Valvular & structural heart disease

1-Year Outcomes Following Transfemoral Transseptal Transcatheter Mitral Valve Replacement: Intrepid Transcatheter Mitral Valve Replacement (TMVR) Early Feasibility Study Results

JACC Cardiovasc IntervPublished Prospective single-arm early feasibility study

Authors' conclusion

The early benefits of the Intrepid transfemoral transseptal TMVR system were maintained up to 1 year with low mortality, low reintervention, and near complete elimination of MR, demonstrating a favorable safety profile and durable valve function.

Study context

Population
Patients with ≥moderate-severe mitral regurgitation (MR) at high surgical risk31 (93.9%) successfully implanted
Participants
33 patients
Outcome
1-year outcomes
Follow-up
Up to 1 year
Methodological detailsmulticentre, 9 US sites, Enrolled February 2020 to August 2022, Clinical events adjudicated by a clinical events committee; endpoints per Mitral Valve Academic Research Consortium criteria
  • Multicentre
  • 9 US sites
  • Enrolled February 2020 to August 2022
  • Clinical events adjudicated by a clinical events committee; endpoints per Mitral Valve Academic Research Consortium criteria

Main finding

As reported in the abstract

Kaplan-Meier all-cause mortality

6.7%

Median mitral valve mean gradient, mm Hg (Q1-Q3: 3.9-5.3)

4.6

Survivors in NYHA class I/II

91.7%

Median improvement in KCCQ overall summary score, points

11.4

Observational data: associations, not effects.

Further findings

Successful implantation

Patients successfully implanted
31 (93.9%)

Postprocedural hospitalisation

Median length of stay, days
5
Discharged to home
87.9%

Safety

30-day safety events

Deaths
0
Strokes
0
Major vascular complications (none required surgical intervention)
8 (24.2%)
VTE cases, all successfully treated without sequelae
4
Mitral valve reintervention for severe LV outflow tract obstruction
1

Original publication

1-Year Outcomes Following Transfemoral Transseptal Transcatheter Mitral Valve Replacement: Intrepid TMVR Early Feasibility Study Results. JACC Cardiovasc Interv. Published 23 October 2023. doi:10.1016/j.jcin.2023.10.001

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