Status:

UNKNOWN

Coronary Physiology Peri-Transcatheter Left-sided Valvular Interventions

Lead Sponsor:

Erasmus Medical Center

Conditions:

Aortic Valve Stenosis

Mitral Regurgitation

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Prospective, single-arm, observational study with invasive coronary physiology measurements before and after transcatheter left-sided valvular intervention.

Detailed Description

The POTUS study is a prospective, investigator-initiated, single-arm observational study with invasive measurements that will consist of two cohorts. The first cohort consists of 120 patients with int...

Eligibility Criteria

Inclusion

  • Age ≥ 18.
  • a) TAVI cohort: severe aortic valve stenosis for which TAVI is scheduled after discussion in the Heart Team.
  • b) TMVr cohort: severe functional/degenerative mitral regurgitation for which TMVr is scheduled after discussion in the Heart Team.
  • At least intermediate coronary artery disease, defined as 50-99% diameter stenosis in a vessel ≥ 2.5 mm
  • Elective procedure
  • Written informed consent

Exclusion

  • TAVI cohort: height coronary ostia \< 10 mm
  • Severe chronic kidney disease, defined as estimated glomerular filtration rate \< 30 ml/min.
  • Contra-indication for intravenous adenosine: severe asthma or chronic obstructive pulmonary disease, known allergy to adenosine or previous reported bronchospasm in response to adenosine.
  • Degenerated surgical or transcatheter aortic valve bioprosthesis.
  • Vessels that have collaterals to a chronic total occlusion or that are supplied by an arterial or venous bypass graft will not be interrogated in this study.

Key Trial Info

Start Date :

March 22 2021

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2023

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT05374733

Start Date

March 22 2021

End Date

March 1 2023

Last Update

May 16 2022

Active Locations (1)

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1

Erasmus MC

Rotterdam, Netherlands, 3015GD