POLESTAR Trial - An International Multi-center Early Discharge TAVI Program
POLESTAR
Project to Look for Early Discharge in Patients Undergoing TAVI With ACURATE - An International Multi-center Early Discharge TAVI Program
1 other identifier
observational
252
4 countries
15
Brief Summary
An international multi-center prospective observational study to address safety and feasibility of an early discharge protocol in patients with symptomatic severe aortic stenosis who are eligible for transfemoral TAVI with the Boston Scientific ACURATE Neo Aortic Bioprosthesis transcatheter heart valve.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Apr 2019
Longer than P75 for all trials
15 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 26, 2019
CompletedStudy Start
First participant enrolled
April 1, 2019
CompletedFirst Posted
Study publicly available on registry
April 10, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 5, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
January 24, 2024
CompletedJuly 23, 2025
June 1, 2025
3.7 years
March 26, 2019
July 18, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Primary safety endpoint
Composite of all-cause mortality, any stoke, VARC type 2-4 bleeding, acute kidney injury stage 3-4, major vascular, major access related, major cardiac structural complication, moderate or severe aortic regurgitation, new permanent pacemaker implantation and valve-related dysfunction requiring repeat procedure at 30 days
30 days
Primary efficacy endpoint at 30 days
Composite of all-cause mortality, all stroke, re-hospitalization for procedure- or valve-related causes, KCCQ Overall Summary Score \<45 or decline from baseline \>10 points at 30 days
30 days
Primary efficacy endpoint at 1 year
Composite of all-cause mortality, all stroke, re-hospitalization for procedure- or valve-related causes, KCCQ Overall Summary Score \<45 or decline from baseline \>10 points at 1 year
1 year
Secondary Outcomes (15)
All-cause mortality
30 days and 1 year
Stroke
30 days and 1 year
Life threatening bleeding
30 days and 1 year
Acute kidney injury
30 days and 1 year
Coronary artery obstruction requiring intervention
30 days and 1 year
- +10 more secondary outcomes
Interventions
Transfemoral TAVI using the Boston Scientific ACURATE Neo Aortic Bioprosthesis
Eligibility Criteria
250 patients with severe AS and selected for TF-TAVI with the ACURATE Neo valve and eligible for early discharge within 48 hours post TAVI
You may qualify if:
- Eligible for ACURATE Neo valve implantation
- Patient agrees to follow-up duration
- Patient is able to understand and sign written informed consent
You may not qualify if:
- BMI \> 35
- Pregnancy
- Cardiac
- Moderate to severely impaired left ventricular ejection fraction (LVEF \<35%)
- Mitral regurgitation \> moderate
- Pulmonary hypertension (sPAP \> 60mmHg)
- No complex coronary artery disease
- Untreated high degree AV-block or RBBB
- Pulmonary
- COPD Gold \> 2
- Kidney function
- GFR \< 35ml/min
- Frailty
- Inappropriate social support and/or (familial) care
- Patient is walking aid dependent
- +5 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Erasmus Medical Centerlead
- Boston Scientific Corporationcollaborator
Study Sites (15)
ASZ Aalst
Aalst, Belgium
AZ Sint-Jan Brugge
Bruges, Belgium
UZ Brussel
Brussels, Belgium
AZ Maria Middelares
Ghent, Belgium
Royal Columbian Hospital
New Westminster, Canada
Sunnybrook Health Sciences Centre
Toronto, Canada
Vancouver General Hospital
Vancouver, Canada
University Medical Center Groningen
Groningen, Netherlands
Leiden University Medical Center
Leiden, Netherlands
St. Antonius Hospital
Nieuwegein, Netherlands
Erasmus University Medical Center
Rotterdam, 3015 GD, Netherlands
Utrecht University Medical Center
Utrecht, Netherlands
University Hospital Sussex NHS Foundation Trust
Brighton, United Kingdom
Leeds Teaching Hospitals NHS Trust
Leeds, United Kingdom
University Hospitals of Leicester NHS Trust
Leicester, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nicolas Van Mieghem, MD, PhD
Erasmus Medical Center
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Target Duration
- 1 Year
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
March 26, 2019
First Posted
April 10, 2019
Study Start
April 1, 2019
Primary Completion
December 5, 2022
Study Completion
January 24, 2024
Last Updated
July 23, 2025
Record last verified: 2025-06