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Minimally-invasive upper extremity versus lower extremity for accessory access sites during transcatheter aortic valve implantatio

Completed
Conditions
abnormal narrowing of the aortic valve
aortic valve stenosis
10046973
Registration Number
NL-OMON51309
Lead Sponsor
Radboud Universitair Medisch Centrum
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
238
Inclusion Criteria

1. Patients must be > 18 years old.
2. Written informed consent is obtained from all patients.
3. Planned for transfemoral TAVI procedure.

Exclusion Criteria

1. Inability to obtain informed consent.
2. Contra-indication for brachial or femoral vein access (temporary pacemaker
access site).
3. Contra-indication for radial or femoral artery access (diagnostic access
site).
4. Use of cerebral embolic protection device (CEPD) if this requires an
additional (arterial) access site

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The primary endpoint is clinically relevant bleeding (BARC type 2, 3 or 5) of<br /><br>the randomized access site (either diagnostic or pacemaker access site, or<br /><br>both).</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary endpoints:<br /><br>- Time to mobilization after TAVI procedure<br /><br>- Duration of hospitalization<br /><br>- Early safety (at 30 days) as defined by VARC-3 criteria<br /><br><br /><br>Efficacy endpoints:<br /><br>- Frequency rate of cross-over to the non-randomized access site (either<br /><br>diagnostic or pacemaker access site, or both)<br /><br>- Fluoroscop time and skin-to-skin time<br /><br>- Failure of the temporary pacemaker</p><br>
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