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Clinical Trial Summary

ICA is not always required for a pre-TAVI workup of octogenarians and can be substituted by CTA resulting in a streamlined pre-procedural workup of patients without compromising patient safety.


Clinical Trial Description

Patients undergoing TAVI require routine pre-procedural assessment of CAD (coronary artery disease). ICA (invasive coronary angiography) is the gold standard in patients with high pre-test probability. It is associated, however, with procedural risk, radiation and cost. CTA (computed tomography angiography) currently has limited use for the evaluation of CAD in pts with severe symptomatic AS (aortic stenosis) - medications required such as beta blockers and nitroglycerine, are frequently not well tolerated by pts. But as TAVI is increasingly being performed in patients with modest pre-test probabilities for obstructive CAD or a lack of implications thereof (pts. ≥75 yrs), the use of CTA may become more appealing. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05750173
Study type Observational [Patient Registry]
Source Institut für Pharmakologie und Präventive Medizin
Contact Claudia Lüske, PhD
Phone 044718503324
Email claudia.lueske@ippmed.de
Status Recruiting
Phase
Start date September 1, 2023
Completion date January 31, 2025

See also
  Status Clinical Trial Phase
Active, not recruiting NCT04579445 - Setting a Benchmark for Resource Utilization and Quality of Care in Patients Undergoing TAVI in Europe
Recruiting NCT05283356 - Single Antiplatelet Treatment With Ticagrelor or Aspirin After Transcatheter Aortic Valve Implantation Phase 4
Completed NCT03740425 - Transfusion Requirements in Transcatheter Aortic Valve Implantation (TRITAVI) Study