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Assessment of feasibility, safety and outcomes of transcatheter valve interventions
Transcatheter valve therapies have a growing impact on daily medical practice since the first human percutaneous implantation of an aortic valve bioprosthesis by A. Cribier in 2002. While initially these techniques were reserved for patients at prohibitive risk for surgical aortic valve implantation, indications moving toward patients at high and intermediate risk.
Outcomes of these percutaneous interventions need to be monitored to assess quality of care and tailor indications in this rapidly moving field in interventional cardiology.
Trial objectives and Design Trial objectives
Secondary endpoints The secondary endpoints of the study are hemodynamic outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium criteria (2-3). Quality of life parameters, as well as exercise tolerance will be assessed.
Trial Design The design of the trial is a prospective non-interventional registry.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| TAVI | Transcatheter Aortic Valve Implantation |
| |
| TMVI | Transcatheter Mitral Valve Intervention |
| |
| TTVI | Transcatheter Tricuspid Valve Intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Transcatheter valve intervention | Device |
|
| Measure | Description | Time Frame |
|---|---|---|
| All-cause death | The primary endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |
| Cardiovascular death | The primary endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |
| All-cause death and/or rehospitalisation for cardiovascular causes | The primary endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |
| All-cause death and/or major stroke | The primary endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |
| Measure | Description | Time Frame |
|---|---|---|
| Rehospitalisation for cardiovascular causes | The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |
| Stroke |
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Inclusion Criteria:
Exclusion Criteria:
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Patients undergoing transcatheter valve intervention
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Christophe Dubois, MD, PhD | Contact | christophe.dubois@uzleuven.be | ||
| Marina Claes | Contact | marina.claes@uzleuven.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Cardiology, University Hospital Gasthuisberg | Recruiting | Leuven | 3000 | Belgium |
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| ID | Term |
|---|---|
| D006349 | Heart Valve Diseases |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). |
| 10 years of follow-up |
| Kidney injury | AKIN classification. The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | early after index intervention (30 days) |
| Bleeding complications | BARC classification. The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | early after index intervention (30 days) |
| Vascular complications | The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | early after index intervention (30 days) |
| Myocardial infarction | The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | early after index intervention (30 days) |
| Conduction disturbances and arrhythmias | The endpoints of the study are clinical outcomes after transcatheter valve interventions according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | early after index intervention (30 days) |
| Quality of life | EQ5D and EQ-Visual analogue scale | 10 years of follow-up |
| Exercise tolerance | 6-minutes walking test | 2 years of follow-up |
| Valvular function according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | Mean and peak gradient (mmHg) Effective orifice area (cm²) Left ventricular ejection fraction (%) valvular regurgtiation | 10 years of follow-up |
| Device success | Combined endpoint according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 30 days of follow-up |
| Early safety | Combined endpoint according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 30 days of follow-up |
| Clinical efficacy | Combined endpoint according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |
| Time-related valve safety | Combined endpoint according to the Valve Academic Research Consortium 2 criteria (Eur Heart J. 2012 Oct;33(19):2403-18). | 10 years of follow-up |