Heart Scan Before Valve Replacement to Check Coronary Arteries
Tests a detailed heart scan in adults with aortic valve narrowing before valve replacement.
Key facts
- Who runs it
- Semmelweis University
- Where
- Zurich, SwitzerlandSee the siteAlso in 4 other countries, 6 sites
- Trial code
- Registry title
- Prospective Registry of Patients Undergoing Cardiac CT With NAEOTOM Alpha PCD-CT Before TAVI Procedure
- Status
- Recruiting
- People taking part
- 1,000 people, planned
- Started
- 1 Jun 2024
- Expected to end
- 30 May 2030
- Type of study
- Observational
- Treatments tested
- Ultra-High Resolution Photon Counting Detector Coronary Computed Tomography Angiography
- Record updated
- 11 June 2025
Who can take part
AI summary
From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.
The trial is looking for adults with severe aortic valve narrowing who are planned for a TAVI heart valve procedure. They also need a heart CT scan and an invasive coronary angiography.
- Age
- 18 years or older
- Sex
- Women and men can join.
- Disease stage
- Aortic valve stenosis with TAVI (transcatheter aortic valve implantation) clinically indicated.
Main reasons for not taking part
- Pregnancy or breastfeeding
- Chronic kidney failure (eGFR <30 ml/m2)
- Active cancer treatment
- Any condition for which TAVI is contraindicated
- Any contraindication to CT angiography
The registry criteria, word for word
Show all 8 criteriaShow less
Who can take part
- Clinically indicated TAVI
- Clinically indicated CT and invasive coronary angiography
- There are no contraindications to CT angiography
- Understanding and signing the consent form
Who cannot take part
- Any condition for which TAVI is contraindicated and therefore no prior radiological investigation of TAVI is indicated
- Chronic renal failure (eGFR <30 ml/m2)
- Pregnancy or breastfeeding
- Active oncological treatment
Where in Switzerland
Also in 4 other countries, 6 sites
- University Hospital of ZurichZurich, SwitzerlandContact: Hatem Alkadhi, MDNot yet recruiting
About the trial
What the trial wants to find out
The clinical and demographic characteristics of patients undergoing transcatheter aortic valve implantation (TAVI) pose unique challenges for coronary computed tomography (CT) imaging, as this patient population is mainly composed of elderly, frail individuals with severe aortic stenosis, multiple comorbidities, high prevalence of heavily calcified coronary artery disease (CAD) and revascularized coronary arteries. Such vulnerable patients could benefit from a more precise assessment and characterization of their CAD with ultra-high resolution (UHR) photon-counting detector (PCD) CT that would potentially avoid the need for pre-implantation invasive coronary angiography (ICA). This international multicenter prospective registry study aims to investigate the feasibility and diagnostic accuracy of PCD-CT in the assessment of CAD in the high-risk population of patients undergoing TAVI, as compared to ICA.
The group in the trial
- Aortic stenosis
Patients with aortic valve disease for whom transcatheter aortic valve implantation is indicated and who present for pre-interventional evaluation will be enrolled after written consent.
Treatment: Ultra-High Resolution Photon Counting Detector Coronary Computed Tomography Angiography
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Contact the study team: see the registry record → Contacts and Locations
Print a page for my doctorData and sources
- Registry record
- Listed on ClinicalTrials.gov.
- Official title
- Prospective Registry of Patients Undergoing Cardiac CT With NAEOTOM Alpha Photon Counting-detector CT Before Transcatheter Aortic Valve Implantation
- Plain-language title
- Heart Scan Before Valve Replacement to Check Coronary ArteriesGenerated from the registry record. The registry title is the official one.
- AI summary
- From the trial's eligibility criteria. Read by machine on 12 November 2026.
- Record updated
- 11 June 2025