NL-OMON48239招募中2 期
Cardiac CT for therapeutic stratification in low gradient presumed severe aortic stenosis with preserved left ventricular ejection fraction - CAPTURE AS
OLVG0 个研究点目标入组 60 人开始时间: 待定最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 60
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18 至 99(—)
入选标准
- •1. Written informed consent
- •2. Echocardiographic severe aortic valve stenosis with aortic valve area <1.0
- •3. Preserved left ventricular ejection fraction (LVEF), defined as LVEF at
- •4. Low mean transvalvular aortic pressure gradiënt (<40 mmHg)
- •5. Age at least 60 years
- •6. Patient has suitable anatomy to allow transcatheter aortic valve implantation
- •7. Patient demonstrates symptoms suspicious of heart failure or severe aortic
- •valve stenosis
排除标准
- •1.Hypersensitivity or contraindication to aspirin, heparin, clopidogrel or
- •sensitivity for contrast media which cannot be adequately pre-medicated
- •2.Blood dyscrasias as defined: leukopenia (WBC <1000 mm3), thrombocytopenia
- •(platelet count <50,000 cells/mm3), history of bleeding diathesis or
- •coagulopathy
- •3.Concomitant valvular disease, defined as more than moderate aortic valve
- •regurgitation, and/or more than moderate mitral valve regurgitation and/or
- •4.Ongoing sepsis, including active endocarditis
- •5.Symptomatic carotid or vertebral artery disease or successful treatment of
- •carotid stenosis within 6 weeks of inclusion
- •6.Active gastrointestinal (GI) bleeding within the past 3 months
- •7.Subject refuses blood transfustion
- •8.Severe dementia
- •9.Estimated life expectancy of less than 24 months due to associated
- •non-cardiac comorbidities
- •10.Other medical, social, or psychological conditions that in the opinion of
- •the investigator precludes the subject form appropriate consent or adherence to
- •the protocol required follow-up exams
- •11.Reduced LV function (LVEF <50%)
- •12.Native aortic annulus size <18 mm or >30 mm per baseline diagnostic imaging
- •13.sinus of valsalva diameter <25 mm or sinus of valsalva height <15 mm
- •14.Concomitant planned coronary artery bypass graft or additional valve
- •intervention
- •15.Hypertrophic obstructive cardiomyopathy
- •16.Echocardiographic or CT evidence of intracardiac mass, thrombus or vegetation
- •17.Transarterial access not able to accommodate an 18Fr sheath
- •18.Patient not being able to exercise or perform 6 MWT
研究者
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