Severe Aortic StenosisSURTAVINCT01586910
Safety and Efficacy Study of the Medtronic CoreValve® System in the Treatment of Severe, Symptomatic Aortic Stenosis in Intermediate Risk Subjects Who Need Aortic Valve Replacement (SURTAVI).
A study testing Medtronic CoreValve® System Transcatheter Aortic Valve Implantation (TAVI), Surgical Aortic Valve Replacement (SAVR) and Medtronic CoreValve® Evolut R System Transcatheter Aortic Valve Implantation (TAVI) in people with Severe Aortic Stenosis, run by Medtronic Cardiovascular at 86 sites in 9 countries.
Trial summary
The purpose of the study is to investigate the safety and efficacy of transcatheter aortic valve implantation (TAVI) in patients with severe, symptomatic Aortic Stenosis (AS) at intermediate surgical risk by randomizing patients to either Surgical Aortic Valve Replacement (SAVR) or TAVI with the Medtronic CoreValve®… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Severe Aortic Stenosis
- What is being tested?
- Medtronic CoreValve® System Transcatheter Aortic Valve Implantation (TAVI), Surgical Aortic Valve Replacement (SAVR) and Medtronic CoreValve® Evolut R System Transcatheter Aortic Valve Implantation (TAVI)
- Type of treatment
- Medical device, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,746 participants
- Where
- 86 sitesin 9 countries
- Study dates
- Apr 2012to Nov 2026
- Phase
- Interventional
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Subject must have co-morbidities such that Heart Team agrees predicted risk of operative mortality is ≥3% and <15% at 30 days (Intermediate Clinical Risk classification). Heart team evaluation of clinical surgical mortality risk for each patient includes the calculated STS score for predicted risk of surgical mortality augmented by consideration of the overall clinical status and co-morbidities unmeasured by the STS risk calculation;
- Heart Team unanimously agree on treatment proposal and eligibility for randomization* based on their clinical judgement (including anatomy assessment, risk factors, etc.);
- Subject has severe aortic stenosis presenting with;
- Critical aortic valve area defined as an initial aortic valve area of ≤1.0cm2 or aortic valve area index < 0.6cm2/m2 AND
- Mean gradient > 40mmHg or Vmax > 4m/sec by resting echocardiogram or simultaneous pressure recordings at cardiac catherization [or with dobutamine stress, if subject has left ventricular ejection fraction (LVEF) <55%] or velocity ratio < 0.25;
- Subject is symptomatic from his/her aortic valve stenosis, as demonstrated by New York Heart Association (NYHA) Functional Class II or greater;
- Subject and the treating physician agree that the subject will return for all required post-procedure follow-up visits;
- Subject meets the legal minimum age to provide informed consent based on local regulatory requirements;
Who cannot join
- Subject has refused surgical aortic valve replacement (SAVR) as a treatment option; (not applicable for Single Arm)
- Any condition considered a contraindication for placement of a bioprosthetic valve (i.e., subject requires a mechanical valve);
- A known hypersensitivity or contraindication to all anticoagulation/antiplatelet regimens (or inability to be anticoagulated for the index procedure), nitinol, or sensitivity to contrast media which cannot be adequately pre-medicated;
- Blood dyscrasias as defined: leukopenia (WBC <1000mm3), thrombocytopenia (platelet count <50,000 cells/mm3), history of bleeding diathesis or coagulopathy;
- Ongoing sepsis, including active endocarditis;
- Any condition considered a contraindication to extracorporeal assistance;
