Clinical trial Recruiting at 1 site Observational Ages 50 and up

Savvywire versus standard LV guidewires during transfemoral TAVI

Official title: SAvvywire for Pacing and Procedural Hemodynamics In Transcatheter Aortic Valve Replacement Evaluation; a Prospective Registry (SAPPHIRE)

Run by Catharina Ziekenhuis Eindhoven · NCT07366671 · Data updated 2026-11-12

For people 50 and older having transfemoral TAVI, researchers will compare the Savvywire and standard LV guidewires to see if the Savvywire improves pacing and procedure-related blood flow.

More Aortic Valve Disease trials

Quick facts

Study typeObservational
Ages50 Years and up
SexAll
Enrollment300 (estimated)
SponsorCatharina Ziekenhuis Eindhoven
Academic / other
Locations1 site (Eindhoven, North Brabant)
StatusRecruiting
StartedJanuary 12, 2026
Main results expectedDecember 2027
Study endsMarch 2028
Registry record updatedMarch 11, 2026
Trial IDNCT07366671 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients aged 50 or older who are accepted for transfemoral TAVI (including valve-in-valve and bicuspid cases) and can give written informed consent.

Probably not a fit

Patients planned for non-transfemoral TAVI, those with extreme aortic/root or iliofemoral tortuosity or very horizontal aortas, or those unable to consent are unlikely to benefit from participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is an observational comparison of routine left-ventricular (LV) guidewires used during transfemoral TAVI procedures, comparing conventional LV guidewires with the newer Savvywire. Procedural details are collected retrospectively after consent is obtained post-procedure, and standard clinical follow-up data are gathered prospectively at about three months. All participants receive usual care; no experimental interventions are assigned. The goal is to document which wires are used and whether the Savvywire adds measurable procedural or hemodynamic value.

Why it matters

Potential benefit: If the Savvywire shows advantages, patients may experience smoother pacing and improved procedural hemodynamics during TAVI, which could reduce complications or procedure time.

How similar studies have gone: Standard LV guidewires are well established and safe, but there is limited published evidence that specialized wires like the Savvywire provide additional pacing or hemodynamic benefits.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥ 50 years
* Accepted for transfemoral TAVI procedure by Heart team and TAVI team
* Transfemoral TAVI procedure with balloon-expandable or self-expandable TAVI platform
* Ability to understand and the willingness to provide written informed consent
* Patients scheduled for valve-in-valve procedures can be included
* Patients with bicuspid anatomy can be included

Exclusion Criteria:

* Patients planned for a non-transfemoral TAVI procedure
* Extremely horizontal aorta (aortic root angle \>70 degrees)
* Extreme tortuosity at the level of the iliofemoral arteries, abdominal and/or thoracic aorta
* Inability to provide informed consent.

Where it's running

  • Catharina Hospital Eindhoven
    Eindhoven, North Brabant, Netherlands
    Recruiting

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.