Tailored surgery may save lives in aortic dissection
NCT ID NCT05912608
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looks at two surgical approaches for repairing a tear in the aorta (the main artery from the heart) in 900 patients. One approach is less invasive (root-sparing), used for higher-risk patients, while the other is more extensive (root replacement and total arch repair), used for lower-risk patients. The goal is to see which strategy leads to fewer deaths and complications like stroke or heart attack.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- surgical procedure (root-sparing or root replacement with arch repair)
- What this could lead to
- If successful, this study could help surgeons choose the safest and most effective surgery for each patient with aortic dissection, potentially reducing deaths and complications.
- What could go wrong
- This is an observational study, not a randomized trial, so results may be influenced by patient selection. The surgeries themselves carry serious risks like stroke, heart attack, and spinal cord injury.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 900 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2024
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 90 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * TAAD or intramural hematoma involving the ascending aorta * Patients aged \> 18 years * Symptoms started within 7 days from surgery * Primary surgical repair of acute TAAD * Any other major cardiac surgical procedure concomitant with surgery for TAAD. Exclusion Criteria: * Patients aged \< 18 years * Onset of symptoms \> 7 days from surgery * Prior procedure for TAAD * Concomitant endocarditis; * TAAD secondary to blunt or penetrating chest trauma.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Francesco Nappi
Saint-Denis, 93200, France
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