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- Any percutaneous coronary or peripheral interventional procedure performed within 30 days prior to randomization* (Subjects with recent placement of drug eluting stent(s) should be assessed for ability to safely proceed with SAVR within the protocol timeframe);
- Symptomatic carotid or vertebral artery disease or successful treatment of carotid stenosis within six weeks of randomization*;
- Cardiogenic shock manifested by low cardiac output, vasopressor dependence, or mechanical hemodynamic support;
- Recent (within 6 months of randomization*) cerebrovascular accident (CVA) or transient ischemic attack (TIA);
- Active gastrointestinal (GI) bleeding that would preclude anticoagulation;
- Subject refuses a blood transfusion;
- Severe dementia (resulting in either inability to provide informed consent for the trial/procedure, prevents independent lifestyle outside of a chronic care facility, or will fundamentally complicate rehabilitation from the procedure or compliance with follow-up visits);
- Multivessel coronary artery disease with a Syntax score >22 and/or unprotected left main coronary artery (Syntax score calculation is not required for patients with history of previous revascularization if repeat revascularization is not planned);
- Estimated life expectancy of less than 24 months due to associated non-cardiac comorbid conditions;
- Other medical, social, or psychological conditions that in the opinion of the Investigator precludes the subject from appropriate consent or adherence to the protocol required follow-up exams;
- Currently participating in an investigational drug or another device trial (excluding registries);
- Evidence of an acute myocardial infarction ≤30 days before the index procedure;
- Need for emergency surgery for any reason;
- True porcelain aorta (i.e. Heart Team agrees the aorta is not clampable for SAVR);
- Extensive mediastinal radiation;
- Liver failure (Child-C);
- Reduced ventricular function with left ventricular ejection fraction (LVEF) <20% as measured by resting echocardiogram;
- Uncontrolled atrial fibrillation (e.g. resting heart rate > 120 bpm);
- Pregnancy or intent to become pregnant prior to completion of all protocol follow-up requirements;
- End stage renal disease requiring chronic dialysis or creatinine clearance < 20 cc/min;
- Pulmonary Hypertension (systolic pressure> 80mmHg);
- Severe Chronic Obstructive Pulmonary Disease (COPD) demonstrated by Forced Expiratory Volume (FEV1) < 750cc;
- Frailty assessments identify:
- Subject is < 80 years of age and three or more of the following apply
- Subject is ≥ 80 years of age and two or more of the following apply
- Wheelchair bound
- Resides in an institutional care facility (e.g., nursing home, skilled care center)
- Body Mass Index < 20 kg/m2
- Grip Strength < 16 kg
- Katz Index Score ≤ 4
- Albumin < 3.5 g/dL;
- Marfan syndrome or other known connective tissue disease that would necessitate aortic root replacement/intervention; (Not applicable for Single Arm)
- Note: Additional anatomical and vascular exclusion criteria may apply.
- Note: For purposes of the single arm phase of the trial, "randomization" will refer to trial enrollment.
Trial locations and contacts
86 sites in 9 countries.
86 sites in 9 countries
United States65 sites
University of Michigan Health Systems
Ann Arbor, Michigan, 48109-5864
Emory University
Atlanta, Georgia, 30308
Piedmont Healthcare, Inc.
Atlanta, Georgia, 30309
The Johns Hopkins University
Baltimore, Maryland, 21205
Beth Israel Deaconess Medical Center, Inc.
