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Transcatheter Aortic Valve Replacement Single Center Registry in Chinese Population

Phase 4
Recruiting
Conditions
Symptomatic Aortic Stenosis
Interventions
Procedure: transcatheter aortic valve replacement
Registration Number
NCT02803294
Lead Sponsor
Second Affiliated Hospital, School of Medicine, Zhejiang University
Brief Summary

The purpose of this study is to evaluate the safety and effectiveness of transcatheter aortic valve replacement in Chinese population.

Detailed Description

Subjects enrolled are those who undergo physical exams and screening tests and were classified as a patient with symptomatic aortic stenosis or severe aortic regurgitation. They are then performed transcatheter aortic valve replacement.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
2000
Inclusion Criteria
  • Patients with symptomatic aortic stenosis/regurgitation
  • Subject has been informed of the nature of the study, agrees to its provisions and has provided written informed consent.
  • The subject agrees to comply with specified follow-up evaluations and to return to the investigational site where the procedure was performed.
  • Patients are technical and anatomical eligible for interventions
Exclusion Criteria
  • A known hypersensitivity or contraindication to any of the following which cannot be adequately pre-medicated: Aspirin Heparin (HIT/HITTS) and bivalirudin Nitinol (titanium or nickel) Ticlopidine and clopidogrel Contrast media
  • Subject refuses a blood transfusion.
  • Other medical, social, or psychological conditions that in the opinion of an Investigator precludes the subject from appropriate consent.
  • Life expectancy is less than one year

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Aortic Stenosis/regurgitationtranscatheter aortic valve replacementTranscatheter aortic valve replacement
Primary Outcome Measures
NameTimeMethod
Death from any cause1 year
Secondary Outcome Measures
NameTimeMethod
bleeding events30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
transcatheter valve failure30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years

leaflet thrombosis formation, reduced leaflet motion or leaflet thickening of the prosthetic valve

stroke30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
repeated hospitalization30days, 6months,1 year,2 years, 3 years, 4 years, 5 years, 10 years
vascular complications30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
changes in ascending aorta diameter1 year,2 years, 3 years, 4 years, 5 years,10 years
Death from all causes30 days, 6 months,1 year,2 years, 3 years, 4 years, 5 years,10 years
death from cardiac causes30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
Functional Improvement from baseline per New York Heart Association functional classification30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
device success30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years

Absence of procedural mortality and correct positioning of a single prosthetic valve into the proper anatomical location with intended performance of the prosthetic heart valve (no prosthesis-patient mismatch and mean aortic valve gradient \<20 mmHg or peak velocity \< 3 m/s, and no moderate or severe paravalvular regurgitation)

myocardial infarction30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
acute kidney injury30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years
permanent pacemaker implantation30days, 6months,1 year,2 years, 3 years, 4 years, 5 years,10 years

number of patients who develop permanent third-degree or type 2(Mobitz) Secondary atrioventricular block after transcatheter aortic valve replacement and need permanent pacemaker implantation.

Trial Locations

Locations (1)

The Second Affiliated Hospital, School of Medicine at Zhejiang University

🇨🇳

Hanzhou, Zhejiang, China

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