Less invasive heart valve replacement matches surgery in large trial

NCT ID NCT01586910

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This large study compared two treatments for severe aortic stenosis (a narrowed heart valve) in 1,746 patients at intermediate risk for surgery. One group got a less invasive procedure called TAVI (a new valve inserted through a tube in the artery), and the other had open-heart surgery to replace the valve. The study tracked deaths, strokes, and other heart problems to see if TAVI is a safe alternative to surgery for these patients.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Medtronic CoreValve® System (transcatheter aortic valve implant) and surgical aortic valve replacement
What this could lead to
If successful, this could confirm that a less invasive valve replacement (TAVI) is as safe and effective as open-heart surgery for intermediate-risk patients, offering a quicker recovery option.
What could go wrong
This is a completed trial (not recruiting) and results are already known. The main risks include stroke, death, and need for reintervention with either approach. Individual outcomes vary.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Abbott NW - MN Heart Institute Foundation

    Minneapolis, Minnesota, 55407, United States

  • Alegent Creighton Health Research Center

    Omaha, Nebraska, 68124, United States

  • Amphia Hospital Breda

    Breda, Netherlands

  • Aurora St. Luke's Medical Center

    Milwaukee, Wisconsin, 53215, United States

  • Banner Good Samaritan Medical Center

    Phoenix, Arizona, 85006, United States

  • Baylor Heart and Vascular Hospital

    Dallas, Texas, 75226, United States

  • Bern University Hospital

    Bern, Switzerland

  • Beth Israel Deaconess Medical Center, Inc.

