Prospective Evaluation of Neurocognition in Patients Undergoing Transcatheter Aortic Valve Replacement

NCT ID: NCT05614986

Last Updated: 2026-01-27

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

81 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-17

Study Completion Date

2024-02-27

Brief Summary

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This trail is for patients with mild cognitive impairment (MCI) who are receiving a transcatheter aortic valve replacement (TAVR). We will assess changes in neurocognition following TAVR with the 5 minute Montreal Cognitive Assessment (mini MoCA) when comparing pre procedure with post procedure assessments.

Detailed Description

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Patients with mild cognitive impairment who are being treated with a TAVR can choose to take part in this trial. This trial will prospectively enroll patients at 4 Baylor Scott \& White facilities. 80 patients will be enrolled between all sites. The mini MoCA will be conducted at the following time points: pre TAVR, 30 days post TAVR, and 6 months post TAVR. All other data will be collected from patient charts and are considered standard part of their care.

Conditions

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Mild Cognitive Impairment Aortic Stenosis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with Mild Cognitive Impairment Undergoing TAVR

Patients will be treated with standard of care. In addition, patients will complete the mini MoCA at 3 time points

5 minute Montreal Cognitive Assessment (mini MoCA)

Intervention Type OTHER

The mini MoCA will be completed by the patient before TAVR, and 30 days and 6 months after TAVR

Interventions

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5 minute Montreal Cognitive Assessment (mini MoCA)

The mini MoCA will be completed by the patient before TAVR, and 30 days and 6 months after TAVR

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age 18 years or older
2. Undergoing a TAVR procedure
3. Possible MCI as determined by procedures already used in the TAVR clinics, including 1 of the 4:

1. MMSE \< 27
2. History of MCI, dementia, or stroke (CVA or TIA)
3. History of prescription treatment for MCI
4. Discretion of the investigator, physician, or clinic staff
4. Scores 25 or less on the mini MoCA exam

Exclusion Criteria

1\. In another research study that doesn't allow dual enrolment, or dual enrolment has not been granted.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Baylor Research Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Srinivasa Potluri, MD

Role: PRINCIPAL_INVESTIGATOR

Baylor Scott and White The Heart Hospital Plano

Locations

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Baylor Heart and Vascular Hospital

Dallas, Texas, United States

Site Status

Baylor Scott & White All Saints at Fort Worth

Fort Worth, Texas, United States

Site Status

Baylor Scott and White The Heart Hospital Baylor Plano

Plano, Texas, United States

Site Status

Baylor Scott & White Medical Center - Temple

Temple, Texas, United States

Site Status

Countries

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United States

References

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Auffret V, Campelo-Parada F, Regueiro A, Del Trigo M, Chiche O, Chamandi C, Allende R, Cordoba-Soriano JG, Paradis JM, De Larochelliere R, Doyle D, Dumont E, Mohammadi S, Cote M, Marrero A, Puri R, Rodes-Cabau J. Serial Changes in Cognitive Function Following Transcatheter Aortic Valve Replacement. J Am Coll Cardiol. 2016 Nov 15;68(20):2129-2141. doi: 10.1016/j.jacc.2016.08.046. Epub 2016 Sep 28.

Reference Type RESULT
PMID: 27692728 (View on PubMed)

Potluri S, Szerlip M, Al-Azizi K, Harrington K, Kodali S, Kapadia S, Lu M, Leon MB, Mack MJ. Neurocognitive Function Change in Low-Risk Patients Undergoing TAVR Versus SAVR: Insights From PARTNER-3. JACC Cardiovasc Interv. 2020 Nov 23;13(22):2713-2714. doi: 10.1016/j.jcin.2020.08.009. No abstract available.

Reference Type RESULT
PMID: 33213758 (View on PubMed)

Arevalo-Rodriguez I, Smailagic N, Roque I Figuls M, Ciapponi A, Sanchez-Perez E, Giannakou A, Pedraza OL, Bonfill Cosp X, Cullum S. Mini-Mental State Examination (MMSE) for the detection of Alzheimer's disease and other dementias in people with mild cognitive impairment (MCI). Cochrane Database Syst Rev. 2015 Mar 5;2015(3):CD010783. doi: 10.1002/14651858.CD010783.pub2.

Reference Type RESULT
PMID: 25740785 (View on PubMed)

O'Bryant SE, Humphreys JD, Smith GE, Ivnik RJ, Graff-Radford NR, Petersen RC, Lucas JA. Detecting dementia with the mini-mental state examination in highly educated individuals. Arch Neurol. 2008 Jul;65(7):963-7. doi: 10.1001/archneur.65.7.963.

Reference Type RESULT
PMID: 18625866 (View on PubMed)

Nasreddine ZS, Phillips NA, Bedirian V, Charbonneau S, Whitehead V, Collin I, Cummings JL, Chertkow H. The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc. 2005 Apr;53(4):695-9. doi: 10.1111/j.1532-5415.2005.53221.x.

Reference Type RESULT
PMID: 15817019 (View on PubMed)

Khan MM, Herrmann N, Gallagher D, Gandell D, Fremes SE, Wijeysundera HC, Radhakrishnan S, Sun YR, Lanctot KL. Cognitive Outcomes After Transcatheter Aortic Valve Implantation: A Metaanalysis. J Am Geriatr Soc. 2018 Feb;66(2):254-262. doi: 10.1111/jgs.15123. Epub 2017 Nov 21.

Reference Type RESULT
PMID: 29159840 (View on PubMed)

Liew TM. The Optimal Short Version of Montreal Cognitive Assessment in Diagnosing Mild Cognitive Impairment and Dementia. J Am Med Dir Assoc. 2019 Aug;20(8):1055.e1-1055.e8. doi: 10.1016/j.jamda.2019.02.004. Epub 2019 Mar 23.

Reference Type RESULT
PMID: 30910550 (View on PubMed)

Wong A, Nyenhuis D, Black SE, Law LS, Lo ES, Kwan PW, Au L, Chan AY, Wong LK, Nasreddine Z, Mok V. Montreal Cognitive Assessment 5-minute protocol is a brief, valid, reliable, and feasible cognitive screen for telephone administration. Stroke. 2015 Apr;46(4):1059-64. doi: 10.1161/STROKEAHA.114.007253. Epub 2015 Feb 19.

Reference Type RESULT
PMID: 25700290 (View on PubMed)

Roalf DR, Moore TM, Wolk DA, Arnold SE, Mechanic-Hamilton D, Rick J, Kabadi S, Ruparel K, Chen-Plotkin AS, Chahine LM, Dahodwala NA, Duda JE, Weintraub DA, Moberg PJ. Defining and validating a short form Montreal Cognitive Assessment (s-MoCA) for use in neurodegenerative disease. J Neurol Neurosurg Psychiatry. 2016 Dec;87(12):1303-1310. doi: 10.1136/jnnp-2015-312723. Epub 2016 Apr 12.

Reference Type RESULT
PMID: 27071646 (View on PubMed)

Related Links

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https://www.mocatest.org/paper/

MoCA Cognitive Assessment

Other Identifiers

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021-262

Identifier Type: -

Identifier Source: org_study_id

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