RecruitingNCT05758662

The Effect of Subclinical Leaflet Thrombosis and Prosthesis Type on Transcatheter Aortic Valve Degeneration (POPular PET TAVI)

The Effect of Subclinical Leaflet Thrombosis and Prosthesis Type on Transcatheter Aortic Valve Degeneration


Sponsor

St. Antonius Hospital

Enrollment

180 participants

Start Date

Nov 16, 2023

Study Type

OBSERVATIONAL

Conditions

Summary

A multicentre cross-sectional cohort study to assess the difference in bioprosthetic micro-calcification activity, detected with 18F-NaF PET-CT, as early marker of transcatheter valve degeneration, between patients with vs. without subclinical leaflet thrombosis at five years after TAVI; and between patients with intra-annular vs. supra-annular TAVI prostheses.


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • Successful TAVI with Sapien or CoreValve Evolut prosthesis about 5 years ago
  • Able to undergo hybrid 18F-NaF PET-CT imaging and transthoracic echocardiography
  • Written informed consent

Exclusion Criteria5

  • Temporary or chronic oral anticoagulation use after TAVI
  • Known severe renal insufficiency
  • Known severe paravalvular regurgitation
  • History of valve-in-valve procedure
  • History of aortic valve re-intervention (including percutaneous paravalvular leak closure)

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Interventions

DIAGNOSTIC_TEST18F-sodium fluoride Positron Emission Tomography (18F-NaF PET), Cardiac Computed Tomography (CT), Transthoracic Echocardiography (TTE)

Patients undergo a hybrid 18F-NaF-PET CT scan and TTE at five years after TAVI


Locations(4)

Rigshospitalet

Copenhagen, Denmark

St. Antonius Hospital

Nieuwegein, Utrecht, Netherlands

Amsterdam UMC

Amsterdam, Netherlands

University of Edinburgh

Edinburgh, United Kingdom

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NCT05758662


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