Transaxillary TAVR With Solely Echocardiography Guidance

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeNot listed
SponsorChinese Academy of Medical Sciences, Fuwai Hospital

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

This trial does not accept healthy volunteers

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

Design model

Single group

Treatments tested in this trial

  • Echocardiography guided TAVR

    Procedure/Surgery

    Echocardiography guided TAVR

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: Echo guided TAVRExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Valve Academic Research Consortium-3

Outcomes were reported according to the VARC-3 criteria.Which include: Technical success: Evaluated immediately post-procedure (e.g., successful vascular access, device delivery, deployment, no immediate complications). Device success: Includes successful valve function with acceptable hemodynamics and positioning. Procedural success: Includes 30-day outcomes, combining technical/device success and absence of major complications.

Time frame
30 days after intervention

Secondary outcomes

Other outcomes

Sponsors and contacts

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