Abdominal Aortic Aneurysm
Conditions
Keywords
Abdominal Aortic Aneurysm, Fenestrated, Renal Stent, Juxtarenal, Pararenal, Endologix, Renal
Brief summary
The aim of this study is to evaluate the safety and feasibility of the Endologix Fenestrated Stent Graft System for the endovascular repair of juxtarenal or pararenal aortic aneurysms.
Detailed description
The Endologix Fenestrated Stent Graft System that will be used in this study has three components, listed below: 1. Endologix unibody bifurcated stent graft 2. Endologix fenestrated proximal extension stent graft 3. Endologix renal stent graft
Interventions
Endovascular repair of juxtarenal or pararenal aortic aneurysm using the Endologix Fenestrated Stent Graft System
Sponsors
Study design
Eligibility
Inclusion criteria
* Adequate iliac/femoral access compatible with the required delivery systems * Non-aneurysmal infrarenal aortic neck \<15mm in length * Most caudal renal artery to aortoiliac bifurcation length \>= 70 * SMA to aortoiliac bifurcation length \>=90mm * Proximal non-aneurysmal aortic neck below the SMA with diameter 18 to 34 mm, length \>=15mm and angle \<=60° to the aneurysm sac * Angle \<=60° (clock face) between the SMA and CA * Renal arteries both at or below the SMA by \<=35mm and within 30mm of each other axially, with 4 to 8mm lumen diameter, and with clockface angle of 90° to 210° to each other * Common iliac artery distal fixation site with: distal fixation length \>=15mm, with diameter \>=10 mm and \<=23 mm and angle \<=90° to the aortic bifurcation * Ability to preserve at least one hypogastric artery
Exclusion criteria
* Life expectancy \<2 years as judged by the investigator * Psychiatric or other condition that may interfere with the study * Participating in the enrollment or 30-day follow-up phase of another clinical study * Known allergy to any device component * Coagulopathy or uncontrolled bleeding disorder * Contraindication to contrast media or anticoagulants * Ruptured, leaking, or mycotic aneurysm * Aortic dissection Serum creatinine (S-Cr) level \>2.0 mg/dL * Traumatic vascular injury * Active systemic or localized groin infection * Connective tissue disease (e.g., Marfan's Syndrome) * Recent(within prior three months)cerebrovascular accident * Recent(within prior three months)myocardial infarction * Prior renal transplant * Length of either renal artery to be stented \<12mm * Significant occlusive disease or calcification of either renal artery (\>70%) * An essential accessory renal artery * Indispensable inferior mesenteric artery * Untreated aneurysmal disease of the descending thoracic aorta * Clinically significant mural thrombus circumferentially in the suprarenal segment * Prior iliac artery stent implanted that may interfere with delivery system introduction * Unsuitable vascular anatomy * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Primary Safety Endpoint | 30 days | Major adverse events defined as: * All-cause death * Bowel ischemia * Myocardial infarction * Paraplegia * Renal failure * Respiratory failure * Stroke * Blood loss \>=1,000cc |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedural/In-hospital Evaluations | Procedurally and to hospital discharge | Fluoroscopy time, Renal Artery Cannulation time and procedure time |
| Mortality | Procedurally and to 5 Years | All-cause and aneurysm-related |
| Major Adverse Events | >30 Days to 5 Years | All-cause mortality, bowel ischemia, myocardial infarction, paraplegia, renal failure, respiratory failure, stroke, blood loss \>1,000cc |
| Number of Participants With Renal Dysfunction | 30 Days, 6 Months and Years 1 to 5 | Renal Dysfunction, Renal Dysfunction In subjects with baseline eGFR\>=60 and Renal Dysfunction In subjects with baseline eGFR \<60 |
| Aneurysm Rupture | Procedurally and to 5 Years | Internal bleeding or leaking of blood from the aneurysm subsequent to the index procedure |
| Feasibility/Effectiveness | 1 Year | Successful device delivery and deployment with patency of the renal and aortic endografts without Type I/III endoleak. 1. Treatment Success is defined as procedural technical success with device patency and the absence of type I/III endoleak 2. Procedural Technical Success is defined as a subject with successful implant. 3. Aneurysm Rupture: An aneurysm is a balloon-like bulge of an artery wall. As an aneurysm grows it puts pressure on nearby structures and may eventually rupture. 4. Clinically Significant Device Migration: Core Lab reported aortic stent graft movement \>10mm 5. Type I/III/IV Endoleak: Core Lab reported endoleak: between the endograft and the vessel either at the proximal attachment point (Type IA), or at the distal attachment point (Type IB), or between endograft components (Type III) or transgraft (Type IV). 6. Type II Endoleak: Core Lab reported endoleak emanating from a patent collateral vessel (e.g., inferior mesenteric artery, lumbar artery). |
