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
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