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N/A N=1,000

5 Year Observation of Patients With PORTICO Valves

Aortic Valve Stenosis

Enrolled (actual)
1,000
Serious AEs
79.4%
Results posted
Jan 2022
Primary outcome: Primary: Percentage of Participants With All-cause Mortality — 12.1 percentage of participants

Study Design & Population

Study type
Observational
Phase
N/A
Interventions
St Jude Medical Portico replacement aortic valve (Device); Transcatheter Aortic Valve Implant (Procedure)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Abbott Medical Devices
Primary completion
Sep 2018

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With All-cause Mortality
12.1
SECONDARY
Percentage of Participants With All Cause Mortality in Cohort A
2.7; 12.0; 19.5; 27.0; 35.7; 44.3
SECONDARY
Number of Participants With All-cause Mortality (30 Days, Annually From 1 Year Through 5 Years) in Cohort B
4; 4; 5; 5
SECONDARY
Percentage of Participants With Cardiovascular Mortality as Defined by the Valve Academic Research Consortium-2 (VARC-2) in Cohort A
2.5; 6.6; 9.8; 13.1; 18.5; 24.1
SECONDARY
Number of Participants With Cardiovascular Mortality Occurring at Each Time Window (30 Days, 1 Year, 2 Years, 3 Years, 4 Years and 5 Years) in Cohort B
0; 4; 2; 4
SECONDARY
Percentage of Participants With Non-Cardiovascular Mortality as Defined by the Valve Academic Research Consortium-2 (VARC-2) in Cohort A
0.2; 5.8; 10.8; 16.0; 21.1; 26.6
SECONDARY
Number of Participants With Non-Cardiovascular Mortality Occurring at Each Time Window (30 Days, 1 Year, 2 Years, 3 Years, 4 Years and 5 Years) in Cohort B
1; 3; 2; 1
SECONDARY
Percentage of Participants With Myocardial Infarction as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
1.6; 2.5; 3.2; 3.6; 4.9; 6.5
SECONDARY
Number of Participants With Myocardial Infarction as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
0; 1; 1; 0
SECONDARY
Percentage of Participants With Vascular Access Site Complication as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.0; 6.2
SECONDARY
Percentage of Participants With Bleeding Events as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
3.3; 8.3; 8.9
SECONDARY
Percentage of Participants With Stage 1, 2 and 3 Acute Kidney Injury as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
0.4; 1.0; 2.0
SECONDARY
Mean Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Aortic Valve Area)
1.78; NA; 1.74; NA; 1.84; 1.88
SECONDARY
Mean Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Mean Transvalvular Gradient)
8.58; NA; 8.67; NA; 7.81; 8.04
SECONDARY
Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure
113; 11; 174; 14; 54; 8
SECONDARY
Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure
113; 11; 174; 14; 54; 8
SECONDARY
Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure
113; 11; 174; 14; 54; 8
SECONDARY
Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure
113; 11; 174; 14; 54; 8
SECONDARY
Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure
113; 11; 174; 14; 54; 8
SECONDARY
Number of Participants With New York Heart Association (NYHA) Functional Classification of Heart Failure
113; 11; 174; 14; 54; 8
SECONDARY
Mean Six Minute Walk Test (6MWT)
276.3; 250.60; 285.75; 257.18; 276.4; 253.4
SECONDARY
Mean Quality of Life Assessment in Cohort A
67.3; 68.8
SECONDARY
Percentage of Participants With Transient Ischemic Attack in Cohort A
0.4; 1.4; 1.9; 1.9; 2.5; 2.8
SECONDARY
Number of Participants With Transient Ischemic Attack in Cohort B
1; 0; 0; 0
SECONDARY
Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.8; 4.7
SECONDARY
Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.8; 4.7
SECONDARY
Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.8; 4.7
SECONDARY
Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.8; 4.7
SECONDARY
Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.8; 4.7
SECONDARY
Percentage of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
7.8; 4.7
SECONDARY
Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
0; 0
SECONDARY
Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
0; 0
SECONDARY
Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
0; 0
SECONDARY
Number of Participants With Stroke as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
0; 0
SECONDARY
Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
9.5; 27.7; 25.3
SECONDARY
Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
9.5; 27.7; 25.3
SECONDARY
Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
9.5; 27.7; 25.3
SECONDARY
Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
9.5; 27.7; 25.3
SECONDARY
Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
9.5; 27.7; 25.3
SECONDARY
Percentage of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort A
9.5; 27.7; 25.3
SECONDARY
Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
1; 0; 0
SECONDARY
Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
1; 0; 0
SECONDARY
Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
1; 0; 0
SECONDARY
Number of Participants With Conduction Disturbances and Cardiac Arrythmias as Defined by Valve Academic Research Consortium-2 (VARC-2) in Cohort B
1; 0; 0
SECONDARY
Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) in Cohort A
29.7; 67.7; 2.6; 0.0
SECONDARY
Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation) in Cohort A
29.7; 67.7; 2.6; 0.0
SECONDARY
Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation)
69.8; 69.6; 28.6; 30.4; 1.6; 0.0
SECONDARY
Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation)
69.8; 69.6; 28.6; 30.4; 1.6; 0.0
SECONDARY
Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation)
69.8; 69.6; 28.6; 30.4; 1.6; 0.0
SECONDARY
Percentage of Participants With Prosthetic Valve Function as Defined by Valve Academic Research Consortium-2 (VARC-2) (Paravalvular Aortic Regurgitation)
69.8; 69.6; 28.6; 30.4; 1.6; 0.0

Summary

The purpose of this clinical investigation is to further assess the performance and safety profile of the commercially-available Portico™ TAVI System in patients with severe symptomatic aortic stenosis.

Eligibility Criteria

Inclusion Criteria

  • Patient has signed the Patient Informed Consent prior to participating in the clinical investigation.
  • Patient has been referred for a Portico Valve implant as per Heart Team decision or patient has received a Portico Valve as per participation in an SJM sponsored regulatory or first-in-human trial.
  • Patient has senile degenerative aortic valve stenosis confirmed by echocardiographically derived criteria*:
  • An initial aortic valve area (AVA) of less than or equal to (≤) 1.0 cm2 (or indexed EOA less than or equal to (≤) 0.6 cm2/m2) AND
  • A mean gradient greater than (>)40 mmHg or jet velocity greater than (>)4.0 m/s or Doppler Velocity Index less than ( 40 mmHg." (Baseline measurement taken by echo within 6 months of index procedure.)
  • Patient has a life expectancy more than (>) 12 months.

For patients enrolled in a French site:

  • Patient is at high risk for surgery as demonstrated by a Logistic EuroSCORE equal or more than (≥) 20 and/or a Society of Thoracic Surgeon (STS) mortality risk score of more than (>) 10% and/or by clinical judgment of the Heart Team based on the individual risk profile (comorbidities).
  • Not applicable for a patient who has received a Portico Valve as per participation in an SJM sponsored Regulatory or First-In-Human trial.

Exclusion Criteria

  • Any case in which the Portico Valve would not be indicated for the patient as per current instructions for use (i.e any "off-label" use).
  • Patient has any other aortic valve than tricuspid one.
  • Patient has a prosthetic valve or ring in the aortic position.
  • Patient needs a concomitant structural heart procedure..
  • Patient needs the usage of an embolic protection device.
  • Patient is unwilling or unable to comply with all clinical investigation-required follow-up evaluations.
  • Patient is pregnant
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01802788). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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