Boston, Massachusetts, 02215
University of Vermont
Burlington, Vermont, 05401
Cooper University Hospital
Camden, New Jersey, 08103
Carolinas HealthCare System
Charlotte, North Carolina, 28203
Good Samaritan Hospital
Cincinnati, Ohio, 45220
Morton Plant Hospital
Clearwater, Florida, 33756
University Hospitals Case Medical Center
Cleveland, Ohio, 44106
The Ohio State University
Columbus, Ohio, 43210
The OhioHealth Research Institute
Columbus, Ohio, 43214
University of Miami
Coral Gables, Florida, 33146
Baylor Heart and Vascular Hospital
Dallas, Texas, 75226
Geisinger Medical Center
Danville, Pennsylvania, 17822
Delray Medical Center
Delray Beach, Florida, 33484
Detroit Medical Center
Detroit, Michigan, 48201-2018
Henry Ford
Detroit, Michigan, 48202
St. John Hospital & Medical Center
Detroit, Michigan, 48236
Duke University Medical Center
Durham, North Carolina, 27710
Spectrum Health Hospitals
Grand Rapids, Michigan, 49503
Hartford Hospital
Hartford, Connecticut, 06102
Cedars-Sinai Medical Center
Hollywood, California, 90048
The Queen's Medical Center
Honolulu, Hawaii, 96813
Cardiovascular Institute of the South
Houma, Louisiana, 70360
The Methodist DeBakey Heart & Vascular Center
Houston, Texas, 77030
St. Vincent Heart Center of Indiana
Indianapolis, Indiana, 46290
University of Kansas Hospital
Kansas City, Kansas, 66160
Saint Luke's Hospital/MAHI
Kansas City, Missouri, 64111
Scripps Green Hospital
La Jolla, California, 92037
Keck Medical Center of USC
Los Angeles, California, 90033
North Shore University Hospital
Manhasset, New York, 11030
Loyola University of Chicago
Maywood, Illinois, 60153
Stern Cardiovascular
Memphis, Tennessee, 38120
Aurora St. Luke's Medical Center
Milwaukee, Wisconsin, 53215
Winthrop University Hospital
Mineola, New York, 11501
Abbott NW - MN Heart Institute Foundation
Minneapolis, Minnesota, 55407
Morristown Medical Center
Morristown, New Jersey, 07960
El Camino Hospital
Mountain View, California, 94040
Intermountain Medical Center
Murray, Utah, 84107
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
Yale New Haven Hospital
New Haven, Connecticut, 06520-8047
New York University School of Medicine
New York, New York, 10016
Mount Sinai School of Medicine
New York, New York, 10029
Columbia University Medical Center
New York, New York, 10032
Lenox Hill Hospital
New York, New York, 10075
Sentara Cardiovascular
Norfolk, Virginia, 23507
Oklahoma Heart Institute
Oklahoma City, Oklahoma, 73120
Alegent Creighton Health Research Center
Omaha, Nebraska, 68124
VA Palo Alto Health Care System
Palo Alto, California, 94304
Southern California Permenente Medical Group
Pasadena, California, 91101
University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104
Banner Good Samaritan Medical Center
Phoenix, Arizona, 85006
University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15213
The Heart Hospital - Baylor Plano
Plano, Texas, 75093
Bon Secours St. Mary's Hospital
Richmond, Virginia, 23226
Mayo Clinic - St. Mary's Hospital
Rochester, Minnesota, 55905
University of Rochester
Rochester, New York, 14642
St. Francis Hospital
Roslyn, New York, 11576
Stanford University Medical Center
Stanford, California, 94305
Washington Hospital Center
Washington D.C., District of Columbia, 20010
Iowa Heart Center / Mercy Medical Center
West Des Moines, Iowa, 50266
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
Pinnacle Health Cardiovascular Institute
Wormleysburg, Pennsylvania, 17043
Canada5 sites
London Health Sciences Centre, University Hospital
London, Ontario
McGill University Health Center - Royal Victoria Hospital
Montreal, Quebec, H3A 1A1
Montreal Heart Institute
Montreal
Sunnybrook Research Institute
Toronto, Ontario, M4N 3M5
Toronto General Hospital (University Health Network)
Toronto, Ontario, M5G 2C4
Netherlands4 sites
Amphia Hospital Breda
Breda
Medisch Centrum Leeuwarden
Leeuwarden
St. Antonius Hospital, R & D Cardiology
Nieuwegein
Erasmus Medical Center - Rotterdam
Rotterdam
Germany3 sites
Universitäts-Herzzentrum Freiburg • Bad Krozingen
Bad Krozingen, 79106
Universitätsklinikum Bonn
Bonn
Deutsches Herzzentrum Muenchen
Munich
United Kingdom3 sites
Leeds General Infirmary
Leeds
Glenfield Hospital, Leicester, UK
Leicester, LE5 4PW
St. George's Hospital London
London, SW170QT
Spain2 sites
Servicio de Cardiologia del Hospital Virgen de la Victoria
Málaga
Hospital Universitario Central de Asturias
Oviedo
Switzerland2 sites
Bern University Hospital
Bern
Universitatsspital Zurich
Zurich
About this study
Official title: Surgical Replacement and Transcatheter Aortic Valve Implantation (SURTAVI)
The purpose of the study is to investigate the safety and efficacy of transcatheter aortic valve implantation (TAVI) in patients with severe, symptomatic Aortic Stenosis (AS) at intermediate surgical risk by randomizing patients to either Surgical Aortic Valve Replacement (SAVR) or TAVI with the Medtronic CoreValve® System.
