New catheter system tested for safer heart defect repair
NCT ID NCT04433520
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new delivery system for implanting devices that close holes in the heart, such as PFO and ASD. It involved 254 patients and measured how well the system worked and how safe it was. The goal was to confirm that the system performs well in real-world use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Amplatzer Trevisio Intravascular Delivery System (a catheter-based device used to implant heart defect occluders)
- What this could lead to
- If successful, this delivery system could make it easier and safer for doctors to implant devices that close holes in the heart, reducing the need for open-heart surgery.
- What could go wrong
- This is a post-approval study, meaning the device is already on the market. The results confirm real-world safety and effectiveness but do not represent a breakthrough. Risks include serious complications like heart perforation or device clotting.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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254 people
The number who actually took part.
- Started
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Sep 2020
- Finished
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Jan 2023
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
This clinical study will enroll male and female adults and children with a PFO (adults only), ASD or VSD who are indicated for transcatheter closure. Patients must meet all general eligibility criteria and provide written informed consent prior to sites conducting any study-specific procedures not considered standard of care.
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria 1. Patient was indicated for implantation with the Amplatzer Septal Occluder for occlusion of a secundum atrial septal defect (Note: This does not include the indication for closure of a fenestration following a fenestrated Fontan procedure) OR subject was indicated for implantation with the Amplatzer PFO Occluder 2. Patient was of legal age and has provided his/her own written, informed consent OR Patient was a minor and has provided verbal and/or written informed consent or assent per local EC requirements, and his/her legally authorized representative, or representatives, had provided written informed consent on behalf of the minor according to local EC requirements 3. Patient was indicated for implantation with the Amplatzer Muscular VSD Occluder OR patient was indicated for implantation with the Amplatzer Post-Infarct Muscular VSD Occluder Exclusion Criteria 1. Presence of anatomic or comorbid conditions, or other medical, social, or psychological conditions that, in the Principal Investigator's opinion, could limit the subject's ability to participate in the clinical study or to comply with follow-up requirements. 2. Exclusion Criteria for Patients Undergoing ASD Closure with the Amplatzer ASO or Amplatzer ASD-MF Occluder * Patients known to have extensive congenital cardiac anomaly that can only be adequately repaired by cardiac surgery * Patients known to have sepsis within 1 month prior to implantation, or any systemic infection that cannot be successfully treated prior to device placement * Patients known to have demonstrated intracardiac thrombus on echocardiography (especially left atrial or left atrial appendage thrombi) * Patients whose size or condition (e.g., too small for transesophageal echocardiography \[TEE\] probe, catheter size, vasculature size, active infection) would cause the patient to be a poor candidate for cardiac catheterization * Patients with defect margins less than 5 mm to the coronary sinus, inferior vena cava rim, an atrioventricular valve, or the right upper lobe pulmonary vein 3. Exclusion Criteria for Patients Undergoing PFO Closure * Presence of thrombus at the intended site of implant, or documented evidence of venous thrombus in the vessels through which access to the defect is gained. Thrombus must be ruled out prior to introducing the delivery system. * Active endocarditis or other infections producing bacteremia * Patients whose vasculature, through which access to the defect is gained, is inadequate to accommodate the appropriate sheath size * Anatomy in which the Amplatzer™ PFO device size required would interfere with other intra-cardiac or intravascular structures, such as valves or pulmonary veins * Patients with known hypercoagulable states * Patients with intra-cardiac mass or vegetation, thrombus, or tumor 4. Body weight \<8 kg 5. Tetralogy of Fallot 6. Intracardiac thrombi on echocardiography
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Amsterdam Academic Medical Centre (AMC)
Amsterdam, 1105 AZ, Netherlands
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Azienda Ospedaliera Monaldi
Naples, 80131, Italy
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CHRU Lille
Lille, 59037, France
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CHU Gabriel Montpied
Clermont-Ferrand, 63003, France
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CHU Hopital G. & R. Laënnec
Nantes, 44093, France
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CHU Trousseau
Chambray-lès-Tours, 37170, France
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Centre Médico Chirurgical Marie Lannelongue
Le Plessis-Robinson, 92350, France
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Deutsches Herzzentrum Berlin
Berlin, 13353, Germany
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Deutsches Herzzentrum München des Freistaates Bayern
München, 80636, Germany
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Fondazione Toscana Gabriele Monasterio Via Aurelia Sud
Massa, Tuscany, 54100, Italy
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Gornoslaskie Centrum Medyczne im.prof. Leszka Gieca ul.
Katowice, Silesian Voivodeship, 40-635, Poland
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Herz- und Diabeteszentrum NRW
Bad Oeynhausen, 32545, Germany
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Hopital Haut Leveque
Pessac, 33604, France
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Hopital d'adulte de la Timone
Marseille, 13005, France
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Hospital Universitario Reina Sofia
Córdoba, 14004, Spain
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Hospital Universitario de la Paz
Madrid, 28046, Spain
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Hospital Universitario de la Paz - Pediatrico
Madrid, 28046, Spain
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Policlinico San Donato
San Donato Milanese, 20097, Italy
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Stadtspital Triemli
Zurich, 8063, Switzerland
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The Cardinal Stefan Wyszynski Institute of Cardiology
Warsaw, 04-628, Poland
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Universitätsklinikum Schleswig-Holstein Campus Kiel
Kiel, 24105, Germany
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Uniwersytekie Centrum Kliniczne
Gdansk, 80-952, Poland
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