About this trial
The overall purpose of ART trial is to establish the Safety and Efficacy of the J-VALVE Transcatheter Aortic Valve Replacement Versus Surgical Aortic Valve Replacement in Patients with Grade≥3+ Native Aortic Regurgitation.
Eligibility criteria
Qualifiers
1) Age ≥65 years;
2) a. Symptomatic patients with severe AR b. Asymptomatic patients with severe AR and evidence of LV function impairment (per current ESC / ACC guidelines) Any of the following perimeters
LVEF ≤55%
LVESD >50 mm
Disqualifiers
1. Confirmed moderate or less AR severity (Grade≤2+) by core laboratory evaluation
2. Moderate or severe aortic valve stenosis
3. Mixed with clinical relevant severe mitral or tricuspid disease that require valve intervention
4. Pre-existing mechanical or bioprosthetic valve in any position. (of note, mitral ring is not an exclusion)
Trial design
Treatments tested in this trial
- J-VALVE Transfemoral Aortic Valve system
- Commercially available surgical biological aortic valve replacement device