Heart valve surgery may change how we measure artery blockages
NCT ID NCT04420325
First seen Jun 26, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study looked at 116 patients with severe aortic stenosis and moderate coronary artery disease who were scheduled for valve replacement. Researchers measured blood flow in the heart arteries before, right after, and 6 months after valve replacement to see how the procedure affects standard tests for artery blockages. The goal was to improve accuracy in deciding which patients need additional artery treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help doctors better decide which patients with aortic stenosis also need treatment for blocked heart arteries.
- What could go wrong
- This is an observational study, not a treatment trial. It only measures changes and does not test a new therapy, so it cannot directly improve patient outcomes.
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.
- Participants
-
116 people
The number who actually took part.
- Started
-
Jun 2020
- Finished
-
Oct 2024
- Lead sponsor
-
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.
Who is studied
Patients undergoing routine cardiac catheterization during preparation for TAVI or SAVR, who are found to have coronary artery disease, will be approached to take part.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: * 1\. Patient undergoing the procedure is older than 18 years, has severe aortic valve stenosis (according to ESC guidelines) and is planned for cardiac catheterization as part of the pre-operative (SAVR) or pre-percutaneous (TAVI) work up. 2\. The patient has an intermediate (50-90%) coronary lesion that requires further evaluation. 3\. The patient undergoing the procedure is male, or if female, has no childbearing potential or is not pregnant. Exclusion Criteria: 1. The procedure is an emergency and/or the patient is unstable. 2. Pregnancy or lactation 3. Haemodynamically unstable patients 4. Killip class III-IV heart failure 5. Previous coronary artery by-pass in the artery being assessed 6. Contra-indications for adenosine administration: severe asthma or pre-existing type 2 AV-block 7. No significant coronary artery disease (\<50% stenosis on angiography). 8. Critical coronary artery disease deemed by the Heart Team to require immediate revascularization 9. Patients will be excluded from the SPECT study (secondary objective) if they have a left main coronary stenosis \>50%, triple vessel disease, previous myocardial infarction in the same coronary artery \& tandem lesions (separated by \>10mm) requiring independent evaluation in the same coronary artery since these factors interfere with the SPECT analysis.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Aortic stenosis are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
AZ Delta
Roeselare, Belgium
-
UZ Leuven
Leuven, Vlaams-brabant, 3000, Belgium
-
University hospital Antwerp
Antwerp, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- AI turns routine heart tracings into an early warning for a silent valve disease
- Heart bypass surgeons test which vein layout keeps grafts open
- A soft patch that watches your heart beat in real time
- Zapping the ear: a new way to stop Post-Surgery heart rhythm problems?
- Squeeze a ball, lower your blood pressure? heart trial puts handgrip exercise to the test
- New heart scan aims to spot hidden plaque before it strikes