| Device Integrity | 30 Days, 6 Months, and Years 1 to 5 | Device Migration, Ventana Stent Fracture, Left renal stent fracture, right renal stent fracture, stent Kinking/Compression |
| Stent Graft Patency | 30 Days, 6 Months, and Years 1 to 5 | Ventana and Bifurcated occlusion, LRA (Left renal artery) occlusion and RRA (right renal artery) occlusion |
| Aneurysm Diameter Change | 6 Months, and Years 1 to 5 | Change in aneurysm sac diameter - decrease \> 5mm, Increase \> 5mm, Stable (+/- 5mm) and No growth. |
| Secondary Procedures | 30 Days, 6 Month and Years 1 to 5 | Non-diagnostic intervention after the index procedure intended to correct or repair an endoleak (device-related: Type I (proximal or distal), Type III, Type IV; non-device related: Type II), device migration, or other device defect. |
| Conversion to Open Repair | Procedurally and to 5 Years | Open surgical repair of the aortic aneurysm due to unsuccessful delivery or deployment of the stent graft, due to complications or other clinical situations that precluded successful endovascular treatment, or at any time following initial successful endovascular treatment for any reason |
Countries
Chile, France, Netherlands, New Zealand, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Ventana Fenestrated System All patients meet study criteria receives a single use Ventana Fenestrated System, which requires administration of intravascular contrast. Catheter advancement is performed under fluoroscopic guidance and Ventana Fenestrated System is placed.
Endovascular Aortic Aneurysm Repair (Endologix Fenestrated Stent Graft System): Endovascular repair of juxtarenal or pararenal aortic aneurysm using the Endologix Fenestrated Stent Graft System | 49 |
| Total | 49 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Overall Study | Conversion | 2 |
| Overall Study | Death | 20 |
| Overall Study | missed visit | 1 |
| Overall Study | Withdrawals/Lost to Follow-up | 10 |
Baseline characteristics
| Characteristic | Ventana Fenestrated System |
|---|---|
| Age, Continuous | 72.6 years STANDARD_DEVIATION 7.2 |
| ASA Class 3 or 4 | 28 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 7 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 42 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Region of Enrollment Chile | 11 participants |
| Region of Enrollment France | 9 participants |
| Region of Enrollment Netherlands | 5 participants |
| Region of Enrollment New Zealand | 14 participants |
| Region of Enrollment United Kingdom | 6 participants |
| Region of Enrollment United States | 4 participants |
| Serum Creatinine | 1.1 mg/dL STANDARD_DEVIATION 0.3 |
| Sex: Female, Male Female | 4 Participants |
| Sex: Female, Male Male | 45 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 20 / 49 |
| other Total, other adverse events | 46 / 49 |
| serious Total, serious adverse events | 42 / 49 |
Outcome results
Primary Safety Endpoint
Major adverse events defined as: * All-cause death * Bowel ischemia * Myocardial infarction * Paraplegia * Renal failure * Respiratory failure * Stroke * Blood loss \>=1,000cc
Time frame: 30 days
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ventana Fenestrated System | Primary Safety Endpoint | All Cause Death | 0 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Procedural Blood Loss | 7 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Bowel Ischemia | 0 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Myocardial Infarction | 0 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Paraplegia | 1 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Renal Failure 1 - Temp/Perm Hemodialysis | 2 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Renal Failure 2 - Serum Creat rise > 0.5mg/dL | 0 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Respiratory Failure 1 - Pneumonia | 0 events |
| Ventana Fenestrated System | Primary Safety Endpoint | Stroke | 0 events |
Aneurysm Diameter Change
Change in aneurysm sac diameter - decrease \> 5mm, Increase \> 5mm, Stable (+/- 5mm) and No growth.
