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RECRUITINGINTERVENTIONAL

Complete Functional Assessment of Intermediate Coronary Artery Stenosis Before and After Transcatheter Aortic Valve Implantation (TAVI) in Patients With Severe Symptomatic Aortic Valve Stenosis

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The purpose of the current study is to assess complete coronary physiology (FFR, RFR, CFR, IMR, and CT-FFR) in TAVI candidates with intermediate coronary artery stenosis before and 6 months after TAVI. This aims to determine how TAVI affects coronary blood flow and coronary microcirculatory function after longer-term follow-up, and how these effects influence FFR and RFR values. In addition, it is aimed to correlate invasive functional testing (FFR and RFR) with non-invasive CT-FFR before and 6 months after TAVI.

Who May Be Eligible (Plain English)

Who May Qualify: - Age \>18 years - Willing to participate and able to understand, read and sign the willing to sign a consent form document before the planned procedure - Severe symptomatic aortic stenosis with indication for TAVI according to current guidelines deemed by the Heart Team - Patients who have undergone coronary CT angiography before TAVI in which CAD could not be ruled out - CAD in one or more native major epicardial vessels or their branches by coronary angiogram with visually assessed coronary stenosis, in which the physiological severity of the lesion is in question (typically 40-90% diameter stenosis). - Eligible for invasive coronary angiography and functional assessment (FFR, RFR, CFR and IMR) - Eligible for coronary CT-angiography and functional assessment (CT-FFR) Who Should NOT Join This Trial: - Patients whose CT-angiography was determined to be non-diagnostic/unreadable during its evaluation - Previous coronary artery bypass grafting with patent grafts to the interrogated vessel - Patients with severe lesions with a diameter stenosis ≥ 90%, flow-limiting lesions, or a significant left main coronary artery stenosis - Critical coronary artery disease deemed by the Heart Team to require immediate revascularization - Contraindication to adenosine (e.g. bronchial asthma) - Chronic renal impairment with severe reduction of glomerular filtration rate (eGFR \<30 ml/min) - Presence of cardiogenic shock - Participation in another interventional study involving the left heart or coronary arteries Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Age \>18 years * Willing to participate and able to understand, read and sign the informed consent document before the planned procedure * Severe symptomatic aortic stenosis with indication for TAVI according to current guidelines deemed by the Heart Team * Patients who have undergone coronary CT angiography before TAVI in which CAD could not be ruled out * CAD in one or more native major epicardial vessels or their branches by coronary angiogram with visually assessed coronary stenosis, in which the physiological severity of the lesion is in question (typically 40-90% diameter stenosis). * Eligible for invasive coronary angiography and functional assessment (FFR, RFR, CFR and IMR) * Eligible for coronary CT-angiography and functional assessment (CT-FFR) Exclusion Criteria: * Patients whose CT-angiography was determined to be non-diagnostic/unreadable during its evaluation * Previous coronary artery bypass grafting with patent grafts to the interrogated vessel * Patients with severe lesions with a diameter stenosis ≥ 90%, flow-limiting lesions, or a significant left main coronary artery stenosis * Critical coronary artery disease deemed by the Heart Team to require immediate revascularization * Contraindication to adenosine (e.g. bronchial asthma) * Chronic renal impairment with severe reduction of glomerular filtration rate (eGFR \<30 ml/min) * Presence of cardiogenic shock * Participation in another interventional study involving the left heart or coronary arteries

Treatments Being Tested

PROCEDURE

Assession of complete coronary physiology

Assession of complete coronary physiology in TAVI candidates with intermediate coronary artery stenosis before and 6 months after TAVI.

Locations (1)

Heart Center Leipzig at University of Leipzig Department of Internal Medicine/Cardiology
Leipzig, Germany