Life sciences · Observational Study
ClinicalTrials.gov · October 16, 2026
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Observational Study.
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Registry record from ClinicalTrials.gov (NCT05601453). This is a study registration, not published results. Lead sponsor: Institut für Pharmakologie und Präventive Medizin. Recruitment status: RECRUITING. Study type: OBSERVATIONAL. Enrollment: 250 participants (ESTIMATED). Conditions: Structural Valve Deterioration, Structural Valve Degeneration, Symptomatic Patients Who Have Had Transcatheter Heart Valve (THV) Failure, Prosthetic Valve Malfunction, Prosthesis Failure. Interventions: PROCEDURE: Elective redo transcatheter aortic valve implantation (redo-TAVI). Primary outcome measures: Efficacy: VARC-3 defined device success at 30 days , 30 days; Technical success: Technical success (at exit from procedure room) , end of intervention; Safety: VARC-3 defined early safety at 30 days , 30 days; Procedural Outcomes (30 days) , 30 days; Durability of the second aortic THV (30 days) , 30 days; Durability of the second aortic THV (3 months) , 3 months; Durability of the second aortic THV (12 months) , 12 months; Durability of the second aortic THV (3 years) , 3 years; Durability of the second aortic THV (5 years) , 5 years. Brief summary: Patients with severe aortic stenosis (sAS) treated with transcatheter aortic valve implantation (TAVI) (increasingly younger \& lower risk pts) are experiencing SVD of the index THV and thus developing an indication for a redo-TAVI procedure. The evidence on redo-TAVI (where a transcatheter heart valve \[THV\] is implanted into another THV) is limited, with initial data showing acceptable safety as well efficacy in highly selected and limited populations. Aim is to evaluate short- and long-term data on patients undergoing transcatheter redo-TAVI procedures with THVs for failure of a previously implanted THV and to determine VARC-3 defined efficacy and safety at 30 days and functional outcome at 1 year, 3 years and 5 years.