The purpose of the study is to compare early and 1-year hemodynamic performance and clinical outcomes after aortic valve replacement using two pericardial bioprosthesis, Avalus and Carpentier Edwards Perimount Magna Ease.
This trial was designed as a multicenter randomized, controlled trial to recruit 386 patients who undergo aortic valve replacement with pericardial bioprosthesis. Patients were randomized by use of a randomization table. Bioprosthesis was chosen between Avalus or Carpentier Edwards Perimount Magna Ease according to the randomization result. The primary end point is postoperative 1-year transvalvular mean pressure gradient. The secondary end points are postoperative 1-year effective orifice area, operative mortality, operative morbidities, 1-year overall survival, 1-year freedom from cardiac death and 1-year freedom from valve-related events.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
aortic valve replacement with AVALUS bioprosthesis
aortic valve replacement with Carpentier-Edwards Perimount Magna Ease bioprosthesis
Seoul National University Bundang Hospital
Seongnam, South Korea
Seoul National University Hospital
Seoul, South Korea
Transvalvular Mean Pressure Gradient (mPG)
transvalvular mean pressure gradient measured by trans-thoracic echocardiography
Time frame: at postoperative 1 year
Effective Orifice Area (EOA)
effective orifice area measured by trans-thoracic echocardiography
Time frame: at postoperative 1 year
Number of Participants With Op Mortality
any death within 30 days after surgery or during the same hospital admission
Time frame: at postoperative 30 days or at the time of discharge
Number of Participants With Op Morbidities
low cardiac output syndrome, bleeding reoperation, perioperative myocardial infarction, stroke, acute kidney injury, respiratory complication, new onset atrial fibrillation, mediastinitis, surgical wound infection
Time frame: at postoperative 1 year
Number of Participants With All-cause Mortality
patients who died from any cause
Time frame: at postoperative 1 year
Number of Participants With Cardiac Death
Any death related to cardiac events, including sudden death during follow-up
Time frame: at postoperative 1 year
Number of Participants With Aortic Valve-related Events
valve-related mortality, thromboembolism, bleeding, endocarditis, reoperation
Time frame: at postoperative 1 year
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