Actively Recruiting

Phase Not Applicable
Age: 60Years +
All Genders
NCT04722796

HANGZHOU Solution in Bicuspid AS Undergoing TAVR

Led by Second Affiliated Hospital, School of Medicine, Zhejiang University · Updated on 2021-06-02

508

Participants Needed

18

Research Sites

363 weeks

Total Duration

On this page

Sponsors

S

Second Affiliated Hospital, School of Medicine, Zhejiang University

Lead Sponsor

V

Venus MedTech (HangZhou) Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

To compare supra-annular sizing and THV implantation technique (Hangzhou solution) versus annular sizing and THV implantation technique (control group) in bicuspid aortic stenosis (AS) patients undergoing transcatheter aortic valve replacement (TAVR) with self-expanding valves (SEVs): a randomized superiority trial

CONDITIONS

Official Title

HANGZHOU Solution in Bicuspid AS Undergoing TAVR

Who Can Participate

Age: 60Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 65 years or older
  • Age between 60 and under 65 years with high surgical risk based on specific assessments
  • Severe bicuspid aortic stenosis with mean gradient ≥40 mmHg
  • Maximal aortic valve velocity ≥4.0 m/sec
  • Aortic valve area ≤1.0 cm2 or aortic valve area index ≤0.6 cm2/m2
  • New York Heart Association classification II or higher
  • Type 0 or type 1 bicuspid valve by computed tomography
  • Annulus diameter between 20.0 mm and 29.0 mm
  • Eligible for transfemoral TAVR
  • Provided informed consent approved by ethics committee
Not Eligible

You will not qualify if you...

  • Contraindications for self-expanding bioprosthetic aortic valve placement
  • Leukopenia (WBC < 3000 cells/mL), acute anemia (Hgb < 9 g/dL), or thrombocytopenia (Plt < 50,000 cells/mL)
  • Active sepsis or bacterial endocarditis
  • Heart attack within 30 days before treatment
  • Stroke or transient ischemic attack within 90 days before procedure
  • Life expectancy under 12 months due to severe diseases
  • Need for emergency surgery before TAVR
  • Allergies or contraindications to aspirin, heparin, bivalirudin, clopidogrel, nitinol, or contrast media
  • Gastrointestinal bleeding preventing anticoagulation
  • Refusal of blood transfusion
  • Severe dementia affecting consent or follow-up
  • Other conditions preventing protocol adherence
  • Participation in another investigational drug or device study
  • Hypertrophic obstructive cardiomyopathy
  • Echocardiographic evidence of intracardiac masses or thrombi
  • Severe mitral stenosis requiring surgery
  • Indeterminate aortic valve type
  • Severe aortic disease or anatomical issues precluding safe device placement
  • Ascending aorta diameter over 50 mm
  • High risk for TAVR complications by CT assessment
  • Previous pacemaker implantation

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 18 locations

1

The First affiliated hospital of bengbu medical college

Bengbu, Anhui, China

Not Yet Recruiting

2

The General Hospital of the People's Liberation Army

Beijing, Beijing Municipality, China

Not Yet Recruiting

3

Fujian Medical University Union Hospital

Fuzhou, Fujian, China, 350001

Not Yet Recruiting

4

Xiamen University Affiliated Cardiovascular Hospital

Xiamen, Fujian, China

Not Yet Recruiting

5

Guangdong People's Hospital

Guangzhou, Guangdong, China

Not Yet Recruiting

6

Zhengzhou Cardiovascular Hospital

Zhengzhou, Henan, China, 450016

Not Yet Recruiting

7

The First Affiliated Hospital of Zhengzhou University

Zhengzhou, Henan, China

Not Yet Recruiting

8

Hennan Provincial Chest Hospital

Zhengzhou, Hennan, China

Not Yet Recruiting

9

Union Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology

Wuhan, Hubei, China, 430022

Actively Recruiting

10

The Second XIANGYA Hospital Of Central South University

Changsha, Hunan, China

Not Yet Recruiting

11

Northern Jiangsu People's Hospital

Yangzhou, Jiangsu, China, 225001

Not Yet Recruiting

12

The First Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China, 330006

Not Yet Recruiting

13

The Second Affiliated Hospital of Nanchang University

Nanchang, Jiangxi, China, 330006

Not Yet Recruiting

14

The Affiliated Hospital of Qingdao University

Qingdao, Shandong, China, 266000

Not Yet Recruiting

15

Shanxi Cardiovascular Hospital

Taiyuan, Shanxi, China, 030024

Not Yet Recruiting

16

tianjin Chest Hospital

Tianjing, Tianjing, China, 300222

Not Yet Recruiting

17

The Second Affiliated Hospital Zhejiang University School of Medicine.

Hangzhou, Zhejiang, China, 310006

Actively Recruiting

18

Ning Bo First Hospital

Ningbo, Zhejiang, China, 315010

Actively Recruiting

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Research Team

J

Jian'an Wang, PhD, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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