Prognostic Impact of the Evolution of PAH 3 Months After TAVI (HTP-TAVI)

NCT ID: NCT04008550

Last Updated: 2020-08-05

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

TERMINATED

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-03-06

Study Completion Date

2020-03-05

Brief Summary

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Aortic stenosis (AS) is the most frequent valvulopathy in Western countries. The prevalence of AS is constantly increasing due to the aging of the population. Several studies have shown that pulmonary arterial hypertension (PAH) was common in AS patients referred for TAVI and that it was an independent predictor of mortality after TAVI.

Currently, there is no data in the literature regarding the evolution and prognosis value of PAH measured using right heart catheterization (reference method). PAH could either regress after TAVI or continue to progress despite the treatment of valvulopathy, resulting in a refractory right heart failure that can lead to death.

The hypothesis of this study is that patients with PAH before TAVI procedure and at the 3-month follow-up visit (PAH persistence) have an increased risk of cardiovascular mortality compared to patients with no PAH at 3 months or having a significant reduction of their PAH (PAH regression).

The aim of the study is to evaluate the prognostic impact of the evolution of PAH after TAVI in 424 patients using right heart catheterization.

Detailed Description

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Conditions

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Aortic Valve Stenosis Pulmonary Hypertension

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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No Pulmonary Arterial Hypertension before TAVI

No intervention has been done in this group of patients.

Group Type NO_INTERVENTION

No interventions assigned to this group

Pulmonary Arterial Hypertension before TAVI

In this group, a right heart catheterization is done 3 months after TAVI in order to evaluate PAH (persistence or regression).

Group Type OTHER

Right Heart Catheterization

Intervention Type PROCEDURE

A right heart catheterization will be done in patients with PAH before TAVI (3 months after TAVI)

Interventions

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Right Heart Catheterization

A right heart catheterization will be done in patients with PAH before TAVI (3 months after TAVI)

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Aortic stenosis
* Indication of TAVI

Exclusion Criteria

* Contra-indication of right heart catheterization
* Pregnancy
* Persons deprived of their liberty
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Rouen

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Eric Durand, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Rouen

Locations

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Rouen University Hospital

Rouen, , France

Site Status

Countries

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France

Other Identifiers

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2018/093/HP

Identifier Type: -

Identifier Source: org_study_id

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