Efficacy of MitraCLip Vs. PASCAL for the TrEAtment of MitraL REgurgiTation in an All-comer Population

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorLMU Klinikum

About this trial

To investigate potential differences in procedural outcomes of both commercially available transcatheter edge-to-edge mitral valve repair devices in a non-selected clinical setting.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age equal or above 18 years

Written consent

Heart Team recommends M-TEER

Disqualifiers

Mitral Stenosis (MV mean PG > 5 mmHg)

Cardiogenic shock or hemodynamic instability at the time of intervention

Active endocarditis

Participant in another interventional cardiology study

Trial design

Design model

Parallel

Treatments tested in this trial

  • Transcatheter mitral valve edge-to-edge repair (M-TEER)

    Device

    M-TEER is performed via a transfemoral venous approach. After puncture of the interatrial septum the mitral valve is repaired using either the PASCAL or MitraClip device.

Treatment groups

180 Participants
are divided into 2 treatment groups
Group A: MitraClipActive comparator 1 intervention
Group B: PASCALActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Postprocedural residual MR measured by 3D EROA

residual MR measured by 3D EROA as continuous parameter

Time frame
During the index procedure

Secondary outcomes

1

Reduction in MR EROA

Reduction in MR EROA from baseline to postprocedural (relative and absolut value)

Time frame
During the index procedure
2

Comparing EROA in complex vs. non-complex patients

Evaluation according to EROA reduction

Time frame
During the index procedure
3

Postprocedural MV opening area

Postprocedural MV opening area (planimetric)

Time frame
During the index procedure
4

Postprocedural MV inflow gradient

Mean pressure gradient and pressure halftime

Time frame
During the index procedure

Other outcomes

Sponsors and contacts

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