Unique ID issued by UMIN | UMIN000050294 |
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Receipt number | R000057264 |
Scientific Title | Risk of coronary obstruction due to sinus sequestration by redo transcatheter aortic valve implantation in Japanese patients with SAPIEN 3 |
Date of disclosure of the study information | 2023/02/14 |
Last modified on | 2023/02/09 20:43:58 |
Risk of coronary artery occlusion at second transcatheter aortic valve implantation
Risk of coronary artery occlusion at second transcatheter aortic valve implantation
Risk of coronary obstruction due to sinus sequestration by redo transcatheter aortic valve implantation in Japanese patients with SAPIEN 3
Risk of coronary obstruction due to sinus sequestration by redo transcatheter aortic valve implantation in Japanese patients with SAPIEN 3
Japan |
Aortic stenosis
Cardiology |
Others
NO
To evaluate the proportion of Japanese patients who are expected to have difficulty undergoing a second transcatheter aortic valve implantation (TAVI) procedure, and to examine the possibility of reducing the risk of coronary artery occlusion by sinus of Valsalva (SOV) sequestration.
Safety,Efficacy
This study aims to clarify the proportion of the risk of sinus of Valsalva sequestration during TAV-in-TAV in Japanese patients.
To identify preoperative CT and echocardiographic parameters that predict the risk of sinus of Valsalva sequestration.
Observational
60 | years-old | <= |
100 | years-old | > |
Male and Female
Patients who underwent TAVI for severe aortic stenosis at Iwate Medical University Hospital and had SAPIEN3 (balloon-expanded transcatheter bioprosthetic valve) implanted. Patients who underwent aortography after implantation of the bioprosthetic valve.
Patients who underwent aortography but could not be adequately evaluated.
In addition, patients who were denied opt out.
300
1st name | Ryo |
Middle name | |
Last name | Ninomiya |
Iwate Medical University Hospital
Department of Internal Medicine, Division of cardiology
028-3695
Idaidori 2-1 -1, Yahaba-cho, Siwa, Iwate prefecture, Japan 028-3695
019-613-7111
rnino0123@gmail.com
1st name | Ryo |
Middle name | |
Last name | Ninomiya |
Iwate Medical University Hospital
Department of Internal Medicine, Division of cardiology
028-3695
Idaidori 2-1 -1, Yahaba-cho, Siwa, Iwate prefecture, Japan
019-613-7111
rnino0123@gmail.com
Iwate Medical University Hospital
Ryo Ninomiya
self-procurement
Other
Iwate Medical University Hospital
Department of Internal Medicine, Division of cardiology
019-613-7111
rnino0123@gmail.com
NO
2023 | Year | 02 | Month | 14 | Day |
Unpublished
308
No longer recruiting
2023 | Year | 02 | Month | 14 | Day |
2023 | Year | 02 | Month | 13 | Day |
2023 | Year | 02 | Month | 14 | Day |
2023 | Year | 12 | Month | 31 | Day |
Study items:
Patient background (age, gender, height, weight, BSA, STS score
Patient background (age, gender, height, weight, BSA, STS score, Clinical Frailty scale, hypertension, lipid abnormality, diabetes, atrial fibrillation)
Echocardiography (left ventricular ejection fraction, aortic valve orifice area, maximum aortic valve velocity, mean aortic valve pressure gradient, aortic valve annulus diameter, STJ diameter, left ventricular diameter, left ventricular wall thickness)
Preoperative CT (aortic valve annulus area, mean aortic valve annulus diameter, STJ height and diameter, left coronary artery height, Valsalva sinus diameter)
Size of the implanted valve
Fluoroscopic images (depth of implantation of biological valve, distance between biological valve and aortic valve annulus, and height relationship between STJ and biological valve commissure)
Methods of investigation:
(1) The above items were extracted using the preoperative medical data in the medical records.
2) Measurements will be made using fluoroscopic images of aortography.
(3) The distance between the left margin of the bioprosthetic valve and the aorta will be less than 2 mm, and the height of the commissure will be lower than the STJ.
2023 | Year | 02 | Month | 10 | Day |
2023 | Year | 02 | Month | 09 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000057264
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