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Sponsor business decision unrelated to product safety or efficacy.
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The purpose of this registry is to collect specific health and patient data to identify more precisely the patient population undergoing TA aortic valve replacement with the ACURATE neo™ Aortic biprosthesis and ACURATE neo™ TA Transapical Delivery System.
Safety and efficacy data will be collected to support the commercial use of the ACURATE neo™ Aortic Bioprosthesis and ACURATE neo™ TA Transapical Delivery System in a specific TA population.
As per IFU, the ACURATE neo™ and its ACURATE neo™ TA Delivery System are intended for use in minimally invasive, transcatheter aortic valve replacement using transapical access in patients presenting with severe aortic valve stenosis.
The Primary Objective of this post-market registry is to collect specific health and patient characteristics to understand the indication for TA-TAVI and to further evaluate the safety and performance of the ACURATE neo ™ Aortic Bioprosthesis and ACURATE neo™ TA Transapical Delivery System in a specific TA population, consisting of 200 consented patients.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACURATE neo™ Aortic Bioprosthesis | Device | TAVI; Transcatheter Aortic Valve Replacement. Transapical Access. |
|
| Measure | Description | Time Frame |
|---|---|---|
| All cause mortality | the rate of all-cause mortality as measured at 30-days | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Safety and performance data will be collected to support the commercial use of the ACURATE neo ™ Aortic Bioprosthesis and ACURATE neo™ TA Transapical Delivery System in a specific TA population. | Clinical events as defined per VARC 2 consensus document at procedure: All cause mortality; Stroke; Myocardial Infarction; Bleeding complication; Acute kidney injury; Vascular complication; Conduction disturbances and arrhythmia; Other TAVI-related complications |
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Inclusion criteria:
Exclusion criteria:
- Patients unable or unwilling to give inform consent;
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All subjects with severe aortic stenosis, for whom the transapical access is the most suitable approach as per heart-team consensus, who signed the Informed Consent Form (ICF) approved by the Independent Ethics Committee (IEC), and are deemed to be candidates to undergo transcatheter aortic valve implantation with the ACURATE neo™ Aortic Bioprosthesis and its Transapical Delivery System as per clinical practice at each participating site
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| Name | Affiliation | Role |
|---|---|---|
| Michael Hilker, Prof.Dr.med | Universitätsklinikum Regensburg | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kerckhoff Klinik | Bad Nauheim | 61231 | Germany | |||
| Herz-und Gefäß-Kilink GmbH |
The data and study protocol for this clinical trial may be made available to other researchers in accordance with the Boston Scientific Data Sharing Policy (http://www.bostonscientific.com/en-US/data-sharing-requests.html).
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| ID | Term |
|---|---|
| D001024 | Aortic Valve Stenosis |
| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| Procedure to Discharge, 30 days and 12-months |
| Procedural Success | Defined as absence of intra-procedure mortality (procedure to 24H) AND absence of complications arising during implantation of the prosthetic valve such as: inability to properly seat the valve in the annulus; need for more than one implanted aortic bioprosthesis (valve-in-valve or ectopic deployment) or if a surgical aortic valve replacement is required to correct a severe aortic regurgitation or procedure complication. The procedure can be considered as success despite the presence of residual aortic regurgitation, which may be due to the anatomic configuration of the annulus or a calcific valvular annulus. | Procedure to 24-hours |
| Device Success | Defined as;
For echo parameters for the performance assessment, a pre-discharge echo examination should be performed as per local standard of care. If echo parameter pre-discharge is missing, any echo parameter within 45 days post-procedure may be used. | Post-procedure to Discharge. |
| VARC 2 Composite Safety | Defined as:
| 30-days |
| Functional improvement as per NYHA Functional Classification | Change on NYHA Class between baseline and different follow-up | from baseline to, discharge, 30-days and 12-months follow-up. |
| Improvement of EOA and mean Trans-prosthetic gradient | If the echo parameter pre-discharge is missing to assess the intended performance, any echo parameter data within 45-days post procedure may be used for the missing values; | from baseline to discharge, 30- days and 12 months follow-up |
| Total Aortic Regurgitation | Change on Aortic Regurgitation over time at follow-up | post-procedure, prior to discharge, at 30-days and 12-months follow-up; |
| Bad Neustadt an der Saale |
| 97616 |
| Germany |
| Krankenhausbetriebgesellschaft | Bad Oeynhausen | D-32545 | Germany |
| BG Klinik Bergmannsheil | Bochum | 44789 | Germany |
| Universitätsklinikum Frankfurt- Klinik für Thorax, Herz und thorakale Gefæßchirurgie | Frankfurt | 60590 | Germany |
| Universitäts-Herzzentrum Freiburg-Bad Krozingen | Freiburg im Breisgau | 79106 | Germany |
| Universitätsklinikum Hamburg-Eppendorf | Hamburg | 20246 | Germany |
| Herzzentrum Leipzig | Leipzig | 04289 | Germany |
| Deutsches Herzzentrum München | München | 80636 | Germany |
| Universitätsklinikum Regensburg | Regensburg | 93053 | Germany |
| D014694 |
| Ventricular Outflow Obstruction |