Actively Recruiting

Age: 18Years +
All Genders
NCT05779787

COronary Re-engageMent aFter randOm NavitoR alignmenT (COMFORT STUDY)

Led by Niguarda Hospital · Updated on 2026-04-16

100

Participants Needed

1

Research Sites

221 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Whereas PCI before TAVR was previously recommended despite its uncertain prognostic role, recent data underline the possibility of a postponed coronary intervention using a commissural alignment technique. This approach allows easy coronary re-engagement through the valve stent frame with a trade off paid of procedure complexity. Considering the prevalence of coronary artery disease (CAD) and the increasing percentage of younger patients treated with TAVI, investigate whether a simpler procedure with random implantation of Navitor valve is not inferior in terms of coronary re-access, is required The key point of the project will be the evaluation of the feasibility of coronary re-engagement after a Navitor valve randomly implanted.

CONDITIONS

Official Title

COronary Re-engageMent aFter randOm NavitoR alignmenT (COMFORT STUDY)

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Severe, symptomatic aortic stenosis with an indication for TAVI
Not Eligible

You will not qualify if you...

  • Valve-in-valve procedure
  • Hemodynamical instability
  • TAVR performed from other access (not femoral)
  • No-CT planned TAVR
  • TAVR performed with chimney technique

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

ASST GOM Niguarda

Milan, Lombardy, Italy, 20162

Actively Recruiting

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Research Team

G

Giuseooe Esposito, MD

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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