Biomarkers of Inflammation and Fibrosis in Conduction Disorders After TAVI
NCT07201363 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 102
Last updated 2025-10-06
Summary
Prediction of conduction disorders (CDs) in patients with severe aortic stenosis (AS) undergoing transcatheter aortic valve implantation (TAVI) is an important and complex process with a significant impact on patient outcomes. The goal of this observational prospective trial is to investigate the role of pre-procedural values of systemic biomarkers of inflammation and fibrosis in the prediction of new-onset CDs and permanent pacemaker implantation (PPI) in patients undergoing the TAVI procedure.
Conditions
- TAVI(Transcatheter Aortic Valve Implantation)
- Conduction Disorder
- Aortic Stenosis
- Permanent Pacemaker Implantation
Interventions
- DIAGNOSTIC_TEST
-
Biomarkers of inflammation and fibrosis in pre-procedural serum blood samples
In all patients, peripheral venous blood samples will be collected before the TAVI procedure for analysis and calculation of prespecified inflammatory and fibrosis biomarkers. In a subpopulation of 40 individuals, four specific microRNAs (miR-21, miR-29b, miR-155, and miR-146b) will be additionally analysed. The level of each biomarker will be correlated with rates of new-onset TAVI-related CDs and compared between patients with detected and patients without detected new-onset CDs.
- DIAGNOSTIC_TEST
-
Transthoracic echocardiography with myocardial deformation analysis and staging according to the extent of cardiac damage related to AS
The echocardiographic stage of extravalvular cardiac damage related to AS and myocardial deformation parameters will be analysed in each patient before TAVI procedure and compared between the group with detected new-onset CDs and the group without new-onset CDs with a goal to examine their predictive value for the development of TAVI-related CDs.
Sponsors & Collaborators
-
University of Rijeka, Medical Faculty
collaborator UNKNOWN -
Clinical Hospital Center Rijeka
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2024-12-12
- Primary Completion
- 2026-04-30
- Completion
- 2026-08-31
- FDA Device
- Yes
Countries
- Croatia
Study Locations
More Related Trials
-
Prognostic Value of Myocardial Fibrosis in Severe Aortic Valve Stenosis
NCT03585933 ·Status: UNKNOWN
-
Better Patient Selection to Transcatheter Aortic Valve Implantation
NCT03107923 ·Status: COMPLETED
-
Aortic Stenosis - Prognosis, Risk and Outcomes
NCT06863883 ·Status: NOT_YET_RECRUITING
-
Microvascular Function in Patients Undergoing Transcatheter Aortic Valve Implant (TAVI) for Severe Symptomatic Aortic Stenosis: Association With Myocardial Fibrosis
NCT05326126 ·Status: COMPLETED ·Phase: NA
-
Portico TAVI Implant With Transfemoral Delivery System
NCT01493284 ·Status: COMPLETED ·Phase: NA
-
Reversibility of Cardiac Conduction Disturbances Following TAVI
NCT06481137 ·Status: RECRUITING ·Phase: NA
-
Biological Factors Associated With Subclinical Valvular Thrombosis
NCT03847948 ·Status: UNKNOWN
-
Complete Functional Assessment of Intermediate Coronary Artery Stenosis Before and After Transcatheter Aortic Valve Implantation (TAVI) in Patients With Severe Symptomatic Aortic Valve Stenosis
NCT05133843 ·Status: RECRUITING ·Phase: NA
-
The Safety and Effectiveness of Transcatheter Aortic Valve Raplacemet in Intermediate Risk Patients With Bicuspid Aortic Stenosis
NCT03163329 ·Status: UNKNOWN ·Phase: PHASE2
-
First in Human Experience of the St. Jude Medical TAVI Valve and Delivery System
NCT01487330 ·Status: COMPLETED ·Phase: NA
-
Randomized Trial of TAVI vs. SAVR in Patients With Severe Aortic Valve Stenosis at Low to Intermediate Risk of Mortality
NCT03112980 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effect of TF-TAVR on Emotional Status, Quality of Life, Frailty and Inflammation
NCT03308435 ·Status: TERMINATED
-
Prediction of Long-term Outcome in Aortic Stenosis After Valve Intervention
NCT05629104 ·Status: RECRUITING
-
Feasibility of Transcatheter Aortic Valve Replacement in Low-Risk Patients With Symptomatic, Severe Aortic Stenosis
NCT02628899 ·Status: COMPLETED ·Phase: NA
-
Outcomes of Transcatheter Aortic Valve Implantation in Management of Severe Symptomatic Aortic Stenosis
NCT03633383 ·Status: UNKNOWN
-
Evaluation of the Inflammatory Response in Post-operated Aortic Valve Replacement Patients.
NCT04557345 ·Status: COMPLETED
-
Cardiac Output, Cerebral Perfusion and Cognition in Patients Undergoing TAVI
NCT05481008 ·Status: UNKNOWN
-
Progression of Ascending Aorta Diameters in Bicuspid Aortic Valve After Transcatheter or Surgical Replacement.
NCT05708118 ·Status: UNKNOWN
-
In-vitro Benchmarking of Currently Available Heart Valve Prostheses for Surgical and Percutaneous Treatment of Aortic Stenosis With Small Annulus, Followed by In-vivo Validation
NCT06859255 ·Status: RECRUITING ·Phase: NA
-
Morbidity and Mortality Due to Deferral of Aortic Valve Replacement in Patients With Severe Aortic Stenosis
NCT04333875 ·Status: COMPLETED
-
Assessment of Myocardial Fibrosis in Aortic STenosis
NCT02316587 ·Status: COMPLETED
-
Cohort Observing Mechanisms, Progression and Sequelae of Valvular Heart Disease
NCT07267117 ·Status: RECRUITING
-
Early Feasibility Study for the Foldax Tria Aortic Heart Valve
NCT03851068 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Protection by Remote Ischemic Preconditioning During Transcatheter Aortic Valve Implantation
NCT02080299 ·Status: UNKNOWN ·Phase: PHASE2
-
Postoperative Infections and Immune Profiles in Patients Undergoing LVAD Implantation
NCT07255716 ·Status: ACTIVE_NOT_RECRUITING