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There are different aortic valve prosthesis used for treatment of aortic valve disease through catheter-based procedures. The current study aims to compare two different aortic valve prosthesis regarding their outcomes at 30-day and 2-year follow-up.
Important improvements in aortic valve prostheses technology has been made aiming comparable performance of these prosthesis to surgical valve ones.
The experience with the early generation of aortic valve prostheses revealed some important differences regarding the incidence of paravalvular leakage, need for pacemaker or valve thrombosis among them. Currently the new generations of valve prostheses such as Sapien 3 balloon-expandable valve and Lotus, repositionable valve are the most frequently used devices. There are registry data about the clinical performance of these valve types but a randomized comparison is missing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| repositionable valve prosthesis | Experimental | Lotus |
|
| balloon-expandable valve prosthesis | Active Comparator | Sapien |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| repositionable valve prosthesis | Device | repositionable valve prosthesis implanted via trans-femoral and trans-catheter route |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of new permanent pacemaker implantation | implantation of PM | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| incidence of any prosthesis regurgitation | prosthesis regurgitation in echocardiography | 30 days |
| Incidence of any conduction abnormalities | conduction abnormalities on rest ECG |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Julinda Mehilli, MD | Munich University Clinic, Ludwig-Maximilians University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Munich University Clinic, Ludwig-Maximilians University | Munich | Bavaria | 81377 | Germany | ||
| Segeberger Kliniken Gmbh |
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| ID | Term |
|---|---|
| D000082862 | Aortic Valve Disease |
| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| balloon-expandable valve prosthesis | Device | balloon-expandable valve prosthesis implanted via trans-femoral and trans-catheter route |
|
|
| 30 days |
| Device success rate according to VARC-2 definition | combined endpoint | 30 days |
| Mortality rate | all-cause death | 30 days |
| Mortality rate | all-cause death | 1 year |
| Mortality rate | all-cause death | 2 years |
| incidence of early safety parameters according to VARC-2 definitions | combined endpoint | 30 days |
| incidence of combined efficacy according to VARC-2 definitions | combined endpoint | 1 year |
| incidence of combined efficacy according to VARC-2 definitions | combined endpoint | 2 years |
| Bad Segeberg |
| Schleswig-Holstein |
| 23795 |
| Germany |
| Azienda Ospedaliero-Universitaria Pisana | Pisa | Italy |