Added Value of Patient-specific Computer Simulation in Transcatheter Aortic Valve Implantation (TAVI)

NCT ID: NCT03196596

Last Updated: 2019-02-06

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

80 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-05-23

Study Completion Date

2019-01-31

Brief Summary

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Transcatheter aortic valve implantation is increasingly used to treat patients with severe aortic stenosis who are at increased risk for surgical aortic valve replacement and is projected to be the preferred treatment modality. As patient selection and operator experience have improved, it is hypothesised that device-host interactions will play a more dominant role in outcome. This, in combination with the increasing number of valve types and sizes, confronts the physician with the dilemma to choose the valve that best fits the individual patient. This necessitates the availability of pre-procedural computer simulation that is based upon the integration of the patient-specific anatomy, the physical and (bio)mechanical properties of the valve and recipient anatomy derived from in-vitro experiments. Patient-specific computer simulation may improve outcome of TAVI by proposing the valve size that best fits the individual patient.

The aim of this study is to assess the added value of patient-specific computer simulation in valve size selection.

Detailed Description

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Conditions

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Aortic Valve Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Computer simulation

Patients in whom a computer simulation model will be obtained based on pre procedural CT

Computer simulation

Intervention Type OTHER

In these patients, a computer simulation model will be obtained based on pre procedural CT

Prospective compare group

Patients in whom no computer simulation model will be obtained

No interventions assigned to this group

Interventions

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Computer simulation

In these patients, a computer simulation model will be obtained based on pre procedural CT

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Native severe aortic valve stenosis
* Planned for TAVI with the Evolut R Valve

Exclusion Criteria

* Bicuspid aortic valve
* Extensive subannular calcifications
* Non-transfemoral access
* Poor CT quality
* Lack of written informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Feops

INDUSTRY

Sponsor Role collaborator

Cardialysis B.V.

INDUSTRY

Sponsor Role collaborator

Erasmus Medical Center

OTHER

Sponsor Role lead

Responsible Party

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P de Jaegere

MD, PhD, Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Peter PT de Jaegere, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Erasmus Medical Center

Locations

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Universitair Ziekenhuis Antwerpen

Edegem, , Belgium

Site Status

Rigshospitalet

Copenhagen, , Denmark

Site Status

University Hospital Cologne-Heart Center

Cologne, , Germany

Site Status

Ospedale di San Raffaele

Milan, , Italy

Site Status

Erasmus Medical Center

Rotterdam, South Holland, Netherlands

Site Status

Countries

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Belgium Denmark Germany Italy Netherlands

References

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Schultz C, Rodriguez-Olivares R, Bosmans J, Lefevre T, De Santis G, Bruining N, Collas V, Dezutter T, Bosmans B, Rahhab Z, El Faquir N, Watanabe Y, Segers P, Verhegghe B, Chevalier B, van Mieghem N, De Beule M, Mortier P, de Jaegere P. Patient-specific image-based computer simulation for theprediction of valve morphology and calcium displacement after TAVI with the Medtronic CoreValve and the Edwards SAPIEN valve. EuroIntervention. 2016 Jan 22;11(9):1044-52. doi: 10.4244/EIJV11I9A212.

Reference Type BACKGROUND
PMID: 26788707 (View on PubMed)

de Jaegere P, De Santis G, Rodriguez-Olivares R, Bosmans J, Bruining N, Dezutter T, Rahhab Z, El Faquir N, Collas V, Bosmans B, Verhegghe B, Ren C, Geleinse M, Schultz C, van Mieghem N, De Beule M, Mortier P. Patient-Specific Computer Modeling to Predict Aortic Regurgitation After Transcatheter Aortic Valve Replacement. JACC Cardiovasc Interv. 2016 Mar 14;9(5):508-12. doi: 10.1016/j.jcin.2016.01.003. No abstract available.

Reference Type BACKGROUND
PMID: 26965945 (View on PubMed)

El Faquir N, Ren B, Van Mieghem NM, Bosmans J, de Jaegere PP. Patient-specific computer modelling - its role in the planning of transcatheter aortic valve implantation. Neth Heart J. 2017 Feb;25(2):100-105. doi: 10.1007/s12471-016-0923-6.

Reference Type BACKGROUND
PMID: 27888494 (View on PubMed)

Other Identifiers

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TAVIguide

Identifier Type: -

Identifier Source: org_study_id

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