Status:

RECRUITING

Surgical Septal Myectomy vs Percutaneous Transluminal Alcohol Septal Ablation in Patients With Hypertrophic Obstructive Cardiomyopathy

Lead Sponsor:

St. Antonius Hospital

Collaborating Sponsors:

Erasmus Medical Center

Conditions:

Hypertrophic Cardiomyopathy

Eligibility:

All Genders

40-75 years

Phase:

NA

Brief Summary

The aim of this randomized trial is to compare the improvement in exercise capacity among patients with highly symptomatic hypertrophic obstructive cardiomyopathy despite optimal medical treatment who...

Detailed Description

This is a prospective, multicentre, open label, randomized controlled, non-inferiority trial (RCT) with a 1:1 randomization to alcohol septal ablation or surgical septal myectomy in patients with hype...

Eligibility Criteria

Inclusion

  • Age between 40-75 years including 40 and 75 years of age
  • HOCM eligible for both SSM and ASA by a heart team (multidisciplinary team) and core lab.
  • Left ventricle outflow tract (LVOT) obstruction \> 30mmHg at rest or during physiological provocation by transthoracic echocardiogram
  • Symptomatic (New York Heart Association classification (NYHA) \>1 or Canadian Cardiovascular Society (CCS) class \>1) and/or syncope due to HOCM

Exclusion

  • Unable to give informed consent
  • A life expectancy of less than 1 year
  • Concomitant (structural valve disease, aorta, rhythm, CABG) surgery during the same session
  • Not able to perform bicycle ergometry exercise test

Key Trial Info

Start Date :

June 30 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2026

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT04684290

Start Date

June 30 2021

End Date

May 1 2026

Last Update

September 16 2021

Active Locations (1)

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St. Antonius Hospital

Nieuwegein, Utrecht, Netherlands, 3435cm

Surgical Septal Myectomy vs Percutaneous Transluminal Alcohol Septal Ablation in Patients With Hypertrophic Obstructive Cardiomyopathy | DecenTrialz