Aortic Valve Stenosis Clinical Trial
Official title:
IMPULSE Enhanced - Study to Improve Outcomes in Aortic Stenosis - International, Multi-centre, Prospective, Observational Cohort Study
Multi-centre, multi-national, observational, prospective registry in four central full access
centres in Germany (2), France (1) and the United Kingdom (1) and up to two satellites per
hub (smaller hospitals / office based cardiologists (OBC) without access to surgical and
percutaneous aortic valve (AV) interventions).
The hypothesis is that the management of patients with severe AS will differ between sites
with on-site access to all treatment modes and those without such facilities.
Data from existing studies indicate that the treatment pathways for patients with severe
aortic stenosis with or without symptoms are insufficiently defined. This lack of definition
can contribute both to delay in treatment and inappropriate treatment decisions. While this
has been confirmed in hospitals with a full complement of treatment modalities for severe
aortic stenosis, including surgery and percutaneous options, it is not known whether delay in
treatment or appropriateness of treatment decisions are better or worse in smaller hospitals
without equivalent on-site access.
The aim of this study is to delineate the case load of patients with aortic stenosis, outline
the management of these patients and determine appropriateness in participating centres with
and without on-site access to surgery and percutaneous treatment.
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