Left Ventricular Remodeling Post-TAVR

Overview

About this study

There has been a paradoxical finding in clinical trials with severe AS patients that LV mass regression is greater and faster after surgical AVR compared to transcatheter AVR while hemodynamic profile is better after TAVR compared to SAVR. We do have a preliminary finding to explain this paradox and want to validate it.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

74 patients (37 TAVR and 37 SAVR) with symptomatic (NYHA Class II or greater) severe calcific aortic valve stenosis,
age ≥50
Valve area ≤1 cm2 OR valve area index <0.6 cm2/m2 AND mean systolic gradient >40 mmHg OR peak velocity >4 m/s OR dimensionless index <0.25
Referred for aortic valve replacement through the Valve Clinic—37 consecutive patients undergoing TAVR and 37 consecutive patients undergoing SAVR at Mayo Clinic starting Nov 1, 2015.

Exclusion Criteria:

Irregular rhythm (e.g. atrial fibrillation or frequent ectopy)
Low EF aortic stenosis (EF<50%)
Multivalvular heart disease (>moderate or previous prosthetic valve)
Active ischemia (unstable angina, myocardial infarction, or stent placement in last 30 days prior to consent for enrollment)
Creatinine clearance <30 cc/min
Other cardiomyopathies—Ischemic, dilated, hypertrophic, amyloid, eosinophilic, hemochromatosis, sarcoid
Poor echo windows/images
Pregnancy will be effectively ruled out given the elderly population we will be studying (no patient will be less than age 50).

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location	Status
Rochester, Minn. Mayo Clinic principal investigator Jae Oh, M.D.	Closed for enrollment

Mayo Clinic Location

Status

Rochester, Minn.

Mayo Clinic principal investigator

Jae Oh, M.D.

Closed for enrollment

More information

Publications

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Clinical Trials