Status:

COMPLETED

Microvascular Function in Patients Undergoing Transcatheter Aortic Valve Implant (TAVI) for Severe Symptomatic Aortic Stenosis: Association With Myocardial Fibrosis

Lead Sponsor:

Matteo Montorfano

Conditions:

Severe Symptomatic Aortic Stenosis

Eligibility:

All Genders

18-80 years

Phase:

NA

Brief Summary

Microvascular function in patients undergoing Transcatheter Aortic Valve Implant (TAVI) for severe symptomatic aortic stenosis: association with myocardial fibrosis

Detailed Description

Severe symptomatic aortic stenosis is commonly encountered in clinical practice, affecting close to 5% of individuals older than 65 years of age, and carries a dismal prognosis if left untreated.(1,2)...

Eligibility Criteria

Inclusion

  • • All patients referred to IRCCS Ospedale San Raffaele who are candidates to receive a TAVI implant for severe, symptomatic aortic stenosis under current appropriateness criteria and clinical practice guidelines will be considered eligible to take part in the study

Exclusion

  • Age \<18 years
  • Inability to express informed consent to take part in the present study.
  • Pregnancy or lactation
  • Pre-existing known disease determining a prognosis quo ad vitam shorter than the follow up of the present study
  • Significant chronic kidney disease (estimated glomerular filtration rate \<30 ml/min)
  • Known significant epicardial coronary artery stenosis
  • Known contraindication to adenosine administration:
  • Known allergic reactions
  • Second or third degree atrioventricular block before the procedure (in absence of a functional permanent pacemaker)
  • Long QT syndrome
  • Unstable angina
  • Severe hypotension
  • Acutely decompensated heart failure
  • Chronic obstructive pulmonary disease with bronchospasm
  • Concomitant use of dypiridamole

Key Trial Info

Start Date :

July 8 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 10 2025

Estimated Enrollment :

75 Patients enrolled

Trial Details

Trial ID

NCT05326126

Start Date

July 8 2021

End Date

September 10 2025

Last Update

September 16 2025

Active Locations (1)

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1

IRCCS San Raffaele

Milan, Italy, Italy, 20132