Time frame: 6 Months, and Years 1 to 5
Population: All data has been entered
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Aneurysm Diameter Change | Increase (>5mm) - 5 Year | 4 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Decrease (>5mm)- 6 Month | 4 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Increase (>5mm) - 6 Month | 1 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Stable (±5mm) - 6 Month | 34 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | No Growth - 6 Month | 38 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Decrease (>5mm)- 1 Year | 7 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Increase (>5mm) - 1 Year | 0 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Stable (±5mm) - 1 Year | 28 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | No Growth - 1 Year | 35 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Decrease (>5mm)- 2 Year | 9 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Increase (>5mm) - 2 Year | 8 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Stable (±5mm) - 2 Year | 18 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | No Growth - 2 Year | 27 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Decrease (>5mm)- 3 Year | 8 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Increase (>5mm) - 3 Year | 1 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Stable (±5mm) - 3 Year | 13 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | No Growth - 3 Year | 21 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Decrease (>5mm)- 4 Year | 6 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Increase (>5mm) - 4 Year | 0 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Stable (±5mm) - 4 Year | 10 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | No Growth - 4 Year | 16 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Decrease (>5mm)- 5 Year | 4 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | Stable (±5mm) - 5 Year | 5 Participants |
| Ventana Fenestrated System | Aneurysm Diameter Change | No Growth - 5 Year | 9 Participants |
Aneurysm Rupture
Internal bleeding or leaking of blood from the aneurysm subsequent to the index procedure
Time frame: Procedurally and to 5 Years
Population: All available data has been reported
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Aneurysm Rupture | Aneurysm rupture within 30 days | 0 Participants |
| Ventana Fenestrated System | Aneurysm Rupture | Aneurysm rupture 30 days- 1 Year | 0 Participants |
| Ventana Fenestrated System | Aneurysm Rupture | Aneurysm rupture 1-2 Years | 1 Participants |
| Ventana Fenestrated System | Aneurysm Rupture | Aneurysm rupture 2-3 Years | 2 Participants |
| Ventana Fenestrated System | Aneurysm Rupture | Aneurysm rupture 3-4 Years | 0 Participants |
| Ventana Fenestrated System | Aneurysm Rupture | Aneurysm rupture 4-5 Years | 1 Participants |
Conversion to Open Repair
Open surgical repair of the aortic aneurysm due to unsuccessful delivery or deployment of the stent graft, due to complications or other clinical situations that precluded successful endovascular treatment, or at any time following initial successful endovascular treatment for any reason
Time frame: Procedurally and to 5 Years
Population: All available data has been reported
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Conversion to Open Repair | Open repair within 30 days | 0 Participants |
| Ventana Fenestrated System | Conversion to Open Repair | Open repair 30 days - 1 Year | 0 Participants |
| Ventana Fenestrated System | Conversion to Open Repair | Open repair 1 -2 Years | 0 Participants |
| Ventana Fenestrated System | Conversion to Open Repair | Open repair 2 -3 Years | 1 Participants |
| Ventana Fenestrated System | Conversion to Open Repair | Open repair 3-4 Years | 1 Participants |
| Ventana Fenestrated System | Conversion to Open Repair | Open repair 4-5 Years | 0 Participants |
Device Integrity
Device Migration, Ventana Stent Fracture, Left renal stent fracture, right renal stent fracture, stent Kinking/Compression
Time frame: 30 Days, 6 Months, and Years 1 to 5
Population: All data has been entered
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 1 Month | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 1 Month | 1 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 1 Month | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 1 Month | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Device Migration - 6 Month | 1 Participants |
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 6 Month | 1 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 6 Month | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 6 Month | 3 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 6 Month | 1 Participants |
| Ventana Fenestrated System | Device Integrity | Device Migration - 1 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 1 Year | 3 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 1 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 1 Year | 3 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 1 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Device Migration - 2 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 2 Year | 3 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 2 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 2 Year | 5 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 2 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Device Migration - 3 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 3 Year | 4 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 3 Year | 1 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 3 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 3 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Device Migration - 4 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 4 Year | 4 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 4 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 4 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 4 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Device Migration - 5 Year | 0 Participants |
| Ventana Fenestrated System | Device Integrity | Ventana Stent Fracture - 5 Year | 4 Participants |
| Ventana Fenestrated System | Device Integrity | Left Renal Stent Fracture - 5 Year | 1 Participants |
