Aortic Valve Stenosis
Conditions
Brief summary
Registry study to evaluate the predictive value of a comprehensive geriatric assessment with regard to the outcome of a transcatheter aortic valve Implantation. It will be evaluated which parts of the comprehensive geriatric assessment (CGA) are best suited to predict the therapeutic success of a heart valve Implantation in elderly ( \> 80 years) Patient. Possible participants are all Patient of 80 years or above for whom the implantation of a Edwards Sapien XT aortic valve is planned
Detailed description
Transcatheter Aortic Valve Implantation Registry with Comprehensive Geriatric Assessment
Interventions
no Intervention planned, Observation only
Sponsors
Study design
Eligibility
Inclusion criteria
* Scheduled TAVI using Edwards SAPIEN XT Transcatheter Heart Valve * Compliance with the indications of the instructions for use * Age of at least 80 years * Written informed consent
Exclusion criteria
* Presence of contraindications as to the Instructions for Use * No possibility for a follow-up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comprehensive geriatric assessment | Baseline and 3 months | Demonstrate CGA changes within 3 months after TAVI The CGA is an array of several different assessments with regard to frailty, comorbidities, administrative data (Silver code), Quality of life etc. Every Patient will undergo a CGA at baseline and 3 months after TAVI. Data will be analyzed to determine changes in CGA results. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| predictive Value of CGA Tavi | baseline | Establish predictive value of CGA (MPI, SPPB, SilverCode) in TAVI patients for all-cause hospitalization, TAVI related hospitalization, nursing home admission |
| Score development | after 3 months | Development of a comprehensive score for the assessment of TAVI patient prognosis (identifying variables from the MPI, SPPB and SilverCode that account for 80% of the predictive power of the complete set) |
Countries
Canada, Italy, Netherlands