Using ultrasound to reduce silent strokes during MitraClip implantation
Official title: TransCranial Doppler for REDUCtion of Silent strokE During MitraClip Implantation
Run by Charite University, Berlin, Germany · NCT04384198 · Data updated 2026-05-14
This study is no longer in our active list. It may have stopped recruiting or finished. The details below are as of 2026-05-14 and are kept for reference. Check ClinicalTrials.gov for its current status, or see similar studies below.
This study is testing if using ultrasound during MitraClip surgery can help reduce the risk of silent strokes in patients with mitral valve problems.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 32 (estimated) |
| Sponsor | Charite University, Berlin, Germany Academic / other |
| Locations | 1 site (Berlin) |
| Trial ID | NCT04384198 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients with moderate to severe mitral regurgitation who are eligible for MitraClip implantation as determined by an interdisciplinary heart team.
✕Probably not a fit
Patients with contraindications to MRI, such as those with pacemakers or claustrophobia, will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
The TCD-REDUCE study aims to evaluate the effectiveness of continuous transcranial Doppler sonography, known as sonolysis, in reducing ischemic stroke volume during MitraClip implantation for patients with mitral valve insufficiency. Participants will undergo cerebral MRI and neurological assessments before and after the procedure, while receiving sonolysis during the MitraClip implantation. The study will compare the median ischemic lesion volume detected on MRI between the sonolysis group and a control group. This approach is based on previous findings suggesting that sonolysis may lower the risk of cerebral ischemic lesions in other cardiac procedures.
Why it matters
Potential benefit: If successful, this study could significantly reduce the risk of silent strokes in patients undergoing MitraClip implantation.
How similar studies have gone: Previous studies have shown success with sonolysis in reducing ischemic lesions during other cardiac procedures, suggesting potential for this approach in MitraClip implantation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients with mitral regurgitation that are assigned to the MitraClip implantation by an interdisciplinary heart team according to current guidelines. Exclusion Criteria: * contraindication to MRI examination (e.g. pace-maker, implanted metal material, claustrophobia) * pregnancy * unable to consent * no transtemporal window
Where it's running
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Charité-Campus Benjamin Franklin
Berlin, Germany Recruiting
Study contacts
- Principal investigator: Christian H Nolte, Prof. — Charite University, Berlin, Germany
- Study coordinator: Tim Bastian Braemswig, MD
- Email: tim-bastian.braemswig@charite.de
- Phone: +49 30 450560624
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.