UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000057130
Receipt number R000065303
Scientific Title Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement
Date of disclosure of the study information 2025/02/27
Last modified on 2025/08/28 07:22:56

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Basic information

Public title

Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement

Acronym

Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement

Scientific Title

Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement

Scientific Title:Acronym

Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement

Region

Japan


Condition

Condition

Aortic valve stenosis

Classification by specialty

Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

This study aimed to focus SAAL features and investigate association with the difficulty of THV device crossing. We also compared the prediction performance with conventional indexes.

Basic objectives2

Others

Basic objectives -Others

Even though there were not conventional risk factors, not large aortic angulation, we experienced some difficult crossing cases, which had short ascending aorta.Short SAAL can cause the THV device to lack the distance required to orient in the direction of the aortic annulus, followed by un-passing aortic valve.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The difficulty of TAVR device crossing

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

The patients with symptomatic severe AS (aortic valve area (AVA) < 1.0cm2 or indexed AVA < 0.6cm2/m2) treated with TAVR at Shinshu university hospital

Key exclusion criteria

The alternative TAVR case via apex of left ventricle

Target sample size

307


Research contact person

Name of lead principal investigator

1st name Tatsuya
Middle name
Last name Saigusa

Organization

Shinshu university school of medicine

Division name

Department of cardiovascular medicine

Zip code

390-8621

Address

3-1-1 Asahi Matsumoto Nagano Japan

TEL

0263354600

Email

tatsuwan@yahoo.co.jp


Public contact

Name of contact person

1st name Tatsuya
Middle name
Last name Saigusa

Organization

Shinshu university school of medicine

Division name

Department of cardiovascular medicine

Zip code

390-8621

Address

3-1-1 Asahi Matsumoto Nagano Japan

TEL

09014667670

Homepage URL


Email

tatsuwan@yahoo.co.jp


Sponsor or person

Institute

Shinshu university

Institute

Department

Personal name



Funding Source

Organization

none

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shinshu university school of medicine

Address

3-1-1 Asahi Matsumoto Nagano Japan

Tel

0263-35-4600

Email

tatsuwan@yahoo.co.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 02 Month 27 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications


Number of participants that the trial has enrolled

307

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Main results already published

Date of protocol fixation

2025 Year 02 Month 27 Day

Date of IRB

2025 Year 03 Month 27 Day

Anticipated trial start date

2025 Year 02 Month 27 Day

Last follow-up date

2025 Year 07 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This is a retrospective study that included 307 consecutive patients with symptomatic severe AS (aortic valve area (AVA) < 1.0cm2 or indexed AVA < 0.6cm2/m2) treated with TAVR at Shinshu university hospital, Matsumoto, Japan from October 2018 through July 2024. Straight ascending aorta length (SAAL) was defined as the length between the level of virtual basal ring and that of lesser curvature at the aortic arch. We hypothesized that SAAL may be a more predictable index of THV device crossing difficulty than conventional indexes.


Management information

Registered date

2025 Year 02 Month 25 Day

Last modified on

2025 Year 08 Month 28 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065303