the safety and effectiveness of pulmonic implantation of the SAPIEN THV in patients with dysfunctional RVOT conduits requiring treatment for moderate or severe pulmonary regurgitation (PR) by transthoracic echocardiography (TTE) and/or RVOT conduit obstruction with a mean gradient of ≥ 35 mmHg by TTE.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TPVI | Transcatheter Pulmonary Valve Implantation with the SAPIEN XT THV |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SAPIEN XT THV | Device | SAPIEN XT THV will be implanted in the pulmonic position. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Freedom from device- or procedure-related death or reintervention | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Decrease in pulmonary regurgitation to mild or less for regurgitant lesions | Assessed via transthoracic echocardiogram (TTE) | 1 year |
| Decrease in RVOT mean gradient to less than 30 mmHg for stenotic lesions |
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Inclusion Criteria:
Exclusion Criteria:
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Pediatric and adult patients with a dysfunctional, non-compliant right ventricular outflow tract (RVOT) conduit with a clinical indication for intervention.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama | Birmingham | Alabama | 35294 | United States | ||
| Children's Hospital Colorado |
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Assessed via TTE
| 1 year |
| Device Success | Device Success is a composite of:
| 48 Hours Prior to Discharge |
| Aurora |
| Colorado |
| 80045 |
| United States |
| Children's National Medical Center | Washington D.C. | District of Columbia | 20010 | United States |
| Advocate Children's Hospital | Oak Lawn | Illinois | 60453 | United States |
| The University of Iowa | Iowa City | Iowa | 52242 | United States |
| Children's Hospital of Michigan | Detroit | Michigan | 48201 | United States |
| Children's Heart Center Nevada | Las Vegas | Nevada | 89109 | United States |
| Newark Beth Israel Medical Center | Newark | New Jersey | 07112 | United States |
| Mount Sinai Beth Israel | New York | New York | 10003 | United States |
| Cleveland Clinic Foundation | Cleveland | Ohio | 44195 | United States |
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
| Children's Hospital of Pittsburgh of UPMC | Pittsburgh | Pennsylvania | 15224 | United States |
| ID | Term |
|---|---|
| D011665 | Pulmonary Valve Insufficiency |
| D011666 | Pulmonary Valve Stenosis |
| D006330 | Heart Defects, Congenital |
| D000013 | Congenital Abnormalities |
| D002318 | Cardiovascular Diseases |
| D006331 | Heart Diseases |
| D013771 | Tetralogy of Fallot |
| D000082862 | Aortic Valve Disease |
| D018633 | Pulmonary Atresia |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D014694 | Ventricular Outflow Obstruction |
| D018376 | Cardiovascular Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D054079 | Vascular Malformations |
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