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
- 否
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
研究点 (2)
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