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A randomized double-blind trial of an interventional device treatment of functional mitral regurgitation in patients with symptomatic congestive heart failure-Trial design of the REDUCE FMR study

Goldberg, SL, Meredith, I, Marwick, T, Haluska, BA, Lipiecki, J, Siminiak, T, Mehta, N, Kaye, DM and Sievert, H 2017 , 'A randomized double-blind trial of an interventional device treatment of functional mitral regurgitation in patients with symptomatic congestive heart failure-Trial design of the REDUCE FMR study' , American Heart Journal, vol. 188 , pp. 167-174 , doi: https://doi.org/10.1016/j.ahj.2017.02.032.

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Abstract

The Carillon Mitral Contour System has been studied in 3 nonrandomized trials in patients with symptomatic congestive heart failure and functional mitral regurgitation. The REDUCE FMR study is a uniquely designed, double-blind trial evaluating the impact of the Carillon device on reducing regurgitant volume, as well as assessing the safety and clinical efficacy of this device. Carillon is a coronary sinus-based indirect annuloplasty device. Eligible patients undergo an invasive venogram to assess coronary sinus vein suitability for the Carillon device. If the venous dimensions are suitable, they are randomized on a 3:1 basis to receive a device or not. Patients and assessors are blinded to the treatment assignment. The primary end point is the difference in regurgitant volume at 1 year between the implanted and nonimplanted groups. Other comparisons include clinical parameters such as heart failure hospitalizations, 6-minute walk test, Kansas City Cardiomyopathy Questionnaire (KCCQ), and other echocardiographic parameters. An exercise echo substudy will also be included.

Item Type: Article
Authors/Creators:Goldberg, SL and Meredith, I and Marwick, T and Haluska, BA and Lipiecki, J and Siminiak, T and Mehta, N and Kaye, DM and Sievert, H
Journal or Publication Title: American Heart Journal
Publisher: Mosby
ISSN: 0002-8703
DOI / ID Number: https://doi.org/10.1016/j.ahj.2017.02.032
Copyright Information:

© 2017 The Authors. Published by Elsevier Inc. Licensed under Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) http://creativecommons.org/licenses/by-nc-nd/4.0/

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