Percutaneous Left Ventricular Reshaping to Reduce Functional Mitral Regurgitation and Improve LV Function
Percutaneous Left Ventricular Reshaping to Reduce Functional Mitral Regurgitation and Improve LV Function
The study is designed to demonstrate the safety, feasibility and potential efficacy of using
 the AccuCinch® System to reduce functional mitral regurgitation.
Inclusion Criteria:

 -  Age >18 years

 -  Subjects with clinically significant mitral regurgitation (MR 2+ and above)

 -  Ejection Fraction ≥ 25%

 -  Stable cardiac medical regimen for heart failure for at least 1 month

 -  Stable NYHA Classification for at least 1 month

 -  Subject is eligible for cardiac surgery

 -  The subject has been informed of the nature of the study, agrees to its provisions,
 and has provided written informed consent

 Exclusion Criteria:

 -  Myocardial infarction within 90 days of the intended treatment with the device

 -  Prior surgical, transcatheter, or percutaneous mitral valve intervention

 -  Any intervention for coronary artery disease (CAD) within the last 30 days prior to
 treatment, or unrevascularized multivessel coronary disease

 -  Hemodynamic instability or the need for emergent surgery

 -  Non-ambulatory NYHA Class IV symptoms of heart failure or subjects requiring IV
 inotropic support

 -  Subjects in whom sufficient quality of echocardiography (TTE and TEE) cannot be
 obtained

 -  Echocardiography evidence of primary mitral valve disease causing MR or MS,

 -  Evidence of mitral valve stenosis with an estimated valve area less than 3.0 cm2

 -  Mitral valve prosthesis or pathology that would prevent adequate function of the GDS
 Accucinch System

 -  Estimated GFR of <30ml/min/1.73m2

 -  Greater than mild mitral annular calcification observed by fluoroscopy

 -  Presence of aortic valve prosthesis

 -  Moderate to severe aortic valve stenosis or calcification observed by echocardiography
 or fluoroscopy

 -  Severe aortic arch calcification or mobile aortic atheroma observed by
 echocardiography or fluoroscopy

 -  Active bacterial endocarditis

 -  History of bleeding diathesis or coagulopathy

 -  History of stroke within the prior 6 months

 -  Subjects in whom anticoagulation is contraindicated

 -  Any clinical evidence that the investigator feels would place the subject at increased
 risk with the placement of the device.

 -  Concurrent medical condition with a life expectancy of less than 12 months

 -  Currently participating in an investigational study

 -  Co-morbid conditions that place the subject at an unacceptable surgical risk (e.g.
 severe chronic obstructive pulmonary disease, hepatic failure, immunological
 abnormalities, and hematological abnormalities)

 -  Subjects with indication for concomitant surgery such as coronary artery bypass graft
 (CABG), aortic valve reconstruction or replacement, tricuspid repair or replacement,
 left ventricular remodeling surgery and congenital repair

 -  Any cardiac resynchronization therapy within the last 3 months prior to treatment

 -  Subjects on high dose steroids or immunosuppressant therapy

 -  Female subjects who are pregnant, of child bearing potential or lactating

 -  Subjects who are unable or unwilling to comply with the follow-up schedule and
 requirements