Valvular & structural heart disease

Transcatheter aortic‐valve implantation with or without on‐site cardiac surgery: The TRACS trial

Am Heart JPublished Randomised controlled trial

Study context

Population
Symptomatic severe AS, inoperable, at high surgical risk, or with ≥1 clinical factor compromising the benefit/risk ratio for emergent cardiac surgery (ECS)planned enrolment 566
Planned comparison
Transcatheter aortic valve implantation (TAVI) in centres without vs with on-site cardiac surgery
Primary endpoint
Composite of:
  • All-cause death
  • Stroke
  • Hospital readmission for CV causes
Follow-up
1 year
Methodological detailsdesign paper, prospective, multicentre, open-label, blinded adjudicated evaluation of outcomes, Safety endpoint: death attributable to periprocedural complications actionable by ECS
  • Design paper
  • Prospective
  • Multicentre
  • Open-label
  • Blinded adjudicated evaluation of outcomes
  • Safety endpoint: death attributable to periprocedural complications actionable by ECS

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Transcatheter aortic‐valve implantation with or without on‐site cardiac surgery: The TRACS trial. Am Heart J. Published 4 November 2024. doi:10.1016/j.ahj.2024.10.019

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