Safety and Effectiveness of Transcatheter Aortic Valve Implantation - EffecTAVI Registry
Led by Federico II University · Updated on 2024-02-23
1000
Participants Needed
1
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433 weeks
Total Duration
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What this Trial Is About
Aortic stenosis (AS) is the most common valve disease in elderly people, with severe cases affecting about 3.4% of those aged 75 and older. Symptoms of severe AS are linked to a higher risk of death. Traditionally, surgical aortic valve replacement (SAVR) has been the standard treatment for symptomatic AS. Since 2002, transcatheter aortic valve implantation (TAVI) has offered a less invasive alternative for patients who cannot undergo surgery. Recent improvements in TAVI devices and techniques, along with better patient selection, have expanded its use and improved safety.
This observational study, called the EffecTAVI Registry, is conducted by the University of Naples Federico II to collect information on patients with symptomatic severe AS undergoing TAVI. The study collects clinical and procedural data as well as echocardiographic results. TAVI procedures may use various arterial access points, including transfemoral, transapical, trans-subclavian, or trans-aortic routes. The study follows patients over time to evaluate outcomes.
Participants will be monitored with clinical follow-ups at 30 days, 6 months, and one year after TAVI. Data on adverse events, including mortality, neurological events, bleeding, and valve complications, are recorded according to standardized criteria. All patient data are securely stored in an anonymous web-based database. The study aims to provide detailed information on the safety and effectiveness of TAVI in real-world patients with severe AS, helping guide future care.
CONDITIONS
Brief Title
EffecTAVI Registry
Who Can Participate
Age: 55Years - 100Years
All Genders
Eligibility Criteria
You may qualify if you...
Patients with symptomatic severe aortic stenosis or degenerated bioprosthetic aortic valve suitable for TAVI as evaluated by the Heart Team
Ability to provide informed consent
You will not qualify if you...
Contraindications to TAVI such as intracardiac mass, thrombus, vegetation, or endocarditis
Poor adherence to scheduled follow-up visits
Unable to understand or follow study-related instructions
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Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person) for evaluation and informed consent
Implementation
Duration - Procedure day
Participants undergo Transcatheter Aortic Valve Implantation (TAVI) using a transcatheter heart valve through femoral or alternative arterial access.
1 visit (in-person) for the implantation procedure
Post-operative Follow-up
Duration - 1 year
Participants are followed clinically to monitor safety and effectiveness outcomes after TAVI.
Follow-up visits at 30 days, 6 months, and 1 year after TAVI
2020 ACC/AHA Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Catherine M Otto, Rick A Nishimura, Robert O Bonow...