Single Arm: The purpose of this trial is to evaluate the safety and effectiveness of transcatheter aortic valve implementation (TAVI) in patients with severe symptomatic Aortic Stenosis (AS) at intermediate surgical risk with TAVI. This is a non-randomized phase of the pivotal clinical trial.
- Conditions
- Severe Aortic Stenosis
- Being tested
- Medtronic CoreValve® System Transcatheter Aortic Valve Implantation (TAVI), Surgical Aortic Valve Replacement (SAVR), Medtronic CoreValve® Evolut R System Transcatheter Aortic Valve Implantation (TAVI)
- Medical subject headings
- Aortic Valve Stenosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Medtronic CoreValve® System Transcatheter Aortic Valve Implantation (TAVI)Device
Surgical Aortic Valve Replacement (SAVR)Procedure or surgery
Medtronic CoreValve® Evolut R System Transcatheter Aortic Valve Implantation (TAVI)Device
| Study group | Role | What they receive |
|---|---|---|
| Medtronic CoreValve® System TAVI | Experimental | Medtronic CoreValve® System Transcatheter Aortic Valve Implantation (TAVI) Receives: Device: Medtronic CoreValve® System Transcatheter Aortic Valve Implantation (TAVI); Device: Medtronic CoreValve® Evolut R System Transcatheter Aortic Valve Implantation (TAVI) |
| SAVR | Active comparator | Surgical Aortic Valve Replacement (SAVR) Receives: Procedure: Surgical Aortic Valve Replacement (SAVR) |
What is being measured
The primary outcome is the main question the study is designed to answer.
All-cause Mortality or Disabling Stroke Rate Expressed as a Posterior Probability
All-cause mortality: all deaths from any cause after valve intervention. This includes all cardiovascular and non-cardiovascular deaths.
Disabling Stroke: a modified rankin (mRS) score of 2 or more at 90 days and an increase in at least one mRS category from an individual's pre-strike baseline.
Measured: 24 months
Secondary outcomes (25)
Percentage of Participants With Major Adverse Cardiovascular and Cerebrovascular Events (MACCE)
MACCE is defined as a composite of:
- All-cause death
- Myocardial infarction (MI)
- All stroke, and
- Reintervention (defined as any cardiac surgery or percutaneous reintervention catheter procedure that repairs, otherwise alters or adjusts, or replaces a previously implanted valve)
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Percentage of Participants With Individual MACCE Components
MACCE is defined as a composite of:
- All-cause death
- Myocardial infarction (MI)
- All stroke, and
- Reintervention (defined as any cardiac surgery or percutaneous reintervention catheter procedure that repairs, otherwise alters or adjusts, or replaces a previously implanted valve)
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Percentage of Participants With Major Adverse Events (MAE)
Major Adverse Events (MAE) include all death, MI, all stroke, reintervention, cardiac perforation, cardiac tamponade, cardiogenic shock, valve malpositioning, prosthetic valve dysfunction, acute kidney injury, major vascular complication, life threatening or disabling bleed, major bleed, and valve endocarditis.
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Percentage of Participants With Conduction Disturbance Requiring Permanent Pacemaker Implantation
Measured: 30 day, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Change in NYHA Class From Baseline
Change from baseline (continuous variable). A positive number corresponds to NYHA worsening; a negative number corresponds to NYHA improvement.
New York Heart Association (NYHA) Classification:
Class I: Subjects with cardiac disease but without resulting limitations of physical activity.
