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Cerebrovascular EveNts in Patients Undergoing TranscathetER Aortic Valve Implantation With Balloon-expandable Valves Versus Self-expandable Valves.

Completed
Conditions
Aortic Valve Stenosis
Registration Number
NCT03588247
Lead Sponsor
Academisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)
Brief Summary

The aim of this collaborative analysis is to evaluate stroke rates and mortality in patients undergoing TAVI with the self-expandable MCV prosthesis compared to the balloon-expandable ES valve. In the absence of large randomized controlled trials, we will conduct a large collaborative patient-pooled meta-analysis on 30-day stroke and mortality in patients undergoing primary transfemoral TAVI with either MCV or ES valve.

Detailed Description

The main aim of this patient-pooled analyses is to compare stroke rates and mortality in patients undergoing TAVI with the self-expandable MCV prosthesis compared to the balloon-expandable ES valve. However, this collaboration may also be used to compare various outcomes.

Studies were included if they complied with the following requirements: original prospective studies, including patients with aortic valve stenosis treated with transfemoral TAVI of native valves and reporting of 30 day stroke outcomes according to VARC criteria or other specified corresponding criteria . Moreover, to be included studies had to report both the use of self-expandable MCV prosthesis and the balloon-expandable ES valve in more than 50 patients in each arm to ensure experience in use of the valves. Studies were excluded if they only addressed patients undergoing valve-in-valve and re-do procedures or bicuspid valves or included the same study population. Principal Investigators of these studies were approached for collaboration.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
12000
Inclusion Criteria
  • patients undergoing transfemoral transcatheter aortic valve procedures
Exclusion Criteria
  • valve-in-valve procedures, other acces routes than transfemoral

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Stroke30 days

Stroke during the first month after TAVI

Mortality30 days

Death during the first month after TAVI

Secondary Outcome Measures
NameTimeMethod
New onset atrial fibrillation30 days

New onset atrial fibrillation during the first month after TAVI

Pacemaker implantation30 days

Pacemaker during the first month after TAVI

Myocardial infarction30 days

Myocardial infarction during the first month after TAVI

Bleeding30 days

Major or life-threatening bleeding during the first month after TAVI

Trial Locations

Locations (1)

Academic Medical Center

🇳🇱

Amsterdam, Netherlands

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