About this trial
The purpose of this study is to generate clinical evidence on valve safety and performance in subjects treated by redo Transcatheter Aortic Valve Replacement (TAVR).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
BVF of a TAV (either Medtronic or Edwards) requiring redo TAVR
Disqualifiers
BVF due solely to paravalvular regurgitation
Active endocarditis
Untreated acute valve thrombosis
Life-expectancy less than 1-year
Trial population
The study population includes patients with symptomatic heart disease due to BVF affecting TAVs and requiring redo TAVR.
Trial design
Cohort
Prospective
Treatments tested in this trial
Medtronic TAV
DeviceMedtronic TAV where commercially available
Edwards TAV
DeviceEdwards TAV where commercially available.
Treatment groups
Trial outcomes
Primary outcomes
Primary Outcome Measure
30-day redo TAVR success defined as correct positioning of a single redo prosthetic heart valve into the proper anatomic location, intended performance of the valve (mean gradient \<20mmHg, peak velocity \<3 m/s, Doppler velocity index (DVI) ≥0.25, aortic regurgitation (AR) \< moderate), and freedom from all-cause mortality, coronary obstruction, unplanned coronary revascularization, and surgery or intervention related to the device
Primary Outcome Measure
a composite endpoint of 1-year freedom from all-cause mortality, all stroke, or any re-hospitalization for valve or redo TAVR procedure-related causes
Secondary outcomes
Valve Academic Research Consortium (VARC) 3 technical success (at exit from procedure room)
(VARC) 3 technical success (at exit from procedure room)
VARC 3 30-day device success
30-day device success
VARC 3 30-day early safety
30-day early safety
Peak and mean invasive gradient post-procedure
Peak and mean invasive gradient will be measured in mmHg
Sponsors and contacts
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