Class I: Subjects with cardiac disease resulting in slight limitation of physical activity.
Class III: Subjects with cardiac disease resulting in marked limitation of physical activity.
Class IV: Subjects with cardiac disease resulting in inability to carry on any physical activity without discomfort.
Measured: Baseline to 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Change in Distance Walked During 6-minute Walk Test (6MWT)
Change in distance walked during 6MWT from baseline
Measured: From baseline to 30 days, baseline to 12 months, and baseline to 24 months
Ratio of Days Alive Out of Hospital Versus Total Days Alive
Measured: 12 and 24 months
Quality of Life (QoL) Change From Baseline
QoL summary score change from baseline using the following measures:
- Kansas City Cardiomyopathy Questionnaire (KCCQ): Quantifies physical function, symptoms, social function, self-efficacy and knowledge, and quality of life. Scores are transformed to a range of 0-100, in which higher scores reflect better health status.
- 36 Item Short Form Health Survey (SF-36): Measures functional health and well-being. Scores are transformed to a range of 0-100, in which higher scores reflect better health status.
- European QoL (EQ-5D): Measures 5 domains (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) that can be converted to utilities using an algorithm. Utilities range from 0 to 1, with 1 representing perfect health, and 0 corresponding to the worst imaginable health state.
Measured: Baseline, 30 days, 3 months, 6 months, 12 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Transvalvular Mean Gradient (in mmHg) as an Assessment of Prosthetic Valve Performance
Using the following measure:
-Transvalvular mean gradient
Measured: discharge, 6 months, 12 months, and 24 months. Data for 3-5 years will be posted once data is complete
Effective Orifice Area as an Assessment of Prosthetic Valve Performance
Using the following measure:
-Effective Orifice Area (cm^2)
Measured: discharge, 6 months, 12 months, and 24 months. Data for 3-5 years will be posted once data is complete
Degree of Aortic Valve Regurgitation as an Assessment of Prosthetic Valve Performance
Using the following measure:
- Degree of Aortic Valve Regurgitation (Transvalvular and Paravalvular)
Measured: discharge, 6 months, 12 months, and 24 months. Data for 3-5 years will be posted once data is complete
Percentage of Participants With Aortic Valve Disease Related Hospitalizations
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Percentage of Participants With Cardiovascular Deaths and Valve-Related Deaths
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete
Percentage of Participants With Stroke and TIAs
Strokes (of any severity) and Transient Ischemic Attacks (TIAs)
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Peri-procedural Neurological Injury
Neurological injury (stroke, TIA, or encephalopathy)
Measured: discharge or 7 days post index procedure (whichever occurred first)
Index Procedure Related Major Adverse Events (MAEs)
Index procedure related MAEs were defined as events occurring during, or as a direct result of, the index procedure.
Measured: Procedure through 30 day visit
Length of Index Procedure Hospital Stay
Measured: Number of days from admission to discharge (expected average of 7 days)
Presence of Atrial Fibrillation
Measured: post-procedure, discharge, 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Device Success (Medtronic CoreValve® System Subjects Only)
- Absence of procedural mortality
- Correct positioning of a single prosthetic heart valve into the proper anatomical location
- Intended performance of the prosthetic heart valve (no prosthesis-patient mismatch and mean aortic valve gradient <20 mmHg or peak velocity <3 m/s, AND no moderate or severe prosthetic valve regurgitation)
Measured: Number of days from admission to discharge (expected average of 7 days)
Procedural Success (Medtronic CoreValve® System Subjects Only)
Defined by device success and absence of in-hospital major adverse cardiovascular and cerebrovascular events (MACCE)
Measured: Number of days from admission to discharge (expected average of 7 days)
Evidence of Prosthetic Valve Dysfunction (Medtronic CoreValve® System Subjects Only)
Prosthetic Valve Dysfunction (PVD) was defined according to Valve Academic Research Consortium (VARC) II using the Core Lab Echocardiography assessments including aortic regurgitation (AR) and aortic stenosis (AS) evaluations. Total aortic regurgitation (AR) reported as moderate or severe was considered
PVD defined as:
- Mean aortic valve gradient ≥20 mmHg AND ((EOA ≤0.9 cm2 if BSA <1.6 or ≤1.1 cm2 if BSA ≥1.6) OR DVI <0. 35 m/s) OR
- moderate or severe total AR
Measured: 6 months, 12 months, and 24 months. Data for 3-5 years will be posted once data is complete.
