Surgery and Transcatheter Intervention for Structural Heart Diseases

NCT ID: NCT02917980

Last Updated: 2023-01-11

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

883 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-01-31

Study Completion Date

2022-12-31

Brief Summary

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This project aimed to optimize the therapeutic strategy for structural heart disease by choosing optimal treatment, such as,surgical treatment,interventional and surgery combined with interventional hybrid treatment. Thereby improve successful rate of clinical treatment, and establish the guideline for treatment of structural heart disease.At the same time,online registration database for structural heart disease will be established to further data analysis and objective assessment of clinical curative effect for structural heart disease in China.

Detailed Description

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This project is a 5 years prospective,observational,longitudinal registration study on clinical surgical and interventional treatment of structural heart disease.Firstly,patients with structural heart disease, whom received surgical,interventional or surgery combined with interventional hybrid treatment during Jan. 2015 to Jan. 2020 ,were registrated dynamiclly. And further management and 1 year clinical follow-up,which contains demographic characteristics, clinical manifestations, treatment strategies and prognosis of outcome, were performed on the recruited data.Secondly, this is also a prospective observational study, featured by collecting data through annual follow-up,with the timing at the point of off the hospital,and 1,2,6,9,12 month after hospital discharge,respectively.

The inclusion criteria:

1. atrial septal defect
2. ventricular septal defect
3. patent ductus arteriosis
4. pulmonary stenosis
5. residual leakage after surgical treatment for congenital heart disease
6. coronary artery fistula
7. pulmonary arteriovenous malformations
8. tetralogy of Fallot, and other cyanotic heart disease
9. mitral stenosis and insufficiency
10. tricuspid stenosis and insufficiency
11. aortic stenosis and insufficiency
12. pulmonary stenosis and insufficiency
13. coarctation of aorta
14. paravalvular leakage
15. hypertrophic obstructive heart disease
16. dilated cardiomyopathy
17. structural heart disease need surgery combined with interventional hybrid treatment
18. structural heart disease need surgeryor interventional treatment

The exclusion criteria:

1. primary arrhythmia cardiac disease,like tachycardia and ventricular fibrillation
2. circulation disease, like coronary heart disease,hypertension,arterial aneurysm
3. patients were not received any treatment
4. patients were hard to follow-up
5. no informed Consent

Conditions

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Data Collecting and Analyzing of Different Treatment of Structural Heart Diseases

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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surgical treatment

patients with structural heart disease received surgical treatment

No interventions assigned to this group

interventional treatment

patients with structural heart disease received interventional treatment

No interventions assigned to this group

surgical combined with interventional treatment

patients with structural heart disease received surgical combined with interventional treatment

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

1.atrial septal defect 20ventricular septal defect 3.patent ductus arteriosis 4.pulmonary stenosis 5.residual leakage after surgical treatment for congenital heart disease 6.coronary artery fistula 7.pulmonary arteriovenous malformations 8.tetralogy of Fallot, and other cyanotic heart disease 9.mitral stenosis and insufficiency 10.tricuspid stenosis and insufficiency 11.aortic stenosis and insufficiency 12.pulmonary stenosis and insufficiency 13.coarctation of aorta 14.paravalvular leakage 15.hypertrophic obstructive heart disease 16.dilated cardiomyopathy 17.structural heart disease need surgery combined with interventional hybrid treatment 18.structural heart disease need surgeryor interventional treatment

Exclusion Criteria

1. primary arrhythmia cardiac disease,like tachycardia and ventricular fibrillation
2. circulation disease, like coronary heart disease,hypertension,arterial aneurysm
3. patients were not received any treatment
4. patients were hard to follow-up
5. no informed Consent
Minimum Eligible Age

1 Year

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fu Wai Hospital, Beijing, China

OTHER

Sponsor Role collaborator

Beijing Anzhen Hospital

OTHER

Sponsor Role collaborator

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

OTHER

Sponsor Role collaborator

Xijing Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Xijing Hospital

Xi'an, Shaan'xi Province, China

Site Status

Countries

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China

References

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Mao Y, Liu Y, Zhai M, Jin P, Chen F, Yang Y, Zhang G, Shang X, Jian Z, Zhang H, Wei L, Liu J, Guo Y, Pan X, Wu Y, Piazza N, Yang J. Treatment options for young patients with asymptomatic severe aortic stenosis: a multicenter retrospective cohort study. Eur J Med Res. 2025 Oct 14;30(1):966. doi: 10.1186/s40001-025-03227-6.

Reference Type DERIVED
PMID: 41088494 (View on PubMed)

Liu Y, Xu C, Jin P, Zhai M, Tang H, Tian Z, Wen A, Qiao R, Yang J. Transcatheter closure of paravalvular leakage through multiple approaches after surgical mechanical valve replacements: A retrospective study. Medicine (Baltimore). 2024 Nov 22;103(47):e40600. doi: 10.1097/MD.0000000000040600.

Reference Type DERIVED
PMID: 39809196 (View on PubMed)

Wang Y, Ma Y, Liu Y, Yang J. First Experience With a Novel Self-Expandable Valve for Mitral Annular Calcification Guided by Three-Dimensional Printing. Catheter Cardiovasc Interv. 2025 Mar;105(4):855-860. doi: 10.1002/ccd.31405. Epub 2025 Jan 7.

Reference Type DERIVED
PMID: 39763352 (View on PubMed)

Jin P, Guo H, Mao Y, Zhai M, Liu Y, Yang J. Transcatheter mitral valve replacement to treat rheumatic mitral stenosis: a case series. Front Cardiovasc Med. 2024 Dec 5;11:1424105. doi: 10.3389/fcvm.2024.1424105. eCollection 2024.

