Pulmonary Air Leaks
Conditions
Keywords
Endobronchial Valve, Minimally Invasive, Intrabronchial Valves, Digital Thoracic Drainage System, Spiration Valve System, Prolonged Air Leak, Persistent Air Leak
Brief summary
VAST is a multicenter, prospective, randomized, controlled study designed to evaluate treatment of persistent air leak with the SVS as compared to standard chest tube drainage management and other standard-of-care interventions in the control group. Eligible subjects will be randomized to receive either Spiration Valves (investigational arm) or continue standard-of-care treatment (control arm). Once the air leak has resolved, Spiration Valves should be removed.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Subject has an air leak ≥ 100 mL/min, as measured by a digital thoracic drainage system (DTDS) * Subject has air leak present on at least the 5th day following origination.
Exclusion criteria
* Subject has air leak only on forced exhalation or cough * Subject has sepsis * Subject has pneumonia * Subject has Acute Respiratory Distress Syndrome (ARDS) * Subject is not an appropriate candidate for, or unable to tolerate, flexible bronchoscopy procedures * Subject has undergone a bone marrow transplant * Subject has a primary pneumothorax * Subject has undergone a prior intervention (including pleurodesis, surgery, blood patch, and pneumoperitoneum) or valve placement.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to Air Leak Cessation | Two weeks |
Other
| Measure | Time frame |
|---|---|
| Incidence of SAE | Six weeks |
Countries
United States