Spanish Prospective Registry of Hydra THV for Transcatheter Aortic Valve Implantation (HYSPANIA)
This study is designed to evaluate the success rate of transfemoral implantation of the Hydra THV biological aortic valve prosthesis in patients with severe symptomatic aortic stenosis. The device is used in accordance with its Instructions for Use as a CE-marked transcatheter heart valve system.
The study will assess procedural success, device performance, and early clinical outcomes following implantation. Patients undergoing transcatheter aortic valve replacement (TAVR) via the transfemoral approach will be followed to evaluate safety and effectiveness outcomes, including short- and mid-term clinical follow-up.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
This study is designed to evaluate the success rate of transfemoral implantation of the Hydra THV biological aortic valve prosthesis in patients with severe symptomatic aortic stenosis. The device is used in accordance with its Instructions for Use as a CE-marked transcatheter heart valve system.
The study will assess procedural success, device performance, and early clinical outcomes following implantation. Patients undergoing transcatheter aortic valve replacement (TAVR) via the transfemoral approach will be followed to evaluate safety and effectiveness outcomes, including short- and mid-term clinical follow-up.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: FUNDACION EPIC
- Telefonnummer: 0034987876135
- E-Mail: iepic@fundacionepic.org
Studieren Sie die Kontaktsicherung
- Name: RAUL MORENO GOMEZ, MD, PhD
- Telefonnummer: 0034917277000
- E-Mail: raulmorenog@hotmail.com
Studienorte
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Fuencarral-El Pardo, Spanien, 28046
- Rekrutierung
- Hospital Universitario La Paz
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Santiago de Compostela, Spanien, 15706
- Rekrutierung
- Hospital Clínico Universitario de Santiago
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Probenahmeverfahren
Studienpopulation
Beschreibung
Inclusion Criteria:
Participants who meet ALL of the following conditions will be included:
- Age ≥ 18 years and;
- Severe aortic stenosis with indication for aortic valve replacement in which a Hydra THV device is implanted according to the instructions for use; and
- Signed informed consent.
Exclusion Criteria:
Patients who do NOT meet ANY of the following conditions will be included:
- Express refusal by the participant to participate in the study.
- Aortic stenosis patients who are not candidates for Hydra THV device implantation or in whom implantation of this device is performed for an indication other than aortic stenosis (especially pure native aortic valve insufficiency). Patients in whom the Hydra THV device is implanted to treat patients with degenerated aortic bioprostheses may be included in the study.
- Participants in randomised clinical trials who have not reached the research endpoint.
- Pregnant and/or breastfeeding women.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
Anzahl der Gruppen / Kohorten
Kohorten und Interventionen
Gruppe / KohorteGruppe / Kohorte |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Hydra Transcatheter Heart Valve (THV)
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Patients in whom the Hydra THV device is implanted to treat patients with degenerated aortic bioprostheses.
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Assessment of the success rate of implantation
Zeitfenster: 7 days
|
Assessment of the success rate of implantation defined by:
|
7 days
|
|
Success of the procedure
Zeitfenster: 7 days
|
Composite outcome measures defined as a the absence of intra-procedural mortality or complications during implantation, such as: failure to implant the valve at the annulus level, the need to implant more than one valve (valve-in-valve implantation or implantation of a second valve due to embolisation of the first) or surgical intervention on the aortic valve due to severe aortic insufficiency or complications of the procedure.