| Ventana Fenestrated System | Device Integrity | Right Renal Stent Fracture - 5 Year | 2 Participants |
| Ventana Fenestrated System | Device Integrity | Stent Kinking/Compression - 5 Year | 0 Participants |
Feasibility/Effectiveness
Successful device delivery and deployment with patency of the renal and aortic endografts without Type I/III endoleak. 1. Treatment Success is defined as procedural technical success with device patency and the absence of type I/III endoleak 2. Procedural Technical Success is defined as a subject with successful implant. 3. Aneurysm Rupture: An aneurysm is a balloon-like bulge of an artery wall. As an aneurysm grows it puts pressure on nearby structures and may eventually rupture. 4. Clinically Significant Device Migration: Core Lab reported aortic stent graft movement \>10mm 5. Type I/III/IV Endoleak: Core Lab reported endoleak: between the endograft and the vessel either at the proximal attachment point (Type IA), or at the distal attachment point (Type IB), or between endograft components (Type III) or transgraft (Type IV). 6. Type II Endoleak: Core Lab reported endoleak emanating from a patent collateral vessel (e.g., inferior mesenteric artery, lumbar artery).
Time frame: 1 Year
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Feasibility/Effectiveness | Treatment Success | 31 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Unsuccessful Treatment | 18 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Procedural Technical Success | 47 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Aneurysm Rupture | 1 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Conversion to open repair | 1 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Secondary Interventions | 13 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Aneurysm Enlargement | 3 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Clinically Significant Migration | 1 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Type IA Endoleak | 0 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Type IB Endoleak | 0 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Type IIIA Endoleak | 3 Participants |
| Ventana Fenestrated System | Feasibility/Effectiveness | Type IIIB Endoleak | 2 Participants |
Major Adverse Events
All-cause mortality, bowel ischemia, myocardial infarction, paraplegia, renal failure, respiratory failure, stroke, blood loss \>1,000cc
Time frame: >30 Days to 5 Years
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Ventana Fenestrated System | Major Adverse Events | All Cause Death | 6 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Bowel Ischemia | 0 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Myocardial Infarction | 2 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Paraplegia | 0 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Procedural Blood loss | 0 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Renal Failure 1 - Temp/Perm Hemodialysis | 4 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Renal Failure 2 - Serum Creat rise >0.5mg/dL | 1 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Respiratory Failure 1 - Pneumonia | 2 Number of events |
| Ventana Fenestrated System | Major Adverse Events | Stroke | 0 Number of events |
Mortality
All-cause and aneurysm-related
Time frame: Procedurally and to 5 Years
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Mortality | All Cause Deaths | 20 Participants |
| Ventana Fenestrated System | Mortality | Aneurysm Related Deaths | 5 Participants |
Number of Participants With Renal Dysfunction
Renal Dysfunction, Renal Dysfunction In subjects with baseline eGFR\>=60 and Renal Dysfunction In subjects with baseline eGFR \<60
Time frame: 30 Days, 6 Months and Years 1 to 5
Population: All available data has been reported
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction-1 Month | 4 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 1 Month | 2 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 1 Month | 2 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction-6 Month | 9 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 6 Month | 5 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 6 Month | 4 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction-1 Year | 13 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 1 Year | 7 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 1 Year | 6 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction- 2 Year | 7 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 2 Year | 4 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 2 Year | 3 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction- 3 Year | 5 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 3 Year | 3 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 3 Year | 2 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction-4 Year | 3 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 4 Year | 2 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 4 Year | 1 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction- 5 Year | 4 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR >=60 - 5 Year | 2 Participants |
| Ventana Fenestrated System | Number of Participants With Renal Dysfunction | Renal Dysfunction in subjects with Baseline eGFR <60 - 5 Year | 2 Participants |
Procedural/In-hospital Evaluations
Fluoroscopy time, Renal Artery Cannulation time and procedure time
Time frame: Procedurally and to hospital discharge
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Ventana Fenestrated System | Procedural/In-hospital Evaluations | Fluoroscopy Time | 58 minutes | Standard Deviation 37 |
| Ventana Fenestrated System | Procedural/In-hospital Evaluations | Renal Artery Cannulation Time | 51 minutes | Standard Deviation 57 |
| Ventana Fenestrated System | Procedural/In-hospital Evaluations | Total Procedure Time | 202 minutes | Standard Deviation 72 |
Procedural/In-hospital Evaluations
Contrast volume and estimated blood loss
Time frame: Procedurally and to hospital discharge
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Ventana Fenestrated System | Procedural/In-hospital Evaluations | Contrast Volume | 205 mL | Standard Deviation 107 |
| Ventana Fenestrated System | Procedural/In-hospital Evaluations | Blood Loss | 581 mL | Standard Deviation 396 |
