Status:

COMPLETED

Change in Coronary Microcirculation and FFR After TAVI in Patients With Cardiovascular Comorbidities

Lead Sponsor:

Nantes University Hospital

Conditions:

Severe Symptomatic Aortic Stenosis

Eligibility:

All Genders

18+ years

Brief Summary

Change in coronary microcirculation and Fractional Flow Reserve after Transcatheter Aortic Valve Implantation in patients with concomitant coronary artery disease and severe aortic stenosis. Severe a...

Detailed Description

This monocentric and prospective observational study aims to include patients with stable coronary artery disease and undergoing TAVI for severe aortic stenosis via transfemoral access, from November ...

Eligibility Criteria

Inclusion

  • Adults older than 18 years. For female of childbearing age, active contraceptive method is recommended.
  • patients with severe symptomatic aortic stenosis secondary to degenerative disease confirmed by transthoracic echocardiography (mean gradient \>40 mmHg and/or valve area \<1 cm2) and with significant coronary artery disease (epicardial coronary stenosis angiography \> or = to 50%)

Exclusion

  • Severe CAD with tritroncular lesions or severe stenosis (\>90 %) of left main artery or proximal left anterior descending artery
  • Lack of viability in myocardial territory of interest
  • History of bypass coronary surgery or heart transplantation
  • Severe left ventricular systolic dysfunction, characterized by an ejection fraction \< 35 %
  • Severe renal impairment (Creatinine clearance \<30 ml/min/1.73 m2)
  • Absolute contraindication to intravenous adenosin
  • Pregnant or nursing women Patients under guardianship, curatorship, or protection of justice

Key Trial Info

Start Date :

December 8 2020

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

May 8 2023

Estimated Enrollment :

29 Patients enrolled

Trial Details

Trial ID

NCT04663334

Start Date

December 8 2020

End Date

May 8 2023

Last Update

December 15 2023

Active Locations (1)

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1

CHU Nantes

Nantes, France, 44000