NCT04659655

Brief Summary

The objective of this study is to compare surgical outcomes between patients who underwent valve replacement with and without the help of the automated annular suturing technology. In addition, data of the early and intermediate postoperative period will be collected within routine clinical follow-up in order to assess morbidity and mortality as well as echocardiographic parameters.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
30

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Jan 2021

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 16, 2020

Completed
23 days until next milestone

First Posted

Study publicly available on registry

December 9, 2020

Completed
23 days until next milestone

Study Start

First participant enrolled

January 1, 2021

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2022

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2022

Completed
Last Updated

December 9, 2020

Status Verified

December 1, 2020

Enrollment Period

1 year

First QC Date

November 16, 2020

Last Update Submit

December 2, 2020

Conditions

Keywords

surgical aortic valve replacementsurgical mitral valve replacement

Outcome Measures

Primary Outcomes (2)

  • Freedom from mortality at 30 days post-OP assessed by clinical follow-up reports.

    Follow-ups 30 days post-OP are performed and freedom from mortality evaluated.

    30 days post surgical valve replacement

  • Implantation time assessed by surgical report.

    Implantation time, the duration defined from start of the valve assessment until the completion of the prosthesis implantation (defined as fixation of the last suture) assessed by surgical report.

    procedural

Secondary Outcomes (2)

  • Freedom from severe adverse events at 30 days post-OP assessed by clinical follow-up reports

    30 days post surgical valve replacement

  • Surgical times assessed by surgical report.

    procedural

Study Arms (2)

surgical aortic valve replacement

OTHER

n=20 patients with aortic valve pathology and indication for surgical aortic valve replacement

Procedure: automated annular suturing

surgical mitral valve replacement

OTHER

n=10 patients with mitral valve pathology and indication for surgical mitral valve replacement

Procedure: automated annular suturing

Interventions

RAM® Automated Suturing Technology. The RAM® DEVICE and SEW-EASY® DEVICE are automated suturing devices indicated for use in the approximation of soft tissue and prosthetic materials when used in conjunction with RAM® COR-SUTURE® QUICK LOAD® surgical suture. Devices will be used for the approximation of respective replacement valves during surgical aortic or mitral valve replacement as described in the study protocol. Cases may include use of the RAM® RING/RAM® RACK devices for suture management and the Aortic Root Retractor (ARR) with delivery device.

surgical aortic valve replacementsurgical mitral valve replacement

Eligibility Criteria

Age18 Years - 90 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients with low to moderate operative risk (Defined by STS mortality risk below 8%)
  • Patients above the age of 18 years
  • Patients willing and able to sign the informed consent

You may not qualify if:

  • Patients with active endocarditis
  • Patients with previous cardiac surgery other than pacemaker implantation
  • Emergency procedures
  • Patient who did not sign the informed consent form and/ or refuse to participate
  • Patients unable to read or understand the informed consent

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Medical University of Vienna

Vienna, 1090, Austria

RECRUITING

Related Publications (4)

  • Wong JK, Melvin AL, Siordia JA, Joshi DJ, Sauer JS, Knight PA. Novel Automated Suturing Technology for Minimally Invasive Aortic Valve Replacements. Ann Thorac Surg. 2018 Feb;105(2):645-649. doi: 10.1016/j.athoracsur.2017.07.054. Epub 2017 Nov 27.

    PMID: 29174775BACKGROUND
  • Johnson CA Jr, Melvin AL, Lebow BF, Yap A, Knight PA. Video assisted right mini-thoracotomy for aortic valve replacement. J Vis Surg. 2018 Feb 27;4:39. doi: 10.21037/jovs.2018.01.16. eCollection 2018.

    PMID: 29552521BACKGROUND
  • Robinson DA, Sagebin F, Yap AJ, Johnson CA Jr, Knight PA. Aortic valve replacement with annular enlargement via a right anterior minithoracotomy. Multimed Man Cardiothorac Surg. 2018 Jul 26;2018. doi: 10.1510/mmcts.2018.044.

    PMID: 30070778BACKGROUND
  • Nellis JR, Fitch ZW, Choi AY, Meza JM, Spector ZZ, Von Bergen NH, Torres JE, Klapper JA, Sauer JS, Turek JW. A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child. Innovations (Phila). 2018 Nov/Dec;13(6):455-457. doi: 10.1097/IMI.0000000000000568.

    PMID: 30540590BACKGROUND

Related Links

MeSH Terms

Conditions

Aortic Valve Disease

Condition Hierarchy (Ancestors)

Heart Valve DiseasesHeart DiseasesCardiovascular Diseases

Study Officials

  • Martin Andreas, Assoc. Prof. PD MD MBA, PhD,

    Medical University of Vienna

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Martin Andreas, Assoc. Prof. PD MD MBA, PhD,

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
OTHER
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assoc. Prof. PD MD MBA, PhD, MEBCTS

Study Record Dates

First Submitted

November 16, 2020

First Posted

December 9, 2020

Study Start

January 1, 2021

Primary Completion

January 1, 2022

Study Completion

March 1, 2022

Last Updated

December 9, 2020

Record last verified: 2020-12

Data Sharing

IPD Sharing
Will not share

Locations