HANGZHOU Solution in Bicuspid AS Undergoing TAVR

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age60+
SponsorSecond Affiliated Hospital, School of Medicine, Zhejiang University

About this trial

To compare supra-annular sizing and THV implantation technique (Hangzhou solution) versus annular sizing and THV implantation technique (control group) in bicuspid aortic stenosis (AS) patients undergoing transcatheter aortic valve replacement (TAVR) with self-expanding valves (SEVs): a randomized superiority trial

Eligibility criteria

Qualifiers

Age ≥ 65 years

Age <65 years and age ≥ 60 years with high surgical risk after combing STS Risk Estimate, Katz activities of Daily Living, major Organ System Dysfunction and Procedure-Specific Impediment;

Mean gradient ≥40 mmHg

Maximal aortic valve velocity ≥4.0 m/sec

Disqualifiers

Any contra-indication for Self-expanding bioprosthetic aortic valve deployment

Leukopenia (WBC < 3000 cell/mL), acute anemia (Hgb < 9 g/dL), Thrombocytopenia (Plt< 50,000 cell/mL).

Active sepsis, including active bacterial endocarditis with or without treatment;

Evidence of an acute myocardial infarction ≤ 1 month (30 days) before the intended treatment [(defined as: Q wave MI, or non-Q wave MI with total CK elevation of CK-MB ≥ twice normal in the presence of MB elevation and/or troponin level elevation (WHO definition)].

Trial design

Treatments tested in this trial

  • TAVR with Venus A plus using supra-annular sizing and THV implantation technique (Hangzhou solution)
  • TAVR with Venus A plus using annular sizing and THV implantation technique

Treatment groups

508 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Second Affiliated Hospital, School of Medicine, Zhejiang University

Lead sponsor

Venus MedTech (HangZhou) Inc.

Collaborator

The First Affiliated Hospital of Bengbu Medical University

Collaborator

Chinese PLA General Hospital

Collaborator

Fujian Medical University Union Hospital

Collaborator

Xiamen University Affiliated Cardiovascular Hospital

Collaborator

The Second People's Hospital of GuangDong Province

Collaborator

Chinese Academy of Medical Sciences, Fuwai Hospital

Collaborator

The First Affiliated Hospital of Zhengzhou University

Collaborator

Henan Provincial Chest Hospital

Collaborator

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Collaborator

Central South University

Collaborator

Northern Jiangsu People's Hospital

Collaborator

The First Affiliated Hospital of Nanchang University

Collaborator

Second Affiliated Hospital of Nanchang University

Collaborator

The Affiliated Hospital of Qingdao University

Collaborator

Shanxi Cardiovascular Hospital

Collaborator

Tianjin Chest Hospital

Collaborator

Ning Bo First Hospital

Collaborator