Romanian National Registry of Outcomes After Transcatheter Aortic Valve Implantation in Patients With Severe Aortic Stenosis - RO-TAVI

NCT ID: NCT04694859

Last Updated: 2021-01-05

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

UNKNOWN

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-05

Study Completion Date

2023-07-30

Brief Summary

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RO-TAVI is a national prospective, observational, multi-center registry registry of patients with aortic valve stenosis undergoing transcatheter aortic valve implantation (TAVI) to assess patient care and outcomes.

Detailed Description

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Background: Since the establishment of transcatheter aortic valve implantation (TAVI) in Romania in 2015 there has been a growing number of interventions being performed by an increasing number of hospitals throughout the country. In 2018, there were more than 250 implants, which are expected to grow in the following years by about 30% on an annual basis.

Objective: This is a national quality assurance initiative to improve patient care and outcomes. It further serves as a database for the assessment of the safety and efficacy of TAVI and its financial implications (e.g. reimbursement).

Design: National, prospective, observational, multi-center registry. All centers performing TAVI in Romania; minimum cases per center for inclusion: 20 cases/year-to-date Population: All patients undergoing TAVI in Romania at any of the participating centers with a CE-marked valve of any manufacturer given that they provide written informed consent.

Conditions

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Aortic Stenosis Symptomatic Aortic Valve Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Symptomatic Severe Aortic Valve Stenosis

Patients \>18 years old with symptomatic severe aortic valve stenosis.

Transcatheter Aortic Valve Implantation

Intervention Type DEVICE

Transfemoral or transapical Transcatheter Aortic Valve Implantation

Interventions

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Transcatheter Aortic Valve Implantation

Transfemoral or transapical Transcatheter Aortic Valve Implantation

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* severe symptomatic aortic valve stenosis
* high risk or patients deemed amenable for TAVI by a multidisciplinary team
* signed informed consent to participate in the study

Exclusion Criteria

* inadequate annulus size (\<18 mm, \>29 mm)
* left ventricle thrombus
* active endocarditis
* high risk of coronary ostium obstruction
* plaques with mobile thrombi in the ascending aorta, or arch
* hemodynamic instability
* estimated life expectancy \<1 year
* comorbidity suggesting lack of improvement of quality of life
* other situations adjudicated by the local HeartTeam
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Romanian Society of Cardiology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Vlad A Iliescu, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania

Bogdan A Popescu, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania

Dragos Vinereanu, MD PhD

Role: PRINCIPAL_INVESTIGATOR

University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania

Locations

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Catalina A. Parasca, MD

Bucharest, , Romania

Site Status RECRUITING

Countries

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Romania

Central Contacts

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Catalina A Parasca, MD

Role: CONTACT

+40773842692

Bogdan A Popescu, MD PhD

Role: CONTACT

+40722611305

Facility Contacts

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Catalina A Parasca, MD

Role: primary

+40773842692

Vlad A Iliescu, MD PhD

Role: backup

+40722244055

References

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Lindroos M, Kupari M, Heikkila J, Tilvis R. Prevalence of aortic valve abnormalities in the elderly: an echocardiographic study of a random population sample. J Am Coll Cardiol. 1993 Apr;21(5):1220-5. doi: 10.1016/0735-1097(93)90249-z.

Reference Type BACKGROUND
PMID: 8459080 (View on PubMed)

Vahanian A, Alfieri O, Andreotti F, Antunes MJ, Baron-Esquivias G, Baumgartner H, Borger MA, Carrel TP, De Bonis M, Evangelista A, Falk V, Lung B, Lancellotti P, Pierard L, Price S, Schafers HJ, Schuler G, Stepinska J, Swedberg K, Takkenberg J, Von Oppell UO, Windecker S, Zamorano JL, Zembala M; ESC Committee for Practice Guidelines (CPG); Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC); European Association for Cardio-Thoracic Surgery (EACTS). Guidelines on the management of valvular heart disease (version 2012): the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS). Eur J Cardiothorac Surg. 2012 Oct;42(4):S1-44. doi: 10.1093/ejcts/ezs455. Epub 2012 Aug 25. No abstract available.

Reference Type BACKGROUND
PMID: 22922698 (View on PubMed)

Kodali SK, Williams MR, Smith CR, Svensson LG, Webb JG, Makkar RR, Fontana GP, Dewey TM, Thourani VH, Pichard AD, Fischbein M, Szeto WY, Lim S, Greason KL, Teirstein PS, Malaisrie SC, Douglas PS, Hahn RT, Whisenant B, Zajarias A, Wang D, Akin JJ, Anderson WN, Leon MB; PARTNER Trial Investigators. Two-year outcomes after transcatheter or surgical aortic-valve replacement. N Engl J Med. 2012 May 3;366(18):1686-95. doi: 10.1056/NEJMoa1200384. Epub 2012 Mar 26.

Reference Type BACKGROUND
PMID: 22443479 (View on PubMed)

Kappetein AP, Head SJ, Genereux P, Piazza N, van Mieghem NM, Blackstone EH, Brott TG, Cohen DJ, Cutlip DE, van Es GA, Hahn RT, Kirtane AJ, Krucoff MW, Kodali S, Mack MJ, Mehran R, Rodes-Cabau J, Vranckx P, Webb JG, Windecker S, Serruys PW, Leon MB; Valve Academic Research Consortium (VARC)-2. Updated standardized endpoint definitions for transcatheter aortic valve implantation: the Valve Academic Research Consortium-2 consensus document (VARC-2). Eur J Cardiothorac Surg. 2012 Nov;42(5):S45-60. doi: 10.1093/ejcts/ezs533. Epub 2012 Oct 1.

Reference Type BACKGROUND
PMID: 23026738 (View on PubMed)

Iung B, Delgado V, Rosenhek R, Price S, Prendergast B, Wendler O, De Bonis M, Tribouilloy C, Evangelista A, Bogachev-Prokophiev A, Apor A, Ince H, Laroche C, Popescu BA, Pierard L, Haude M, Hindricks G, Ruschitzka F, Windecker S, Bax JJ, Maggioni A, Vahanian A; EORP VHD II Investigators. Contemporary Presentation and Management of Valvular Heart Disease: The EURObservational Research Programme Valvular Heart Disease II Survey. Circulation. 2019 Oct;140(14):1156-1169. doi: 10.1161/CIRCULATIONAHA.119.041080. Epub 2019 Sep 12.

Reference Type BACKGROUND
PMID: 31510787 (View on PubMed)

Other Identifiers

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RO-TAVI

Identifier Type: -

Identifier Source: org_study_id

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