Aortic Valve Stenosis Clinical Trial
Official title:
Reduced Inflammatory Response Using Transcatheter Aortic Valve Replacement as Compared to Conventional Surgery
A controlled un-randomized trial where the inflammatory response in 18 patients admitted for TAVI procedure is compared to the inflammatory response in 18 patients admitted for conventional surgical valve replacement. Clinical outcomes are recorded and compared between the Groups. As a secondary endpoint, the inflammatory response was also compared between the patients receiving either transfemoral or trans aortal TAVI.
18 patients admitted successively for conventional surgical aortic valve replacement and 18
patients admitted for transcatheter aortic valve implantation (TAVI) (9 transfemoral and 9
transaortic) are included.
A plasma sample is obtained at defined timepoints before, during and after surgery. At each
time points the following biomarkers are analyzed:Concentrations of the complement
activation products C3bc and the terminal C5b-9 complement complex (TCC), the neutrophil
release product myeloperoxidase (MPO), the cytokines IL-6, eotaxin, MCP-1 and MIP-1β (12).
As marker of a myocardial cellular injury troponin T levels will be analyzed. The following
clinical outcomes will also be monitored: Death (in hospital, 30 day and one year), blood
transfusion, stroke, myocardial infarction.
A dedicated registry will be established at the hospital according to the hospital's
standard for storage of patient data. The registry will be deleted after completion of the
study.
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