Rule Out Transcatheter Aortic Valve Thrombosis With Post Implantation Computed Tomography (RETORIC)
NCT02826200 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2017-01-18
Summary
The RETORIC study is a prospective cohort study with a primary aim to assess the incidence and independent predictors of reduced leaflet motion and valve thrombosis after TAVI procedure using multimodality imaging strategy comprising cardiac CT, transesophageal echocardiography (TEE) and transthoracic echocardiography (TTE). As a secondary aim we will assess the incidence of stroke and transient ischemic attack (TIA) in patients with reduced leaflet motion and/or thrombosis when compared with those with normal leaflet function. In addition we will randomize patients with reduced leaflet motion and/or valve thrombosis to single antiplatelet therapy plus oral anticoagulation therapy versus standard therapy.
The primary outcome of the nested randomized trial will be the presence of reduced leaflet motion and/or valve thrombosis after 4 months, the secondary outcome is the presence of ischemic changes in brain demonstrated by MRI.
Conditions
- Prosthetic Cardiac Valve Thrombosis
- Cerebrovascular Accident
- Prosthetic Valve Malfunction
Interventions
- DRUG
-
Acenocoumarol
Standard of care plus oral anticoagulant therapy (acenocoumarol)
- OTHER
-
Standard of care
Standard of care
Sponsors & Collaborators
-
Semmelweis University Heart and Vascular Center
lead OTHER
Principal Investigators
-
Béla Merkely, MD, PhD, DSc · Semmelweis University Heart and Vascular Center
-
Pál Maurovich-Horvat, MD, PhD, MPH · Semmelweis University Heart and Vascular Center
-
Ronak Rajani, MD MRCP BM · Guy's and St Thomas' NHS Foundation Trust, Kings College London
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 100 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-07-31
- Primary Completion
- 2018-07-31
- Completion
- 2019-01-31
Countries
- Hungary
Study Locations
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