CTSN Embolic Protection Trial
Recruiting now · Not applicable
Conditions studied: Delirium, Ischemic Stroke, Acute Kidney Injury, Heart Valve Disease, Coronary Artery Disease
In brief
This is a prospective, multi-center, randomized effectiveness trial of the CardioGard Embolic Protection Cannula in high-risk valve surgery patients.
Key facts
- Study ID
- NCT06027788
- Run by
- Icahn School of Medicine at Mount Sinai
- People needed
- 842
- Starts
- 2023-09-18
- Expected to finish
- 2027-04-01
- Last updated by the study team
- 2026-05-29
Who can join
Age: 60 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age ≥ 60 years
- Planned de novo or redo:
- Surgical aortic valve replacement SAVR ± ascending aortic repair (if circulatory arrest is not required) ± CABG
- Mitral valve replacement (MVR) ± CABG
- Mitral Valve Repair + CABG,
- Double/Triple valve surgery ± CABG; Ross procedure These procedures can be done via a full or minimal-access sternotomy (using central aortic perfusion cannulae) with legally marketed valve(s), and can be done in combination with an left atrial appendage (LAA) closure/excision or partial/complete Maze procedure.
- Valve sparing aortic root replacement (David procedure)
- Valve sparing aortic root replacement (David procedure)
- No evidence of neurological impairment as defined by a NIHSS ≤1 and modified Rankin scale (mRS) ≤2 within 30 days prior to randomization
- Ability to provide informed consent and comply with the protocol
You may not qualify if…
- History of clinical stroke within 3 months prior to randomization
- Cerebral and or aortic arch arteriography or interventions within 3 days of the planned procedure
- Coronary catheterization within 3 days of index procedure, and the required repeat NIHSS score post-catheterization is worse than the screening/baseline NIHSS score conducted prior to the catheterization
- Active endocarditis at time of randomization with vegetation criteria
- Clinical signs of cardiogenic shock or treatment with IV inotropic therapy prior to randomization
- Participation in an interventional (drug or device) trial
- Isolated mitral valve repair, isolated tricuspid valve repair or combined mitral valve repair and tricuspid valve repair
- Anticipated requirement for prolonged mechanical ventilation greater than 48 hours after surgery in the opinion of the investigator
- Planned concomitant carotid endarterectomy during index surgical procedure
Where it is running
- Cleveland Clinic — Cleveland, Ohio, United States (enrolling)
- Hospital of the University of Pennsylvania — Philadelphia, Pennsylvania, United States (enrolling)
- Maine Medical Center — Portland, Maine, United States (enrolling)
- West Virginia University — Morgantown, West Virginia, United States (enrolling)
- London Health Sciences Centre — London, Ontario, Canada (enrolling)
- University of Ottawa Heart Institute — Ottawa, Ontario, Canada (enrolling)
- Johns Hopkins Medicine — Baltimore, Maryland, United States (enrolling)
- CHI St. Vincent Heart Institute — North Little Rock, Arkansas, United States (enrolling)
- University of Maryland — College Park, Maryland, United States (enrolling)
- Massachusetts General Hospital — Boston, Massachusetts, United States (enrolling)
- University of Michigan — Ann Arbor, Michigan, United States (enrolling)
- Mayo Clinic — Rochester, Minnesota, United States (enrolling)
- Saint Luke's Hospital of Kansas City — Kansas City, Missouri, United States (enrolling)
- Columbia University Medical Center — New York, New York, United States (enrolling)
- Keck Hospital of the University of Southern California — Los Angeles, California, United States (enrolling)
- Emory University — Atlanta, Georgia, United States (enrolling)
- Northwell Health — New York, New York, United States (enrolling)
- Montefiore Medical Center — The Bronx, New York, United States (enrolling)
- Duke University — Durham, North Carolina, United States (enrolling)
- Ochsner Clinic — New Orleans, Louisiana, United States (enrolling)
- Hôpital Laval — Québec, Quebec, Canada
- Indiana University — Bloomington, Indiana, United States
- Indiana Ohio Heart — Fort Wayne, Indiana, United States
- New York Presbyterian-Cornell Medical Center — New York, New York, United States
- NYU Langone Hospital Brooklyn — New York, New York, United States
Full record on ClinicalTrials.gov
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