| 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 |
Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement
Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement
Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement
Impact of Straight Ascending Aorta Length about Difficulty of Crossing Aortic Valve during Transcatheter Aortic Valve Replacement
| Japan |
Aortic valve stenosis
| Cardiology |
Others
NO
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.
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.
The difficulty of TAVR device crossing
Observational
| Not applicable |
| Not applicable |
Male and Female
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
The alternative TAVR case via apex of left ventricle
307
| 1st name | Tatsuya |
| Middle name | |
| Last name | Saigusa |
Shinshu university school of medicine
Department of cardiovascular medicine
390-8621
3-1-1 Asahi Matsumoto Nagano Japan
0263354600
tatsuwan@yahoo.co.jp
| 1st name | Tatsuya |
| Middle name | |
| Last name | Saigusa |
Shinshu university school of medicine
Department of cardiovascular medicine
390-8621
3-1-1 Asahi Matsumoto Nagano Japan
09014667670
tatsuwan@yahoo.co.jp
Shinshu university
none
Other
Shinshu university school of medicine
3-1-1 Asahi Matsumoto Nagano Japan
0263-35-4600
tatsuwan@yahoo.co.jp
NO
| 2025 | Year | 02 | Month | 27 | Day |
Published
307
Main results already published
| 2025 | Year | 02 | Month | 27 | Day |
| 2025 | Year | 03 | Month | 27 | Day |
| 2025 | Year | 02 | Month | 27 | Day |
| 2025 | Year | 07 | Month | 31 | Day |
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.
| 2025 | Year | 02 | Month | 25 | Day |
| 2025 | Year | 08 | Month | 28 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000065303