Can a single stitch beat a double closure for TAVI patients?
NCT ID NCT07743697
First seen Aug 04, 2026 · Last updated Aug 05, 2026 · Updated 1 time
Summary
This trial compares two methods for closing the main artery in the leg after a TAVI procedure, which replaces a heart valve without open surgery. Half of the participants will have the artery closed with a single suture device, while the other half will receive a hybrid approach that adds a plug-based device. The goal is to see which method leads to fewer bleeding complications and faster recovery. Adults scheduled for transfemoral TAVI are eligible to join.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A single suture-based vascular closure device (Perclose ProGlide or Perclose ProStyle) compared with a hybrid approach adding a plug-based closure device.
- What this could lead to
- If a single suture works as well as the hybrid method, it could simplify the procedure, shorten recovery, and lower the risk of bleeding after TAVI.
- What could go wrong
- The trial is still testing the idea, and results may not show a clear benefit. There is also a risk that using only a suture could lead to more bleeding or vessel damage in some patients.
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 705 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2028
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 years and older
- 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: * Patient is at least 18 years of age at the time of screening. * Patient is scheduled to undergo elective transcatheter aortic valve implantation (TAVI) via transfemoral arterial access. * Patient is deemed suitable for transfemoral TAVI and large-bore vascular access closure by the local Heart Team. * Patient (or legally authorized representative) provides written informed consent prior to initiating any study-related procedures. * Patient is willing and able to comply with all specified study procedures, follow-up visits, and clinical evaluations. Exclusion Criteria: * Planned TAVI procedure via non-femoral arterial access (e.g., transapical, transaortic, subclavian/axillary, or carotid access). * Emergency or non-elective TAVI procedure. * Target main femoral artery vessel diameter, calcification, or tortuosity judged unsuitable for standard percutaneous large-bore vascular closure device deployment. * Known active, unresolved local or systemic infection at the planned vascular access site. * Known severe allergy or hypersensitivity to bovine tissue, collagen, or any component of the study closure devices (Perclose ProGlide/ProStyle or Angio-Seal) that cannot be adequately premedicated. * Severe bleeding diathesis, active major bleeding, or absolute contraindication to standard periprocedural anticoagulation or antiplatelet therapy. * Concurrent participation in another interventional clinical trial investigating cardiovascular devices or drugs that could confound study endpoints. * Patient is pregnant or breastfeeding. * Patient belongs to a vulnerable population (e.g., individuals deprived of liberty, under guardianship, or unable to give informed consent).
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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
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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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University Heart Center Basel, University Hospital Basel
Basel, Canton of Basel-City, 4031, Switzerland
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