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Clinical Trials/NCT04836897
NCT04836897
Active, not recruiting
Not Applicable

Evaluation of the Efficacy and Safety of the Transcatheter Aortic Valve Replacement System in Patients With Severe Aortic Valve Stenosis Disease at High Surgical Risk

Shanghai NewMed Medical Co., Ltd.1 site in 1 country120 target enrollmentJanuary 19, 2021

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Aortic Valve Stenosis
Sponsor
Shanghai NewMed Medical Co., Ltd.
Enrollment
120
Locations
1
Primary Endpoint
Freedom from all-cause mortality
Status
Active, not recruiting
Last Updated
2 years ago

Overview

Brief Summary

The purpose of this clinical study is to evaluate the effectiveness and safety of the transcatheter aortic valve system in the treatment of patients with severe aortic stenosis who are at high risk of surgery or who are not suitable for surgery.

Detailed Description

This study is an multicenter, single-arm, prospective, safety and performance clinical study.

Registry
clinicaltrials.gov
Start Date
January 19, 2021
End Date
June 2028
Last Updated
2 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Age ≥ 65 years ;
  • Patients with symptomatic severe aortic valve stenosis (evaluated by echocardiography: transaortic valve pressure gradient ≥40mmHg (1mmHg=0.133kPa), or transaortic valve blood flow rate ≥4m/s, or aortic Valve area\<1.0cm2, or AVA \<0.5cm2 /m2);
  • Life expectancy\> 12 months;
  • Patients who are anatomically suitable for transcatheter aortic valve implantation;
  • After evaluation by two or more cardiovascular surgeons, patients who are unsuitable for surgery; or patients who refuse surgery after sufficient communication by the surgeons and are at high risk of routine surgery;
  • Patients who can understand the purpose of the trial, voluntarily participate in and signed informed consent form, and are willing to accept relevant examinations and clinical follow-ups.

Exclusion Criteria

  • Acute myocardial infarction occurred within 1 month before this treatment;
  • Congenital single leaf aortic valve;
  • Any therapeutic cardiac operation (including placement of coronary drug-eluting stents) within 30 days;
  • The patient's heart has been implanted with other artificial heart valves, artificial rings, or severe mitral regurgitation (\>3+);
  • Blood system diseases or abnormalities, including leukopenia (WBC\<3×109/L), acute anemia (HB \<90g/L), thrombocytopenia (PLT\<50×109/L), bleeding constitution and coagulopathy ;
  • Untreated severe coronary artery stenosis that requires revascularization;
  • Patients with hemodynamic or respiratory instability, requiring continuous mechanical heart assistance or mechanical ventilation;
  • Patients who need emergency surgery for any reason;
  • Hypertrophic cardiomyopathy with obstruction;
  • Severe left ventricular dysfunction, left ventricular ejection fraction (LVEF) \<20%;

Outcomes

Primary Outcomes

Freedom from all-cause mortality

Time Frame: 12 months

All-cause mortality within 12 months of TAVI procedure

Secondary Outcomes

  • Rate of Severe bleeding(30 days、6 months、1-5 years)
  • Device success(immediate post-surgical)
  • Procedural success(immediate post-surgical)
  • Freedom from all-cause mortality(2-5 years)
  • Rate of All disabling stroke(30 days、6 months、1-5 years)
  • Rate of Myocardial infarction(30 days、6 months、1-5 years)

Study Sites (1)

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