Primary Non-invasive Cardiac Computed Tomography Versus Routine Invasive Angiography Prior to TAVI
NCT03291925 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2017-09-25
Summary
This pilot study is a prospective, randomized, open-label trial that aims to assess the feasibility of comparing a primary Computed tomography/Cardiac computed tomography angiography (CT/CCTA) strategy (test arm) to a strategy combining routine use of CT/CCTA and invasive CA (control arm) prior to a Transcatheter aortic valve implantation (TAVI) procedure. The study will also estimate the rate of composite coronary adverse events (myocardial infarction, post procedural coronary revascularization and cardiovascular mortality) between the two arms at 90 days follow-up. The primary endpoint will be the feasibility of recruitment and compliance with the study protocol at 2 sites in Canada and 1 site in Denmark. Additional clinical endpoints including: all-cause death at 90 days post procedure, myocardial infarction at 90 days post procedure, unplanned PCI or CABG at 90 days post procedure, stroke at 90 days post procedure, CA and PCI related cumulative vascular complications events. This information will be used to inform the design of the definitive efficacy trial.
Conditions
- Severe Aortic Stenosis
- Transcatheter Aortic Valve Implantation
Interventions
- PROCEDURE
-
Selective invasive angiography based on CT/CCTA imaging.
- PROCEDURE
-
Procedure/Surgery: Invasive angiography
Sponsors & Collaborators
-
Edwards Lifesciences
collaborator INDUSTRY -
BC Centre for Improved Cardiovascular Health
lead OTHER
Principal Investigators
-
Jonathon Leipsic, MD · St. Paul's Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-11-30
- Primary Completion
- 2019-09-30
- Completion
- 2019-09-30
Countries
- Canada
Study Locations
More Related Trials
-
Coronary Access After Supra-Annular THV Implantation
NCT05075590 ·Status: RECRUITING ·Phase: NA
-
Optical Coherence Tomography to Improve Clinical Outcomes During Coronary Angioplasty
NCT02065102 ·Status: COMPLETED
-
CT-derived Virtual Stenting Optimize Coronary Revascularization (CT-COMPASS)
NCT06280638 ·Status: COMPLETED ·Phase: NA
-
Validation of Stenosis Assessment by Coronary Artery Computed Tomography Against Invasive Measurements of Fractional Flow Reserve in Patients With Significant Coronary Artery Stenoses
NCT00817102 ·Status: COMPLETED ·Phase: NA
-
Augmented-Reality CTA Plus Angiography vs Angiography Alone for Guiding PCI in Coronary Lesions - Randomized Study
NCT03531424 ·Status: UNKNOWN ·Phase: NA
-
Dual Energy CT for Ischemia Determination Compared to "Gold Standard" Non-Invasive and Invasive Techniques
NCT02178904 ·Status: COMPLETED
-
The COMPLETE Study
NCT06205810 ·Status: RECRUITING
-
Screening Coronary Artery Disease Using artiFicial intelligencE in Non-contrast Computed Tomography
NCT06438393 ·Status: NOT_YET_RECRUITING
-
Intravascular Lithotripsy for Acute Stent Under-expansion in Calcified Coronary Lesions
NCT06669195 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Analysis and Comparative Evaluation of Aortic Calcium by Computed Tomography and Histopathology in Patients With Aortic Stenosis
NCT04344353 ·Status: COMPLETED
-
Study to Improve Outcomes in Aortic Stenosis
NCT03112629 ·Status: COMPLETED
-
EvaLuAtion On the cHaracteristics of the True/False lUmen and Its Prognostic Value for cOronary CTO Patients Just Before Stent Implantation
NCT04965207 ·Status: NOT_YET_RECRUITING
-
NIRS-IVUS to Improve Assessment of Coronary Artery Disease Severity in Patients Referred for Transcatheter Aortic Valve Implantation
NCT04976062 ·Status: UNKNOWN
-
The Physiological Impact of CTO PCI on Coronary Pressure Measurements and Correlation in Donor Vessel
NCT02643940 ·Status: COMPLETED
-
A Prospective, Multicenter, Randomized Controlled Trial to Investigate the Value of Coronary CT Angiography in the Understanding and Management of Coronary Calcium (The Optimal Trial)
NCT07286578 ·Status: RECRUITING ·Phase: NA
-
Coronary Atherosclerosis Disease Early Identification and Risk Stratification by Noninvasive Imaging
NCT03518437 ·Status: UNKNOWN
-
Evaluation of One-stop Strategy of EVAR and PCI
NCT03540342 ·Status: UNKNOWN ·Phase: NA
-
Invasive Versus Non-invasive Approach in Symptomatic Patient With Non-High Risk Coronary Artery Stenosis
NCT05799092 ·Status: RECRUITING ·Phase: NA
-
VALVOSOFT® Pivotal Study
NCT05235568 ·Status: COMPLETED ·Phase: NA
-
Clinical Trial on the Treatment of Stent Underexpansion Caused by Calcification Using Intravascular Lithotripsy
NCT06521905 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Optical Coherence Tomography Guided Percutaneous Coronary Intervention for Drug-eluting In-stent Restenosis
NCT03809754 ·Status: UNKNOWN ·Phase: NA
-
The Scanner in the Coronary Evaluation
NCT00484380 ·Status: COMPLETED ·Phase: NA
-
Physiology-guided vs Angiography-guided Non-culprit Lesion Complete Revascularization for Acute MI & Multivessel Disease
NCT05701358 ·Status: RECRUITING ·Phase: NA
-
Evaluation of FFR, WSS, and TPF Using CCTA
NCT01857687 ·Status: UNKNOWN
-
Optical Coherence Tomography (OCT) Intravascular Ultrasound (IVUS) Dual Imaging
NCT02984891 ·Status: TERMINATED