About this trial
This study aims to evaluate the safety and feasibility of performing transaxillary transcatheter aortic valve replacement (TA TAVR) guided solely by echocardiography in patients with severe aortic stenosis (AS).
Eligibility criteria
Qualifiers
symptomatic severe AS determined by echocardiography and Doppler that requiring aortic valve replacement, defined as: mean gradient ≥40 mmHg, peak aortic velocity ≥4 m/s, and aortic valve area (AVA) ≤1 cm2 (or an indexed AVA ≤0.6 cm2/m2)
suitable for Transaxillary TAVR
Disqualifiers
required hybrid procedures or concomitant interventions on other cardiac malformations
inoperable due to extremely high surgical risk or severe comorbidities
untreated clinically significant (>70% obstruction) proximal vessel coronary vascular disease amenable to revascularization
previously undergone aortic valve replacement.
Trial design
Treatments tested in this trial
- Echocardiography guided TAVR