Reference Type DERIVED
PMID: 39703883 (View on PubMed)

Mao Y, Liu Y, Zhai M, Jin P, Zhang H, Wei L, Shang X, Guo Y, Pan X, Yang J. Prognostic value of right ventricular dysfunction in aortic regurgitation after transcatheter aortic valve replacement. Front Cardiovasc Med. 2024 Aug 30;11:1424116. doi: 10.3389/fcvm.2024.1424116. eCollection 2024.

Reference Type DERIVED
PMID: 39280033 (View on PubMed)

Li L, Wang Y, Jin P, Yang T, Zhu G, Li Y, Tang J, Liu Y, Yang J. Hemodynamics in the treatment of pseudoaneurysm caused by extreme constriction of aortic arch with coated stent. Front Cardiovasc Med. 2024 Aug 20;11:1363230. doi: 10.3389/fcvm.2024.1363230. eCollection 2024.

Reference Type DERIVED
PMID: 39228660 (View on PubMed)

Mao Y, Ma Y, Zhai M, Li L, Jin P, Liu Y, Yang J. Preliminary Study of a Degenerated Tricuspid Bioprosthetic Valve Implanted via Transcatheter Valve-in-Valve Implantation Guided by 3-Dimensional Printing. CJC Open. 2023 Dec 5;6(8):978-988. doi: 10.1016/j.cjco.2023.11.023. eCollection 2024 Aug.

Reference Type DERIVED
PMID: 39211748 (View on PubMed)

Wang Y, Liu Y, Meng X, Zhai M, Jin P, Lu F, Yang J. Comparing outcomes of transcatheter tricuspid valve replacement and medical therapy for symptomatic severe tricuspid regurgitation: a retrospective study. Eur J Med Res. 2024 Aug 5;29(1):407. doi: 10.1186/s40001-024-01947-9.

Reference Type DERIVED
PMID: 39103966 (View on PubMed)

Mao Y, Liu Y, Zhai M, Yang J. Application of and Prospects for 3-Dimensional Printing in Transcatheter Mitral Valve Interventions. Rev Cardiovasc Med. 2023 Feb 14;24(2):61. doi: 10.31083/j.rcm2402061. eCollection 2023 Feb.

Reference Type DERIVED
PMID: 39077424 (View on PubMed)

Chen H, Mao Y, Xie H, Liu D, Zhang S, Tian Y, Yang J, Bai B. Case report: Cardiac metastatic uterine intravenous leiomyomatosis excision with extracorporeal venous shunt under the guidance of 3-dimensional printing. Front Cardiovasc Med. 2023 Jun 15;10:1117227. doi: 10.3389/fcvm.2023.1117227. eCollection 2023.

Reference Type DERIVED
PMID: 37396586 (View on PubMed)

Mao Y, Liu Y, Meng X, Ma Y, Li L, Zhai M, Jin P, Lu F, Yang J. Treatment of severe tricuspid regurgitation induced by permanent pacemaker lead: Transcatheter tricuspid valve replacement with the guidance of 3-dimensional printing. Front Cardiovasc Med. 2023 Mar 22;10:1030997. doi: 10.3389/fcvm.2023.1030997. eCollection 2023.

Reference Type DERIVED
PMID: 37034329 (View on PubMed)

Liu Y, Zhai M, Mao Y, Xu C, Ma Y, Li L, Jin P, Yang J. Transcatheter aortic valve replacement in patients with quadricuspid aortic valve in a single center. Front Cardiovasc Med. 2022 Sep 28;9:1011466. doi: 10.3389/fcvm.2022.1011466. eCollection 2022.

Reference Type DERIVED
PMID: 36247444 (View on PubMed)

Mao Y, Liu Y, Ma Y, Jin P, Li L, Yang J. Mitral Valve-in-Valve Implant of a Balloon-Expandable Valve Guided by 3-Dimensional Printing. Front Cardiovasc Med. 2022 May 30;9:894160. doi: 10.3389/fcvm.2022.894160. eCollection 2022.

Reference Type DERIVED
PMID: 35711355 (View on PubMed)

Xu C, Liu Y, Zhai M, Jin P, Li L, Ma Y, Yang J. Transcatheter Closure of a Paravalvular Leak Guided by Transesophageal Echocardiography and Three-Dimensional Printing. Front Cardiovasc Med. 2022 May 20;9:750896. doi: 10.3389/fcvm.2022.750896. eCollection 2022.

Reference Type DERIVED
PMID: 35669478 (View on PubMed)

Ding P, Xu C, Liu Y, Meng X, Jin P, Tang J, Li L, Ma Y, Yang J. Application of three-dimensional transesophageal echocardiography in preoperative evaluation of transcatheter aortic valve replacement. BMC Cardiovasc Disord. 2021 Jun 28;21(1):315. doi: 10.1186/s12872-021-02101-7.

Reference Type DERIVED
PMID: 34182931 (View on PubMed)

Liu Y, Xu C, Ding P, Tang J, Jin P, Li L, Chen M, Meng X, Zhao H, Yang J. Transcatheter Closure of Mitral Paravalvular Leak via Multiple Approaches. J Interv Cardiol. 2021 Mar 2;2021:6630774. doi: 10.1155/2021/6630774. eCollection 2021.

Reference Type DERIVED
PMID: 33746639 (View on PubMed)

Other Identifiers

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XJ-20160829

Identifier Type: -

Identifier Source: org_study_id

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