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Stent Geometry in Sutureless Bioprosthetic Valves

Primary Purpose

Aortic Valve Stenosis, Heart Valve Diseases

Status
Completed
Phase
Not Applicable
Locations
Sweden
Study Type
Interventional
Intervention
4-dimensional volume-rendered computed tomography
Sponsored by
Karolinska University Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Aortic Valve Stenosis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Implanted with a sutureless Perceval (LivaNova) sutureless bioprosthetic aortic valve at Karolinska University Hospital in Stockholm, Sweden between 2012 and 2016
  • Provide written informed consent

Exclusion Criteria:

•Contraindication for CT with intravenous contrast injection

Sites / Locations

  • Karolinska University Hospital

Arms of the Study

Arm 1

Arm Type

Other

Arm Label

Cardiac CT imaging

Arm Description

Outcomes

Primary Outcome Measures

Regional expansion of valve prosthesis
Regional expansion measured using the angle formed by the border of each prosthetic leaflet and the centre point of the valve
Overall expansion of valve prosthesis
Overall expansion of the implanted prosthesis calculated as the ratio between the ex vivo cross-sectional area and the in vitro cross-sectional area of the implanted valve

Secondary Outcome Measures

Eccentricity of valve prosthesis
Eccentricity of the implanted prosthesis calculated as ([max diameter-min diameter]/max diameter)×100

Full Information

First Posted
November 22, 2018
Last Updated
November 26, 2018
Sponsor
Karolinska University Hospital
Collaborators
Karolinska Institutet
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1. Study Identification

Unique Protocol Identification Number
NCT03753126
Brief Title
Stent Geometry in Sutureless Bioprosthetic Valves
Official Title
Leaflet Thickening and Stent Geometry in Sutureless Bioprosthetic Aortic Valves
Study Type
Interventional

2. Study Status

Record Verification Date
November 2018
Overall Recruitment Status
Completed
Study Start Date
January 2016 (Actual)
Primary Completion Date
November 2018 (Actual)
Study Completion Date
November 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Karolinska University Hospital
Collaborators
Karolinska Institutet

4. Oversight

5. Study Description

Brief Summary
A single-center prospective interventional trial. Patients implanted with a sutureless bioprosthetic aortic valve at Karolinska University Hospital in Stockholm, Sweden from 2012 will be eligible. 4-dimensional volume-rendered computed tomography (CT) of the heart will be performed. The aim of the CT is to assess valve geometry and hypo-atrenuated leaflet thickening. Results of the CT examination, preoperative clinical characteristics, and postoperative clinical data will be registered. Data will be collected prospectively and retrospectively. Informed consent will be obtained from patients meeting the inclusion criteria before the initiation of any study-specific procedures.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Aortic Valve Stenosis, Heart Valve Diseases

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Allocation
N/A
Enrollment
47 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cardiac CT imaging
Arm Type
Other
Intervention Type
Radiation
Intervention Name(s)
4-dimensional volume-rendered computed tomography
Primary Outcome Measure Information:
Title
Regional expansion of valve prosthesis
Description
Regional expansion measured using the angle formed by the border of each prosthetic leaflet and the centre point of the valve
Time Frame
At CT performed once no less than 30 days and up to 10 years after aortic valve replacement
Title
Overall expansion of valve prosthesis
Description
Overall expansion of the implanted prosthesis calculated as the ratio between the ex vivo cross-sectional area and the in vitro cross-sectional area of the implanted valve
Time Frame
At CT performed once no less than 30 days and up to 10 years after aortic valve replacement
Secondary Outcome Measure Information:
Title
Eccentricity of valve prosthesis
Description
Eccentricity of the implanted prosthesis calculated as ([max diameter-min diameter]/max diameter)×100
Time Frame
At CT performed once no less than 30 days and up to 10 years after aortic valve replacement

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Implanted with a sutureless Perceval (LivaNova) sutureless bioprosthetic aortic valve at Karolinska University Hospital in Stockholm, Sweden between 2012 and 2016 Provide written informed consent Exclusion Criteria: •Contraindication for CT with intravenous contrast injection
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Magnus Dalén, MD PhD
Organizational Affiliation
Karolinska Institutet
Official's Role
Principal Investigator
Facility Information:
Facility Name
Karolinska University Hospital
City
Stockholm
Country
Sweden

12. IPD Sharing Statement

Citations:
PubMed Identifier
31950251
Citation
Themudo R, Kastengren M, Bacsovics Brolin E, Cederlund K, Svensson A, Dalen M. Leaflet thickening and stent geometry in sutureless bioprosthetic aortic valves. Heart Vessels. 2020 Jun;35(6):868-875. doi: 10.1007/s00380-020-01553-9. Epub 2020 Jan 16.
Results Reference
derived

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Stent Geometry in Sutureless Bioprosthetic Valves

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