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Constriction, Pathologic clinical trials

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NCT ID: NCT05309447 Active, not recruiting - Clinical trials for Lumbar Spinal Stenosis

Effect of Muscle Fatigue on Spinal Imbalance and Motion in Lumbar Spinal Stenosis

MuscLSS
Start date: November 11, 2021
Phase:
Study type: Observational

This study assesses spinal imbalance and motion in patients with sLSS and elicits fatigue via back exercises and compares spinal imbalance and motion before and after the fatigue exercise and compares these to healthy controls, allowing to associate sLSS-specific motion patterns to paraspinal muscle fatigue.

NCT ID: NCT05273879 Active, not recruiting - Clinical trials for Lumbar Spinal Stenosis

Necessity of Fusion Following Decompression Surgery in Patients With Single-level Lumbar Stenosis

Start date: April 1, 2022
Phase: N/A
Study type: Interventional

Long-term clinical results of two methods of surgical treatment (spinal decompression with or without fusion) in patients with single-level lumbar stenosis will be compared. A clear framework for surgical treatment methods and standardized postoperative rehabilitation treatment will be set to obtain the maximum homogeneity of the patient groups. This trial should provide the first level of evidence for the need for spinal fusion in patients with single-level lumbar stenosis, subject to the high homogeneous comparison groups. Additional results will allow comparing the economic aspects of different surgical treatments for 2 years after surgery.

NCT ID: NCT05256758 Active, not recruiting - Clinical trials for Aortic Valve Stenosis

Oxford - Fibrates in Aortic Stenosis

OxFAST
Start date: May 29, 2019
Phase: N/A
Study type: Interventional

Aortic stenosis (AS) is characterised by left ventricular (LV) hypertrophy and altered myocardial substrate metabolism. Peroxisome proliferator-activated receptor (PPARα), a regulator of lipid metabolism is deactivated in pressure overload hypertrophy such as in AS and can lead to dysregulation of fatty acid oxidation, myocardial triglyceride accumulation (steatosis) and lipotoxicity. The investigators propose a proof-of-concept study to investigate the effect of altering myocardial triglyceride (MTG) using a PPARα agonist, fenofibrate on cardiac physiology in patients with asymptomatic moderate-severe AS. The primary endpoint is a change in MTG assessed by magnetic resonance spectroscopy at baseline and after 6 months of treatment. Exploratory endpoints are changes in cardiac physiology including myocardial deformation (strain) as assessed by cardiac magnetic resonance imaging. The investigators hypothesise that pharmacological reduction of MTG with a PPARα agonist will result in steatosis regression and changes in cardiac physiology.

NCT ID: NCT05252351 Active, not recruiting - Clinical trials for Congenital Aortic Stenosis

Cardiac Imaging in Adults With Congenital Aortic Stenosis

CAS
Start date: January 13, 2022
Phase:
Study type: Observational

The CAS study is a prospective observational cohort study investigating the effects of congenital aortic stenosis (ConAoS) on the left ventricular function and the prevalence, pattern and expanse of left ventricular hypertrophy (LVH), myocardial stiffness and myocardial fibrosis.

NCT ID: NCT05242497 Active, not recruiting - Clinical trials for Lumbar Spinal Stenosis

Effectiveness and Safety of Pharmacopuncture Therapy for Patients With Lumbar Spinal Stenosis

Start date: April 13, 2022
Phase: N/A
Study type: Interventional

This is 1:1 pragmatic randomized controlled trials in a parallel-grouped, multi-centered design that investigated pharmacopuncture therapy for patients with lumbar spinal stenosis, compared to the conservative treatments including physiotherapy and pharmacological treatments.

NCT ID: NCT05235568 Active, not recruiting - Clinical trials for Aortic Valve Stenosis

VALVOSOFT® Pivotal Study

Start date: June 15, 2022
Phase: N/A
Study type: Interventional

The objective of the study is to evaluate the safety and performance of a new non-invasive ultrasound therapy (NIUT) with Valvosoft in the treatment of Calified Aortic Stenosis

NCT ID: NCT05182307 Active, not recruiting - Clinical trials for Symptomatic Aortic Stenosis

DurAVR™ THV System: First-In-Human Study

Start date: November 15, 2021
Phase: N/A
Study type: Interventional

A prospective, non-randomized, single-arm, single-center, first-in-human study designed to evaluate the safety and feasibility of the DurAVR™ THV System in the treatment of subjects with symptomatic severe aortic stenosis.

NCT ID: NCT05153668 Active, not recruiting - Clinical trials for Idiopathic Subglottic Tracheal Stenosis

Everolimus Trial in Laryngotracheal Stenosis

Start date: September 30, 2022
Phase: Early Phase 1
Study type: Interventional

Subglottic stenosis (obstructing scar in the larynx and trachea) occurs in patients spontaneously (idiopathic), with autoimmune disease, and after long-term breathing tube placement and can result in communication disability and high mortality rates due to the obstructed airway. The proposed Adjuvant EveRolimus Outcomes (AERO) trial is proof-of-concept study using the immunosuppressant drug, everolimus, to reduce the number of surgeries for patients with idiopathic Subglottic Stenosis (iSGS). Success with the AERO trial will allow for everolimus to be used in subsequent larger trials of participants with laryngotracheal stenosis and could lead to everolimus being the first FDA approved medical treatment for iSGS.

NCT ID: NCT05131191 Active, not recruiting - Clinical trials for Coronary Stent Occlusion

CT-FFR for Coronary In-stent Stenosis Based on ISR-Net Algorithm

Start date: January 1, 2022
Phase:
Study type: Observational

CT-FFR(CT-derived flow reserve fraction) usually could not been measured accurately for in-stent lesions due to the serious interference with the metal structs. ISR-Net is a new algorithm in assessing the flow of coronary in-stent stenosis. We compare the CT-FFR value of in-stent lesions with the invasive FFR measured by pressure wire to evaluate the accuracy of ISR-Net algorithm. The research results are of great significance to solve the bottleneck problem of CT-FFR and expand its application scope.

NCT ID: NCT05086016 Active, not recruiting - Clinical trials for Pulmonary Artery Stenosis

Growth Trial: Study of the Renata Minima Stent

Start date: January 14, 2021
Phase: N/A
Study type: Interventional

The objective of the clinical investigation is to access clinical safety and effectiveness of the Minima Stent in neonates, infants, and young children requiring intervention for common congenital vascular stenosis (i.e., coarctation of the aorta and/or pulmonary artery stenosis) who are indicated for treatment.