Percentage of Participants With Early Safety Endpoint
Percentage of participants with VARC II early safety composite at 30 days
Measured: 30 Days
Percentage of Participants With Clinical Efficacy (After 30 Days)
Combined clinical efficacy after 30 days was defined as the composite of all-cause mortality, all strokes (disabling and non-disabling), hospitalization for valve-related symptoms or worsening congestive heart failure, NYHA III or IV, and valve-related dysfunction.
Measured: 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is complete
Percentage of Participants With Time-Related Safety
The VARC II time-related valve safety composite was defined as the rate of valve-related dysfunction (mean aortic valve gradient ≥ 20 mm Hg, EOA ≤ 0.9-1.1 cm2 depending on body surface area and/or DVI <0.35, AND/ OR moderate or severe prosthetic valve regurgitation), aortic valve reintervention, prosthetic valve endocarditis, prosthetic valve thrombosis, thromboembolic events, and VARC II bleeding events.
Measured: 30 days, 6 months, 12 months, 18 months, and 24 months. Data for 3-5 years will be posted once data is available.
Resheath and Recapture Success (Evolut R Only)
The Evolut™ R system provides operators with the ability to resheath or recapture the valve before it is completely deployed in the event of initial suboptimal positioning. Successful resheath was defined as successfully retrieving a portion of the valve into the capsule of the delivery catheter, and successful recapture was defined as successfully recapturing the entirety of the valve into the capsule of the delivery catheter.
Measured: Procedure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Apr 2012 (estimated)
- Study startApr 2012
- Primary completionJul 2018
- Study completionNov 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (17)Papers the sponsor has linked to this study.
- Other trials for Severe Aortic StenosisStudies of the same condition, open and under way.
- More trials run by Medtronic CardiovascularThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,746 participants (actual)
Sponsor and investigators
- Lead sponsor
- Medtronic Cardiovascular
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Stephan Windecker, MD, PhD, Principal investigator, Bern University HospitalRüdiger Lange, MD, PhD, Principal investigator, Deutsches Herzzentrum MünchenThomas Walther, MD, PhD, Principal investigator, Kerckhoff KlinikMichael J. Reardon, MD, Principal investigator, The Methodist Hospital Research InstituteDavid H. Adams, MD, Principal investigator, Icahn School of Medicine at Mount SinaiNicolas M. Van Mieghem, MD, Study chair, Erasmus Medical CenterPatrick W. Serruys, MD, PhD, Study chair, National Heart & Lung Institute of Imperial College in London
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01586910
- Sponsor's protocol ID
- IDE #G120169
- Acronym
- SURTAVI
- Status last verified
- May 2026
- First submitted
- 24 Apr 2012
- Last updated
- 24 Jun 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- Yes
Publications
Klautz RJM, Rao V, Reardon MJ, Deeb GM, Dagenais F, Moront MG, Little SH, Labrousse L, Patel HJ, Ito S, Li S, Sabik JF 3rd, Oh JK. Examining the typical hemodynamic performance of nearly 3000 modern surgical aortic bioprostheses. Eur J Cardiothorac Surg. 2024 May 3;65(5):ezae122. doi: 10.1093/ejcts/ezae122.
PubMed 38710669Kleiman NS, Van Mieghem NM, Reardon MJ, Gada H, Mumtaz M, Olsen PS, Heiser J, Merhi W, Chetcuti S, Deeb GM, Chawla A, Kiaii B, Teefy P, Chu MWA, Yakubov SJ, Windecker S, Althouse AD, Baron SJ. Quality of Life 5 Years Following Transfemoral TAVR or SAVR in Intermediate Risk Patients. JACC Cardiovasc Interv. 2024 Apr 22;17(8):979-988. doi: 10.1016/j.jcin.2024.02.014.