|
7 days
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Kardiovaskuläre Sterblichkeit
Zeitfenster: 12 Monate
|
Inzidenz von kardiovaskulärer Mortalität
|
12 Monate
|
|
All cause mortality
Zeitfenster: 7 days
|
Incidence of all cause mortality
|
7 days
|
|
All cause mortality
Zeitfenster: 30 days
|
Incidence of all cause mortality
|
30 days
|
|
All cause mortality
Zeitfenster: 12 months
|
Incidence of all cause mortality
|
12 months
|
|
Cardiovascular mortality
Zeitfenster: 7 days
|
Incidence of cardiovascular mortality
|
7 days
|
|
Cardiovascular mortality
Zeitfenster: 30 days
|
Incidence of cardiovascular mortality
|
30 days
|
|
Stroke
Zeitfenster: 7 days
|
Incidence of Stroke
|
7 days
|
|
Stroke
Zeitfenster: 30 days
|
Incidence of Stroke
|
30 days
|
|
Stroke
Zeitfenster: 12 months
|
Incidence of Stroke
|
12 months
|
|
Stroke with disabling
Zeitfenster: 7 days
|
Incidence of Stroke with disabling
|
7 days
|
|
Stroke with disabling
Zeitfenster: 30 days
|
Incidence of Stroke with disabling
|
30 days
|
|
Stroke with disabling
Zeitfenster: 12 months
|
Incidence of Stroke with disabling
|
12 months
|
|
Stroke with non disabling
Zeitfenster: 7 days
|
Incidence of Stroke with non disabling
|
7 days
|
|
Stroke with non disabling
Zeitfenster: 30 days
|
Incidence of Stroke with non disabling
|
30 days
|
|
Stroke with non disabling
Zeitfenster: 12 months
|
Incidence of Stroke with non disabling
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12 months
|
|
Acute myocardial infarction
Zeitfenster: 7 days
|
Incidence of acute myocardial infarction
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7 days
|
|
Acute myocardial infarction
Zeitfenster: 30 days
|
Incidence of acute myocardial infarction
|
30 days
|
|
Acute myocardial infarction
Zeitfenster: 12 months
|
Incidence of acute myocardial infarction
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12 months
|
|
Coronary occlusion
Zeitfenster: 7days
|
Incidence of coronary occlusion
|
7days
|
|
Coronary occlusion
Zeitfenster: 30 days
|
Incidence of coronary occlusion
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30 days
|
|
Coronary occlusion
Zeitfenster: 12 months
|
Incidence of coronary occlusion
|
12 months
|
|
Haemorrhagic complications
Zeitfenster: 7 days
|
Incidence of haemorrhagic complications
|
7 days
|
|
Haemorrhagic complications
Zeitfenster: 30 days
|
Incidence of haemorrhagic complications
|
30 days
|
|
Haemorrhagic complications
Zeitfenster: 12 months
|
Incidence of haemorrhagic complications
|
12 months
|
|
Vascular complications
Zeitfenster: 7 days
|
Incidence of vascular complications
|
7 days
|
|
Vascular complications
Zeitfenster: 30 days
|
Incidence of vascular complications
|
30 days
|
|
Vascular complications
Zeitfenster: 12 Months
|
Incidence of vascular complications
|
12 Months
|
|
Acute renal failure
Zeitfenster: 7 days
|
Incidence of Acute renal failure
|
7 days
|
|
Acute renal failure
Zeitfenster: 30 days
|
Incidence of Acute renal failure
|
30 days
|
|
Acute renal failure
Zeitfenster: 12 months
|
Incidence of Acute renal failure
|
12 months
|
|
Conduction disturbances
Zeitfenster: 7 days
|
Incidence of conduction disturbances
|
7 days
|
|
Conduction disturbances
Zeitfenster: 30 days
|
Incidence of conduction disturbances
|
30 days
|
|
Conduction disturbances
Zeitfenster: 12 months
|
Incidence of conduction disturbances
|
12 months
|
|
Arrhythmias
Zeitfenster: 7 days
|
Incidence of Arrhythmias
|
7 days
|
|
Arrhythmias
Zeitfenster: 30 days
|
Incidence of Arrhythmias
|
30 days
|
|
Arrhythmias
Zeitfenster: 12 months
|
Incidence of Arrhythmias
|
12 months
|
|
Implantation of a new permanent pacemaker
Zeitfenster: 7 days
|
Incidence of Implantation of a new permanent pacemaker
|
7 days
|
|
Implantation of a new permanent pacemaker
Zeitfenster: 30 days
|
Incidence of Implantation of a new permanent pacemaker
|
30 days
|
|
Implantation of a new permanent pacemaker
Zeitfenster: 12 months
|
Incidence of Implantation of a new permanent pacemaker
|
12 months
|
|
Combined safety event at 30 days defined by Valve Academic Research Consortium 3 (VARC-3) criteria
Zeitfenster: 30 days
|
Proportion of patients with freedom from: all-cause mortality, all stroke, VARC type 2-4 bleeding, major vascular, access-related, or cardiac structural complication, acute kidney injury stage 3 or 4, moderate or severe aortic regurgitation, new permanent pacemaker due to procedure related conduction abnormalities, surgery or intervention related to the device.