    Boston, Massachusetts, 02215, United States

  • Bon Secours St. Mary's Hospital

    Richmond, Virginia, 23226, United States

  • Cardiovascular Institute of the South

    Houma, Louisiana, 70360, United States

  • Carolinas HealthCare System

    Charlotte, North Carolina, 28203, United States

  • Cedars-Sinai Medical Center

    Hollywood, California, 90048, United States

  • Columbia University Medical Center

    New York, New York, 10032, United States

  • Cooper University Hospital

    Camden, New Jersey, 08103, United States

  • Delray Medical Center

    Delray Beach, Florida, 33484, United States

  • Detroit Medical Center

    Detroit, Michigan, 48201-2018, United States

  • Deutsches Herzzentrum Muenchen

    Munich, Germany

  • Duke University Medical Center

    Durham, North Carolina, 27710, United States

  • El Camino Hospital

    Mountain View, California, 94040, United States

  • Emory University

    Atlanta, Georgia, 30308, United States

  • Erasmus Medical Center - Rotterdam

    Rotterdam, Netherlands

  • Geisinger Medical Center

    Danville, Pennsylvania, 17822, United States

  • Glenfield Hospital, Leicester, UK

    Leicester, LE5 4PW, United Kingdom

  • Good Samaritan Hospital

    Cincinnati, Ohio, 45220, United States

  • Hartford Hospital

    Hartford, Connecticut, 06102, United States

  • Henry Ford

    Detroit, Michigan, 48202, United States

  • Hospital Universitario Central de Asturias

    Oviedo, Spain

  • Intermountain Medical Center

    Murray, Utah, 84107, United States

  • Iowa Heart Center / Mercy Medical Center

    West Des Moines, Iowa, 50266, United States

  • Karolinska Universitetssjukhuset Stockholm

    Stockholm, 171 76, Sweden

  • Keck Medical Center of USC

    Los Angeles, California, 90033, United States

  • Leeds General Infirmary

    Leeds, United Kingdom

  • Lenox Hill Hospital

    New York, New York, 10075, United States

  • London Health Sciences Centre, University Hospital

    London, Ontario, Canada

  • Loyola University of Chicago

    Maywood, Illinois, 60153, United States

  • Mayo Clinic - St. Mary's Hospital

    Rochester, Minnesota, 55905, United States

  • McGill University Health Center - Royal Victoria Hospital

    Montreal, Quebec, H3A 1A1, Canada

  • Medisch Centrum Leeuwarden

    Leeuwarden, Netherlands

  • Montreal Heart Institute

    Montreal, Canada

  • Morristown Medical Center

    Morristown, New Jersey, 07960, United States

  • Morton Plant Hospital

    Clearwater, Florida, 33756, United States

  • Mount Sinai School of Medicine

    New York, New York, 10029, United States

  • New York University School of Medicine

    New York, New York, 10016, United States

  • North Shore University Hospital

    Manhasset, New York, 11030, United States

  • Oklahoma Heart Institute

    Oklahoma City, Oklahoma, 73120, United States

  • Piedmont Healthcare, Inc.

    Atlanta, Georgia, 30309, United States

  • Pinnacle Health Cardiovascular Institute

    Wormleysburg, Pennsylvania, 17043, United States

  • Rigshospitalet

    Copenhagen, Denmark

  • Saint Luke's Hospital/MAHI

    Kansas City, Missouri, 64111, United States

  • Scripps Green Hospital

    La Jolla, California, 92037, United States

  • Sentara Cardiovascular

    Norfolk, Virginia, 23507, United States

  • Servicio de Cardiologia del Hospital Virgen de la Victoria

    Málaga, Spain

  • Southern California Permenente Medical Group

    Pasadena, California, 91101, United States

  • Spectrum Health Hospitals

    Grand Rapids, Michigan, 49503, United States

  • St. Antonius Hospital, R & D Cardiology

    Nieuwegein, Netherlands

  • St. Francis Hospital

    Roslyn, New York, 11576, United States

  • St. George's Hospital London

    London, SW170QT, United Kingdom

  • St. John Hospital & Medical Center

    Detroit, Michigan, 48236, United States

  • St. Vincent Heart Center of Indiana

    Indianapolis, Indiana, 46290, United States

  • Stanford University Medical Center

    Stanford, California, 94305, United States

  • Stern Cardiovascular

    Memphis, Tennessee, 38120, United States

  • Sunnybrook Research Institute

    Toronto, Ontario, M4N 3M5, Canada

  • The Heart Hospital - Baylor Plano

    Plano, Texas, 75093, United States

  • The Johns Hopkins University

    Baltimore, Maryland, 21205, United States

  • The Methodist DeBakey Heart & Vascular Center

    Houston, Texas, 77030, United States

  • The Ohio State University

    Columbus, Ohio, 43210, United States

  • The OhioHealth Research Institute

    Columbus, Ohio, 43214, United States

  • The Queen's Medical Center

    Honolulu, Hawaii, 96813, United States

  • Toronto General Hospital (University Health Network)

    Toronto, Ontario, M5G 2C4, Canada

  • Universitatsspital Zurich

    Zurich, Switzerland

  • University Hospitals Case Medical Center

    Cleveland, Ohio, 44106, United States

  • University of Kansas Hospital

    Kansas City, Kansas, 66160, United States

  • University of Miami

    Coral Gables, Florida, 33146, United States

  • University of Michigan Health Systems

    Ann Arbor, Michigan, 48109-5864, United States

  • University of Pennsylvania Health System

    Philadelphia, Pennsylvania, 19104, United States

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania, 15213, United States

  • University of Rochester

    Rochester, New York, 14642, United States

  • University of Vermont

    Burlington, Vermont, 05401, United States

  • Universitäts-Herzzentrum Freiburg • Bad Krozingen

    Bad Krozingen, 79106, Germany

  • Universitätsklinikum Bonn

    Bonn, Germany

  • VA Palo Alto Health Care System

    Palo Alto, California, 94304, United States

  • Vanderbilt University Medical Center

    Nashville, Tennessee, 37232, United States

  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157, United States

  • Washington Hospital Center

    Washington D.C., District of Columbia, 20010, United States

  • Winthrop University Hospital

    Mineola, New York, 11501, United States

  • Yale New Haven Hospital

    New Haven, Connecticut, 06520-8047, United States

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