Procedural/In-hospital Evaluations
Time to hospital discharge
Time frame: Discharge
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Ventana Fenestrated System | Procedural/In-hospital Evaluations | 5 days | Standard Deviation 4 |
Secondary Procedures
Non-diagnostic intervention after the index procedure intended to correct or repair an endoleak (device-related: Type I (proximal or distal), Type III, Type IV; non-device related: Type II), device migration, or other device defect.
Time frame: 30 Days, 6 Month and Years 1 to 5
Population: All data has been entered
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 30 days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 4 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Expansion - Conversion to open repair - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 30 days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aneurysm Rupture - Conversion to open repair - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Occlusion -Bypass - Other- 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Device Migration - Renal Stenting - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 30 Days | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 6 Month | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 1 Year | 3 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Artery Stenosis/Occlusion - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 6 Month | 9 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 1 Year | 9 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 2 Year | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Artery Stenosis/Occlusion - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 30 Days | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 1 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | SMA Artery Occlusion- 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 3 Year | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 4 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Fracture - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Stent Migration - 5 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 6 Month | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 1 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IA Endoleak - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 6 Month | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 1 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Liquid Embolization - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 3 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type IB Endoleak - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 3 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Conversion to Open Repair - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 3 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type II Endoleak - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 3 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Coil Embolization - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 30 Days | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 6 Month | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 1 Year | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 2 Year | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 3 Year | 4 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Type III Endoleak - 5 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 3 Year | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Extension- 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 6 Month | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 1 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 3 Year | 2 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Aortic Revision - 5 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 30 Days | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 1 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Balloon Angioplasty - 5 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 2 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 3 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Iliac Extension - 5 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 30 Days | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 6 Month | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 1 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 2 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 3 Year | 1 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 4 Year | 0 Participants |
| Ventana Fenestrated System | Secondary Procedures | Renal Stenting - 5 Year | 0 Participants |
Stent Graft Patency
Ventana and Bifurcated occlusion, LRA (Left renal artery) occlusion and RRA (right renal artery) occlusion
Time frame: 30 Days, 6 Months, and Years 1 to 5
Population: All available data has been entered.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated occlusion - 1 Month | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 1 Month | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 1 Month | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated Occlusion - 6 Month | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 6 Month | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 6 Month | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated occlusion - 1 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 1 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 1 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated occlusion - 2 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 2 Year | 4 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 2 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated occlusion - 3 Year | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 3 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 3 Year | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated occlusion - 4 Year | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 4 Year | 1 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 4 Year | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | Ventana and Bifurcated occlusion - 5 Year | 0 Participants |
| Ventana Fenestrated System | Stent Graft Patency | LRA Occlusion - 5 Year | 2 Participants |
| Ventana Fenestrated System | Stent Graft Patency | RRA Occlusion - 5 Year | 1 Participants |