PubMed 38658126O'Hair D, Yakubov SJ, Grubb KJ, Oh JK, Ito S, Deeb GM, Van Mieghem NM, Adams DH, Bajwa T, Kleiman NS, Chetcuti S, Sondergaard L, Gada H, Mumtaz M, Heiser J, Merhi WM, Petrossian G, Robinson N, Tang GHL, Rovin JD, Little SH, Jain R, Verdoliva S, Hanson T, Li S, Popma JJ, Reardon MJ. Structural Valve Deterioration After Self-Expanding Transcatheter or Surgical Aortic Valve Implantation in Patients at Intermediate or High Risk. JAMA Cardiol. 2023 Feb 1;8(2):111-119. doi: 10.1001/jamacardio.2022.4627.
PubMed 36515976Tuttle MK, Kiaii B, Van Mieghem NM, Laham RJ, Deeb GM, Windecker S, Chetcuti S, Yakubov SJ, Chawla A, Hockmuth D, Teefy P, Li S, Reardon MJ. Functional Status After Transcatheter and Surgical Aortic Valve Replacement: 2-Year Analysis From the SURTAVI Trial. JACC Cardiovasc Interv. 2022 Apr 11;15(7):728-738. doi: 10.1016/j.jcin.2022.01.284.
PubMed 35393106Lanz J, Reardon MJ, Pilgrim T, Stortecky S, Deeb GM, Chetcuti S, Yakubov SJ, Gleason TG, Huang J, Windecker S. Incidence and Outcomes of Infective Endocarditis After Transcatheter or Surgical Aortic Valve Replacement. J Am Heart Assoc. 2021 Oct 5;10(19):e020368. doi: 10.1161/JAHA.120.020368. Epub 2021 Sep 28.
PubMed 34581194Mumtaz M, Wyler von Ballmoos MC, Deeb GM, Popma JJ, Van Mieghem NM, Kleiman NS, Gleason TG, Chawla A, Hockmuth D, Zorn GL 3rd, Tadros P, Li S, Reardon MJ. The Impact of Transfusions on Mortality After Transcatheter or Surgical Aortic Valve Replacement. Ann Thorac Surg. 2021 Sep;112(3):778-785. doi: 10.1016/j.athoracsur.2020.09.031. Epub 2020 Nov 17.
PubMed 33217396Attizzani GF, Dallan LAP, Markowitz A, Yakubov SJ, Deeb GM, Reardon MJ, Forrest JK, Mangi AA, Huang J, Popma JJ. Impact of Repositioning on Outcomes Following Transcatheter Aortic Valve Replacement With a Self-Expandable Valve. JACC Cardiovasc Interv. 2020 Aug 10;13(15):1816-1824. doi: 10.1016/j.jcin.2020.04.028.
PubMed 32763073Yakubov SJ, Van Mieghem NM, Reardon MJ, Serruys PW, Gada H, Mumtaz M, Deeb GM, Kodali S, George I, Windecker S, Kleiman N, Chetcuti SJ, Sanchez C, Dauerman HL, Li S, Popma JJ. Propensity-Matched Comparison of Evolut-R Transcatheter Aortic Valve Implantation With Surgery in Intermediate-Risk Patients (from the SURTAVI Trial). Am J Cardiol. 2020 Sep 15;131:82-90. doi: 10.1016/j.amjcard.2020.06.051. Epub 2020 Jun 29.
PubMed 32723555Van Mieghem NM, Reardon MJ, Yakubov SJ, Heiser J, Merhi W, Windecker S, Makkar RR, Cheng W, Robbins M, Fail P, Feinberg E 2nd, Stoler RC, Hebeler R, Serruys PW, Popma JJ. Clinical outcomes of TAVI or SAVR in men and women with aortic stenosis at intermediate operative risk: a post hoc analysis of the randomised SURTAVI trial. EuroIntervention. 2020 Nov 20;16(10):833-841. doi: 10.4244/EIJ-D-20-00303.