|
30 days
|
|
New York Heart Association (NYHA)
Zeitfenster: 7 days
|
Proportion of patients with modification of NYHA, before the procedure and its modification after the procedure
|
7 days
|
|
New York Heart Association (NYHA)
Zeitfenster: 30 days
|
Proportion of patients with modification of NYHA, before the procedure and its modification after the procedure
|
30 days
|
|
New York Heart Association (NYHA)
Zeitfenster: 12 months
|
Proportion of patients with modification of NYHA before the procedure and its modification after the procedure
|
12 months
|
|
Echocardiographic Valve Dysfunction Assessment
Zeitfenster: 7 days
|
Composite outcome measures defined as a: Effective aortic valve area and Mean transvalvular gradient and Degree of aortic regurgitation and Left ventricular ejection fraction (LVEF) and Pulmonary systolic pressure. Any of the following findings are considered evidence of dysfunction: Mean gradient ≥ 20 mmHg. Effective aortic valve area ≤ 0.9-1.1 cm2/m2. Moderate or severe para-valvular insufficiency |
7 days
|
|
Echocardiographic Valve Dysfunction Assessment
Zeitfenster: 30 days
|
Composite outcome measures defined as a: Effective aortic valve area and Mean transvalvular gradient and Degree of aortic regurgitation and Left ventricular ejection fraction (LVEF) and Pulmonary systolic pressure. Any of the following findings are considered evidence of dysfunction: Mean gradient ≥ 20 mmHg. Effective aortic valve area ≤ 0.9-1.1 cm2/m2. Moderate or severe para-valvular insufficiency |
30 days
|
|
Echocardiographic Valve Dysfunction Assessment
Zeitfenster: 12 months
|
Composite outcome measures defined as a: Effective aortic valve area and Mean transvalvular gradient and Degree of aortic regurgitation and Left ventricular ejection fraction (LVEF) and Pulmonary systolic pressure. Any of the following findings are considered evidence of dysfunction: Mean gradient ≥ 20 mmHg. Effective aortic valve area ≤ 0.9-1.1 cm2/m2. Moderate or severe para-valvular insufficiency |
12 months
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Publikationen und hilfreiche Links
Allgemeine Veröffentlichungen
- Praz F, Borger MA, Lanz J, Marin-Cuartas M, Abreu A, Adamo M, Ajmone Marsan N, Barili F, Bonaros N, Cosyns B, De Paulis R, Gamra H, Jahangiri M, Jeppsson A, Klautz RJM, Mores B, Perez-David E, Poss J, Prendergast BD, Rocca B, Rossello X, Suzuki M, Thiele H, Tribouilloy CM, Wojakowski W; ESC/EACTS Scientific Document Group. 2025 ESC/EACTS Guidelines for the management of valvular heart disease. Eur Heart J. 2025 Nov 21;46(44):4635-4736. doi: 10.1093/eurheartj/ehaf194. No abstract available.
- Senguttuvan NB, Jose J, Sonawane A, Bansal S, Gupta R, Chandra P. Clinical evaluation of the Hydra self-expanding THV: 30-day results from the GENESIS-II study. AsiaIntervention. 2025 Oct 10;11(3):155-163. doi: 10.4244/AIJ-D-24-00075. eCollection 2025 Oct.
- Aidietis A, Srimahachota S, Dabrowski M, Bilkis V, Buddhari W, Cheung GSH, Nair RK, Mussayev AA, Mattummal S, Chandra P, Mahajan AU, Chmielak Z, Govindan SC, Jose J, Hiremath MS, Chandra S, Shetty R, Mohanan S, John JF, Mehrotra S, Sondergaard L. 30-Day and 1-Year Outcomes With HYDRA Self-Expanding Transcatheter Aortic Valve: The Hydra CE Study. JACC Cardiovasc Interv. 2022 Jan 10;15(1):93-104. doi: 10.1016/j.jcin.2021.09.004.
- Sonawane A, Chandra P, Jose J, Bansal S, Gupta R, Sudhir K, Senguttuvan NB. Safety and performance of the Hydra self-expanding THV: 6 months outcomes from the GENESIS-II study. Indian Heart J. 2026 Mar 10:S0019-4832(26)00035-0. doi: 10.1016/j.ihj.2026.03.004. Online ahead of print.
- Marin-Cuartas M, Kawczynski MJ, de Waha S, Kiefer P, Falk V, Siepe M, Bowdish ME, Akowuah E, Verbrugghe P, Oosterlinck W, Klautz RJM, Lorusso R, Bidar E, Rahouma MM, Redfors B, Biondi-Zoccai G, Bhatt DL, Gaudino M, Borger MA, Heuts S. Updated 5-year outcomes of transcatheter versus surgical aortic valve replacement in patients with severe aortic stenosis at low- to intermediate-surgical risk. Heart. 2026 Feb 11:heartjnl-2025-327092. doi: 10.1136/heartjnl-2025-327092. Online ahead of print.
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- rEpic22-HYSPANIA
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Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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