Structural heart disease

13 trials
  • 2025EARLY TAVRTAVRIn 901 patients with asymptomatic severe aortic stenosis, early TAVR reduced death, stroke or unplanned cardiovascular hospitalisation compared with clinical surveillance.
  • 2024NOTION-2TAVRIn 370 younger, low-risk patients (≤75 years) with severe aortic stenosis, transcatheter aortic-valve implantation was not shown non-inferior for 1-year death, stroke, or rehospitalisation compared with surgical aortic-valve replacement.
  • 2023TRILUMINATETricuspidIn 350 patients with severe symptomatic tricuspid regurgitation, transcatheter tricuspid repair improved quality of life compared with medical therapy.
  • 2022AVATARearly AVRIn 157 patients with asymptomatic severe aortic stenosis, early aortic valve replacement reduced death, MI, stroke, or HF hospitalisation compared with watchful waiting.
  • 2022PROTECTED TAVRcerebral embolic protectionIn 3,000 patients undergoing transcatheter aortic-valve replacement, the Sentinel cerebral embolic protection device did not reduce periprocedural stroke compared with no embolic protection.
  • 2019PARTNER 3TAVRIn 1,000 patients with severe AS at low surgical risk, TAVR with the SAPIEN 3 valve reduced death, stroke or rehospitalisation at one year versus surgical AVR.
  • 2019Evolut Low RiskTAVRIn 1,468 patients with severe AS at low surgical risk, TAVR with a self-expanding valve was non-inferior to surgical aortic-valve replacement for death or disabling stroke at 2 years.
  • 2018COAPTMitralIn 614 patients with HF and severe secondary mitral regurgitation, MitraClip plus GDMT reduced HF hospitalisation and all-cause mortality compared with GDMT alone.
  • 2018MITRA-FRMitralIn 304 patients with heart failure and severe secondary mitral regurgitation, transcatheter mitral repair did not reduce death or heart-failure hospitalisation compared with medical therapy alone.
  • 2016PARTNER 2ATAVRIn 2,032 intermediate-risk patients with severe aortic stenosis, transcatheter aortic-valve replacement was non-inferior for 2-year death or disabling stroke compared with surgical aortic-valve replacement.
  • 2013RE-ALIGNAnticoagulationIn 252 patients with a mechanical aortic or mitral valve, dabigatran led to more thromboembolic events and major bleeding compared with warfarin.
  • 2011EVEREST IIMitraClipIn 279 patients with grade 3+/4+ mitral regurgitation, percutaneous MitraClip repair was less effective at reducing death, mitral surgery, or residual MR at 12 months but safer than mitral valve surgery.
  • 2010PARTNER 1BTAVRIn 358 patients with severe AS deemed inoperable, transcatheter aortic-valve replacement reduced all-cause mortality at 1 year compared with medical therapy.