Status:

COMPLETED

Novel Echocardiographic and Invasive Haemodynamic Measurements in the Assessment of Patients Low Flow Low Gradient Aortic Stenosis Undergoing TAVI

Lead Sponsor:

The Royal Wolverhampton Hospitals NHS Trust

Conditions:

Cardiovascular Abnormalities

Eligibility:

All Genders

Phase:

NA

Brief Summary

In this study the investigators will assess a variety of novel markers of heart strength (contractility) and assess whether they can give a clearer indication of how well patients with weak hearts res...

Detailed Description

In this study the investigators will assess a variety of novel markers of heart strength (contractility) and assess whether they can give a clearer indication of how well patients with weak hearts res...

Eligibility Criteria

Inclusion

  • Patients presenting symptomatic AS listed for TAVI
  • Native aortic valve disease
  • Ejection fraction \</= 40%
  • Mean trans aortic gradient (echo) of \<35 mmHg
  • AVA \</= 1cm2
  • Able to give written informed consent prior to enrolment in the study
  • No contraindication to study procedures
  • CT scan confirmed severe AS
  • \*Able and willing to return to the implanting site for the follow-up visits\*

Exclusion

  • Unable to provide formal written consent
  • Known pseudo-severe AS prior to TAVI
  • Known allergy to agents required for stress echocardiography
  • Known hypersensitivity or contraindication to aspirin, heparin, clopidogrel, Nitinol, or sensitivity to contrast media, which cannot be adequately premedicated. \*
  • Any clinical contraindication to TAVI procedure
  • This pilot study will be restricted to English speaking subjects.

Key Trial Info

Start Date :

July 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2024

Estimated Enrollment :

7 Patients enrolled

Trial Details

Trial ID

NCT05196815

Start Date

July 1 2022

End Date

March 1 2024

Last Update

January 6 2025

Active Locations (1)

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The Royal Wolverhampton NHS Trust

Wolverhampton, West Midlands, United Kingdom, WV10 0QP