Redo procedure for failed transcatheter aortic valves
Prospective, Multi-centre Clinical Investigation Evaluating the Outcomes of Patients Treated by Redo Transcatheter Aortic Valve Implantation for Bioprosthetic Valve Failure of a Transcatheter Aortic Valve
The Leeds Teaching Hospitals NHS Trust · NCT06557798
This study is testing how well a second heart valve procedure works for patients whose first transcatheter valve has failed, while also looking at other treatment options for those who can't have the redo procedure.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 550 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | The Leeds Teaching Hospitals NHS Trust (other) |
| Locations | 69 sites (Aalborg and 68 other locations) |
| Trial ID | NCT06557798 on ClinicalTrials.gov |
What this trial studies
This study evaluates patients undergoing Redo Transcatheter Aortic Valve Implantation (TAVI) for the management of bioprosthetic valve failure. It aims to document both short-term and long-term outcomes of the Redo TAVI procedure and identify factors that predict these outcomes. Additionally, the study will assess patients who are not suitable for Redo TAVI and explore alternative treatments such as surgical explantation or conservative management. The findings will contribute to understanding the effectiveness of Redo TAVI and other interventions for patients with failing transcatheter aortic valves.
Who should consider this trial
Good fit: Ideal candidates include patients with bioprosthetic valve failure of a transcatheter aortic valve who may require reintervention.
Not a fit: Patients with bioprosthetic valve failure due solely to paravalvular aortic regurgitation or those with active endocarditis may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could improve treatment options and outcomes for patients with failed transcatheter aortic valves.
How similar studies have performed: Other studies have explored TAVI procedures, but this specific focus on Redo TAVI for valve failure is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1\. Bio-prosthetic Valve Failure (BVF) of a Transcatheter Aortic Valve requiring possible reintervention Exclusion Criteria: 1. Bio-prosthetic Valve Failure due solely to paravalvular aortic regurgitation 2. Active endocarditis 3. Untreated acute valve thrombosis 4. Life-expectancy less than 1 year 5. Subject is less than legal age of consent, legally incompetent, or otherwise vulnerable 6. Pregnant or nursing
Where this trial is running
Aalborg and 68 other locations
- Aalborg Universitethospital — Aalborg, Denmark (RECRUITING)
- Århus Universitetshospital — Aarhus, Denmark (RECRUITING)
- Rigshospitalet — Copenhagen, Denmark (RECRUITING)
- HUS Helsinki University Hospital — Helsinki, Finland (RECRUITING)
- Turku University Hospital — Turku, Finland (RECRUITING)
- Clinical Saint Augustin - Elsan — Bordeaux, France (RECRUITING)
- Brest University Hospital Centre — Brest, France (RECRUITING)
- Henri Mondor University Hospital — Créteil, France (RECRUITING)
- ICPS Hôpital privé Jacques-Cartier — Massy, France (RECRUITING)
- Centre Hospitalier Universitaire de Montpellier — Montpellier, France (RECRUITING)
- University Hospital of Nimes — Nîmes, France (RECRUITING)
- Hospital Marie Lannelongue — Paris, France (RECRUITING)
- Institute Mutualiste Montsouris — Paris, France (RECRUITING)
- Les Hospital Universitaires de Strasbourg — Strasbourg, France (RECRUITING)
- Clinique Pasteur Toulouse — Toulouse, France (RECRUITING)
- CHRU Hospitals of Tours — Tours, France (RECRUITING)
- Medipole Lyon-Villeurbanne — Villeurbanne, France (RECRUITING)
- Kerckhoff Klinik — Bad Nauheim, Germany (RECRUITING)
- Herz- und Diabeteszentrum NRW — Bad Oeynhausen, Germany (RECRUITING)
- Deutsches Herzzentrum Berlin — Berlin, Germany (WITHDRAWN)
- Universitatsklinikum Koln (AoR) — Cologne, Germany (RECRUITING)
- Klinikum Dortmund GmbH - St. Johannes Hospital — Dortmund, Germany (RECRUITING)
- Herzzentrum Dresden Universitätsklinik — Dresden, Germany (RECRUITING)
- Universitatsklinikum Dusseldorf (University Hospital Dusseldorf) — Düsseldorf, Germany (RECRUITING)
- Universitatsklinikum Frankfurt — Frankfurt, Germany (RECRUITING)
- Asklepios Klinik St. Georg — Hamburg, Germany (RECRUITING)
- Universitätsklinikum Schleswig-Holstein (UKSH) — Kiel, Germany (RECRUITING)
- HELIOS Herzzentrum Leipzig GmbH — Leipzig, Germany (RECRUITING)
- Universitätsklinikum Schleswig-Holstein (UKSH) — Lübeck, Germany (RECRUITING)
- LMU Klinikum — München, Germany (RECRUITING)
- Universitatsklinikum Ulm (University Hospital Ulm) — Ulm, Germany (RECRUITING)
- Edith Wolfson Medical Center — Holon, Israel (RECRUITING)
- Shaare Zedek Medical Center — Jerusalem, Israel (RECRUITING)
- Rabin Medical Center - Belinson Campus — Petah Tikva, Israel (RECRUITING)
- ASST Spedali Civili Di Brescia — Brescia, Italy (RECRUITING)
- Fondazione Poliambulanza Istituto Ospedaliero — Brescia, Italy (RECRUITING)
- Azienda Ospedaliero Universitaria Policlinico Vittorio Emanuele — Catania, Italy (RECRUITING)
- Ospedale San Martino - IRCCS Ospedale Policlinico — Genova, Italy (RECRUITING)
- Centro Cardiologico Monzino — Milan, Italy (RECRUITING)
- Humanitas Research Hospital - RCCS Istituto Clinico Humanitas di Milano — Milan, Italy (WITHDRAWN)
- IRCCS Ospedale San Raffaele — Milan, Italy (RECRUITING)
- IRCSS Policlinico San Donato — San Donato Milanese, Italy (RECRUITING)
- Azienda Ospedaliera Ordine Mauriziano di Torino — Torino, Italy (RECRUITING)
- Ospedale Borgo Trento - Azienda Ospedaliera Universitaria Integrata Verona — Verona, Italy (RECRUITING)
- Amphia Hospital — Breda, Netherlands (RECRUITING)
- Maastricht University Medical Center (MUMC) — Maastricht, Netherlands (RECRUITING)
- Radboud Universitair Medisch Centrum — Nijmegen, Netherlands (WITHDRAWN)
- Erasmus University Medical Center — Rotterdam, Netherlands (RECRUITING)
- Haukeland Sykehus — Bergen, Norway (RECRUITING)
- Oslo University Hospital — Oslo, Norway (RECRUITING)
+19 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Principal investigator: Daniel Blackman, MD — Leeds Teaching Hospitals NHS Trust
- Study coordinator: Dave Pickles
- Email: dave.pickles@nhs.net
- Phone: +441132433144
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Aortic Valve Stenosis, Bioprosthetic Valve Failure