跳至主要内容
临床试验/NCT03600662
NCT03600662招募中不适用

TriRec - Trileaflet Reconstruction of the Aortic Valve

Deutsches Herzzentrum Muenchen2 个研究点 分布在 1 个国家目标入组 128 人开始时间: 2018年1月18日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
招募中
发起方
入组人数
128
试验地点
2
主要终点
Effective orifice area

研究概览

简要总结

Reconstruction of the aortic valve using the tri-leaflet repair technique is non-inferior with regard to effective orifice area (EOA) to surgical aortic valve replacement (SAVR) with a biological prosthesis (St. Jude Trifecta GT) as gold- standard.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
50 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age >= 50 years
  • Documented symptomatic moderate or greater aortic stenosis or severe insufficiency
  • Aortic annulus > 19 mm
  • Written informed consent of the patient.

排除标准

  • Concomitant intervention of the aortic root
  • Concomitant intervention of the aortic arch
  • Concomitant valve surgery
  • Emergency surgery for any reason
  • Neurological events (i.e. stroke, TIA) within 6 months preoperatively
  • Coagulation disorders (including thrombocytopenia < 100.000/ml)
  • Porcelain aorta
  • Active endocarditis or other active systemic infections
  • Participating in another trial that may influence the outcome of this trial
  • Pregnancy
  • Dual antiplatelet therapy
  • Previous cardiac surgery (excluding percutaneous procedures)

研究组 & 干预措施

TriRec

Experimental

Trileaflet Reconstruction of the Aortic Valve

干预措施: TriRec (Other)

Aortic valve replacement

Experimental

Biological prosthesis, Device: St. Jude Medical Trifecta GT

干预措施: Aortic valve replacement (Other)

结局指标

主要结局

Effective orifice area

时间窗: 10th postoperative day +/- 4 days

Effective orifice area in cm2 (EOA) either after the TriRec- procedure or surgical valve replacement with the St. Jude Medical Trifecta GT Valve, measured by echocardiography

次要结局

  • Effective orifice area(after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Maximum and mean aortic pressure gradients(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)
  • Estimation of aortic regurgitation, if applicable(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Left ventricular ejection fraction(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Left ventricular endsystolic and -diastolic diameter(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Left ventricular endsystolic and -diastolic volume(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Left atrial diameter(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Freedom from aortic valve reintervention at discharge(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year)
  • Freedom from Mortality(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)
  • Freedom from Stroke(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)
  • Freedom from Myocardial infarction(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)
  • Freedom from conduction disturbances leading to permanent pacemaker implantation(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)
  • Freedom from Endocarditis(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)
  • Freedom from Bleeding requiring re-thoracotomy(10th postoperative day +/- 4 days, after 6 months, 1 year and thereafter annually until the 10th postoperative year.)

研究者

发起方
Deutsches Herzzentrum Muenchen
申办方类型
Other
责任方
Sponsor

研究点 (2)

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