Aortic Stenosis With COmplex PCI (ASCOP) Features Retrospective Registry on Contemporary Management and Outcomes

NCT ID: NCT05750927

Last Updated: 2024-03-21

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

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-12-01

Study Completion Date

2023-12-31

Brief Summary

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To describe the prevalence and clinical features of patients with severe aortic stenosis undergoing TAVI and concomitant clinically indicated, complex and/or high-risk PCI

Detailed Description

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The aims of this study are:

* to describe the prevalence and clinical features of patients with severe aortic stenosis undergoing TAVI and concomitant clinically indicated, complex and/or high-risk PCI
* to depict the different possible strategies that are currently employed in this context and to retrospectively analyze outcomes
* to investigate predictors of better outcomes

Conditions

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Aortic Valve Stenosis Transcatheter Aortic Valve Replacement Angioplasty, Balloon, Coronary Coronary Artery Disease

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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ASCoP (severe Aortic Stenosis with Complex PCI features)

Subjects with severe aortic stenosis undergoing transcatheter aortic valve intervention and with concomitant, complex coronary artery disease with a clinical indication for percutaneous coronary intervention

Transcatheter aortic valve intervention (TAVI) and percutaneous coronary intervention (PCI)

Intervention Type PROCEDURE

TAVI and PCI to be administered as per physician's indication and choice, in one or more stages

Interventions

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Transcatheter aortic valve intervention (TAVI) and percutaneous coronary intervention (PCI)

TAVI and PCI to be administered as per physician's indication and choice, in one or more stages

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Severe, symptomatic aortic stenosis with an indication to TAVI
2. Concomitant, stable CAD with an indication to complex PCI, as anticipated by angiography, defined as follows (one or more features)

1. Left-main (LM) CAD or proximal left anterior descending (LAD) / left circumflex (LCx) lesions requiring LM-PCI
2. Three-vessel disease
3. Last remaining vessel
4. Bifurcation PCI (proximal bifurcation)
5. Severely calcified lesions requiring calcium plaque modification (rotational/orbital atherectomy, intravascular lithotripsy, scoring or cutting balloon)
6. Lesion length \> 30 mm
7. Severely depressed Left ventricular function requiring mechanical circulatory support (intra-aortic balloon pump - IABP, Impella, Extracorporeal Membrane Oxygenation - ECMO
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Niguarda Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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ASST GOM Niguarda

Milan, , Italy

Site Status

Countries

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Italy

References

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Montalto C, Munafo AR, Soriano F, Arslani K, Brunner S, Verhemel S, Cozzi O, Mangieri A, Buono A, Squillace M, Nava S, Diez Gil JL, Scotti A, Foroni M, Esposito G, Mandurino-Mirizzi A, Bauer D, Ornelas B, Codner P, Piayda K, Porto I, Marco F, Sievert H, Kornowski R, Tousek P, Fischetti D, Latib A, Sanchez JS, Maffeo D, Bedogni F, Reimers B, Regazzoli D, Mieghem NV, Sondergaard L, Saia F, Toggweiler S, Backer O, Oreglia JA. Outcomes of complex, high-risk percutaneous coronary intervention in patients with severe aortic stenosis: the ASCoP registry. EuroIntervention. 2025 Apr 21;21(8):e426-e436. doi: 10.4244/EIJ-D-24-00933.

Reference Type DERIVED
PMID: 40259842 (View on PubMed)

Other Identifiers

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723-1412202

Identifier Type: -

Identifier Source: org_study_id

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