PubMed 32715995Lindman BR, Goel K, Bermejo J, Beckman J, O'Leary J, Barker CM, Kaiser C, Cavalcante JL, Elmariah S, Huang J, Hickey GL, Adams DH, Popma JJ, Reardon MJ. Lower Blood Pressure After Transcatheter or Surgical Aortic Valve Replacement is Associated with Increased Mortality. J Am Heart Assoc. 2019 Nov 5;8(21):e014020. doi: 10.1161/JAHA.119.014020. Epub 2019 Oct 31.
PubMed 31665959Sondergaard L, Popma JJ, Reardon MJ, Van Mieghem NM, Deeb GM, Kodali S, George I, Williams MR, Yakubov SJ, Kappetein AP, Serruys PW, Grube E, Schiltgen MB, Chang Y, Engstrom T. Comparison of a Complete Percutaneous Versus Surgical Approach to Aortic Valve Replacement and Revascularization in Patients at Intermediate Surgical Risk: Results From the Randomized SURTAVI Trial. Circulation. 2019 Oct 15;140(16):1296-1305. doi: 10.1161/CIRCULATIONAHA.118.039564. Epub 2019 Sep 3.
PubMed 31476897Reardon MJ, Heijmen RH, Van Mieghem NM, Williams MR, Yakubov SJ, Watson D, Kleiman NS, Conte J, Chawla A, Hockmuth D, Petrossian G, Robinson N, Kappetein AP, Li S, Popma JJ. Comparison of Outcomes After Transcatheter vs Surgical Aortic Valve Replacement Among Patients at Intermediate Operative Risk With a History of Coronary Artery Bypass Graft Surgery: A Post Hoc Analysis of the SURTAVI Randomized Clinical Trial. JAMA Cardiol. 2019 Aug 1;4(8):810-814. doi: 10.1001/jamacardio.2019.1856.
PubMed 31215985Head SJ, Reardon MJ, Deeb GM, Van Mieghem NM, Popma JJ, Gleason TG, Williams MR, Radhakrishnan S, Fremes S, Oh JK, Chang Y, Boulware MJ, Kappetein AP. Computed Tomography-Based Indexed Aortic Annulus Size to Predict Prosthesis-Patient Mismatch. Circ Cardiovasc Interv. 2019 Apr;12(4):e007396. doi: 10.1161/CIRCINTERVENTIONS.118.007396.
PubMed 30929507Durko AP, Reardon MJ, Kleiman NS, Popma JJ, Van Mieghem NM, Gleason TG, Bajwa T, O'Hair D, Brown DL, Ryan WH, Chang Y, De Leon SD, Kappetein AP. Neurological Complications After Transcatheter Versus Surgical Aortic Valve Replacement in Intermediate-Risk Patients. J Am Coll Cardiol. 2018 Oct 30;72(18):2109-2119. doi: 10.1016/j.jacc.2018.07.093.
PubMed 30360820Reardon MJ, Van Mieghem NM, Popma JJ, Kleiman NS, Sondergaard L, Mumtaz M, Adams DH, Deeb GM, Maini B, Gada H, Chetcuti S, Gleason T, Heiser J, Lange R, Merhi W, Oh JK, Olsen PS, Piazza N, Williams M, Windecker S, Yakubov SJ, Grube E, Makkar R, Lee JS, Conte J, Vang E, Nguyen H, Chang Y, Mugglin AS, Serruys PW, Kappetein AP; SURTAVI Investigators. Surgical or Transcatheter Aortic-Valve Replacement in Intermediate-Risk Patients. N Engl J Med. 2017 Apr 6;376(14):1321-1331. doi: 10.1056/NEJMoa1700456. Epub 2017 Mar 17.
PubMed 28304219