Cerebral Embolic Protection Device During TAVR
A Prospective, Multicenter, Randomized Controlled Clinical Trial to Evaluate the Safety and Efficacy of a Cerebral Embolic Protection Device for Capturing and Removing Thrombus/Tissue Debris During Transcatheter Aortic Valve Replacement
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Xiamen, China
- Xiamen Cardiovascular Hospital Xiamen University
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age ≥18 years, male or non-pregnant/non-lactating female.
- Suitable for TAVR and planned to undergo TAVR using an approved transcatheter aortic valve system.
- TAVR access limited to transfemoral or transapical approach.
- Imaging-confirmed left common carotid artery diameter of 6.5-10 mm and brachiocephalic artery diameter of 9-15 mm at the site of filter placement.
- No severe stenosis (>70%), dilation, dissection, ostial aneurysm, or aneurysm within 3 cm of the aortic origin in the target vessels.
- Brain imaging evaluable by 3-Tesla magnetic resonance imaging.
- Willing to comply with protocol-required follow-up assessments.
- Written informed consent provided by the subject or legal guardian.
Exclusion Criteria:
- Impaired right upper limb blood flow.
- Intracranial hemorrhage, stroke, or transient ischemic attack within 6 months before procedure.
- Acute myocardial infarction within 1 month before procedure.
- Calcification in the intended filter deployment region.
- Planned pacemaker or defibrillator implantation within 30 days after TAVR.
- Left ventricular ejection fraction ≤20%.
- Infective endocarditis, intracardiac/aortic mass, thrombus, or vegetation on echocardiography.
- Severe occlusive carotid disease requiring concomitant carotid intervention, or carotid stenting/endarterectomy within 6 weeks.
- Leukopenia, acute anemia, thrombocytopenia, bleeding diathesis, or coagulation disorder.
- Active peptic ulcer disease or gastrointestinal bleeding within 3 months.
- Severe allergy or known contraindication to nitinol, stainless steel alloy, or contrast media.
- Contraindication to antiplatelet and/or anticoagulation therapy, or refusal of blood transfusion.
- Severe renal insufficiency (serum creatinine >3.0 mg/dL, eGFR <30 mL/min, or need for renal replacement therapy).
- Known psychiatric disease or substance abuse that may interfere with compliance or data interpretation.
- Life expectancy <1 year.
- Active infection requiring concurrent antibiotic therapy.
- Other clinical conditions preventing compliance with the instructions for use of the investigational device.
- Concurrent use or planned use of another investigational device or drug during the study period.
- Severe tortuosity of right upper extremity vessels or inability to accommodate a 6 F sheath.
- Contraindication to MRI, including implanted pacemaker/defibrillator, metal implants, metal fragments, clips, or intracranial/ocular implanted devices.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Use of a cerebral embolic protection device during TAVR
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The cerebral embolic protection device is a percutaneously delivered dual-filter protection device designed to capture and remove dislodged debris during transcatheter aortic valve replacement (TAVR).
The system utilizes one filter delivered to the brachiocephalic trunk (proximal filter) and a second filter delivered to the left common carotid artery (distal filter).
Upon completion of the procedure, the filters and debris are retrieved back into the catheter and removed from the patient.
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No Intervention: TAVR without the use of a cerebral embolic protection device
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The median total volume of new lesions within the protected brain territories, as assessed by diffusion-weighted magnetic resonance imaging (DW-MRI) at 2±1 days after TAVR.
Time Frame: At 2±1 days after TAVR.
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Protected brain territories are defined as the cerebral regions perfused exclusively by the vessels protected by the cerebral embolic protection device, namely the brachiocephalic artery and the left common carotid artery.
Total volume of new lesions is defined as the sum of all newly detected diffusion-positive brain lesions on post-TAVR DW-MRI relative to pre-TAVR DW-MRI.
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At 2±1 days after TAVR.
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
Other Study ID Numbers
- CEPD01-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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