Validation of a Novel, Non-Dimensional Approach for Estimation of Pressure Gradients in Aortic Stenosis

NCT ID: NCT04600739

Last Updated: 2020-10-23

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

UNKNOWN

Total Enrollment

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-10-28

Study Completion Date

2021-06-30

Brief Summary

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A novel, image-based model for estimation of the pressure gradient across stenosed aortic valves is compared against invasively measured pressure gradients from clinical routine.

Detailed Description

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Using temporally resolved computed tomography images, the patient-specific geometry of the stenosed aortic valve during peak systole is reconstructed. Using this geometry, the projected area of the aortic valve's orifice (AVA) is calculated. Additionally, the left ventricular geometry is reconstructed for the complete heart cycle. Using the information of the left ventricular volume change, the patient-specific flow profile and peak-systolic flow (Q)is calculated. Using this information, the pressure gradient is calculated using a power law estimation of the form PG = a \* AVA\^b \* Q\^c. The model generation and parameter fit is described in \[1\].

To validate this model, retrospective data of patients receiving a catheter-based replacement of the aortic valve (TAVI) is collected. For those patients, CT images are already acquired for treatment planning and the invasive pressure measurements are performed during replacement of the aortic valve. Therefore, no additionally steps are required. Using the CT images the patient-specific aortic valve area ad flow rate are calculated. This information is then used for estimation of the pressure gradient using the power law model. The catheter-based pressure gradient is calculated as the difference between the peak-systolic pressure in the left ventricle and the ascending aorta before implantation of the prosthesis.

\[1\] Franke et al.; Towards improving the accuracy of aortic transvalvular pressure gradients: rethinking Bernoulli; Medical \& Biological Engineering \& Computing (2020); https://doi.org/10.1007/s11517-020-02186-w

Conditions

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Aortic Valve Stenosis

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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AVD Patients

Patients suffering from aortic valve stenosis receiving replacement of the diseased valve using a TAVI procedure.

TAVI

Intervention Type PROCEDURE

Replacement of the aortic valve using a biological prosthesis that is inserted via a catheter.

Interventions

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TAVI

Replacement of the aortic valve using a biological prosthesis that is inserted via a catheter.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* aortic valve stenosis
* treatment via TAVI
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Charite University, Berlin, Germany

OTHER

Sponsor Role collaborator

German Heart Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Deutsches Herzzemtrum Berlin

Berlin, Deutschland, Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Titus Kühne, Prof. Dr.

Role: CONTACT

+49 30 4593 2078

Facility Contacts

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Titus Kühne, Prof. Dr.

Role: primary

+49 30 4593 2078

Other Identifiers

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AVD-PowerLaw

Identifier Type: -

Identifier Source: org_study_id