Vascular Anastomosis Surgery
Conditions
Brief summary
The objective of this post-market clinical follow-up study is to collect medical information on patients implanted with PuraStat®, according to each participating institution's procedures and standards of care.
Detailed description
This multicentre, single arm post-market clinical study aims to collect medical information on patients implanted with PuraStat®, Absorbable Haemostatic Material, according to each participating institution's procedures and standards of care for confirming the safety and the performance of PuraStat®, for the management of bleeding in vascular surgery (Carotid Endarterectomy either by direct closure (without the use of patch), or by patch reconstruction or eversion technique).
Interventions
Synthetic haemostatic material
Sponsors
Study design
Eligibility
Inclusion criteria
Main Inclusion criteria: 1. Male or female patient ≥18 years old 2. Subject undergoing elective carotid endarterectomy 3. Subject who is able to give voluntary, written informed consent to participate in this clinical study and from whom consent has been obtained 4. Subject, who, in the opinion of the Clinical Investigator, is able to understand this clinical study, cooperate with the study procedures and is willing to return for the required post-treatment follow-up 5. Intra-operative inclusion criteria: Subject requiring the use of PuraStat® for haemostasis during elective carotid endarterectomy either by direct closure (without the use of patch), or by patch reconstruction or eversion technique when haemostasis by ligation or standard means is insufficient or impractical. Main
Exclusion criteria
1. Presence or sequelae of coagulation disorder 2. Known allergy or hypersensitivity to any component of PuraStat® 3. Concurrent participation in another clinical trial with a medical device or a medicinal product 4. Pregnant or interested in becoming pregnant during the duration of the study, or breast feeding Intra-operative
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Total Time-To-Haemostasis | Intraoperatively | Total Time-To-Haemostasis (TTH) will be intraoperatively measured (secondes) from the first application of PuraStat® to a bleeding site after clamp release, until all bleeding at that site has ceased. In case of rebleeding of the treated sites and additional application of PuraStat®, the TTH will be calculated by the addition of TTH1+ TTH(n+1), where TTH1+ TTH(n+1) are the time to haemostasis after each application of PuraStat®. |
Secondary
| Measure | Time frame |
|---|---|
| Blood Loss | Intraoperatively |
| Total Drainage Volume | Post-operatively |
| Transfusion of Blood Products | Intraoperatively |
| Status Post Application(s) | Intraoperatively |
| Assessment of Product Use | Intraoperatively |
| Length of Hospital Stay | Discharge |
| Quantity of Blood Product(s) and or Substitute(s) | Intraoperatively |
Countries
United Kingdom
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| PuraStat® Adult patients scheduled for elective carotid endarterectomy and who have been treated with PuraStat® | 65 |
| Total | 65 |
Baseline characteristics
| Characteristic | PuraStat® | — |
|---|---|---|
| Age, Continuous | 71.8 Years STANDARD_DEVIATION 8.9 | — |
| Race and Ethnicity Not Collected | — | — Participants |
| Region of Enrollment Belgium | 12 participants | — |
| Region of Enrollment United Kingdom | 53 participants | — |
| Sex: Female, Male Female | 51 Participants | — |
| Sex: Female, Male Male | 14 Participants | — |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 1 / 65 |
| other Total, other adverse events | 20 / 65 |
| serious Total, serious adverse events | 7 / 65 |
Outcome results
Total Time-To-Haemostasis
Total Time-To-Haemostasis (TTH) will be intraoperatively measured (secondes) from the first application of PuraStat® to a bleeding site after clamp release, until all bleeding at that site has ceased. In case of rebleeding of the treated sites and additional application of PuraStat®, the TTH will be calculated by the addition of TTH1+ TTH(n+1), where TTH1+ TTH(n+1) are the time to haemostasis after each application of PuraStat®.
Time frame: Intraoperatively
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PuraStat® | Total Time-To-Haemostasis | 83 Secondes | Standard Deviation 105 |
Assessment of Product Use
Time frame: Intraoperatively
| Arm | Measure | Group | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|---|
| PuraStat® | Assessment of Product Use | Ease of preparation | Excellent | 49 Participants |
| PuraStat® | Assessment of Product Use | Ease of preparation | Good | 16 Participants |
| PuraStat® | Assessment of Product Use | Ease of preparation | Fair | 0 Participants |
| PuraStat® | Assessment of Product Use | Ease of preparation | Poor | 0 Participants |
| PuraStat® | Assessment of Product Use | Ease of application | Excellent | 40 Participants |
| PuraStat® | Assessment of Product Use | Ease of application | Good | 25 Participants |
| PuraStat® | Assessment of Product Use | Ease of application | Fair | 0 Participants |
| PuraStat® | Assessment of Product Use | Ease of application | Poor | 0 Participants |
Blood Loss
Time frame: Intraoperatively
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PuraStat® | Blood Loss | 127.0 mL | Standard Deviation 111.4 |
Length of Hospital Stay
Time frame: Discharge
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PuraStat® | Length of Hospital Stay | 4.3 Days | Standard Deviation 11 |
Quantity of Blood Product(s) and or Substitute(s)
Time frame: Intraoperatively
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PuraStat® | Quantity of Blood Product(s) and or Substitute(s) | 580.0 mL | Standard Deviation 113.1 |
Status Post Application(s)
Time frame: Intraoperatively
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| PuraStat® | Status Post Application(s) | Complete Haemostasis | 59 Participants |
| PuraStat® | Status Post Application(s) | Presence of bleeding | 6 Participants |
Total Drainage Volume
Time frame: Post-operatively
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| PuraStat® | Total Drainage Volume | 50.1 mL | Standard Deviation 50.8 |
Transfusion of Blood Products
Time frame: Post-operatively
| Arm | Measure | Category | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| PuraStat® | Transfusion of Blood Products | NO | 65 Participants |
| PuraStat® | Transfusion of Blood Products | YES | 0 Participants |
Transfusion of Blood Products
Time frame: Intraoperatively
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| PuraStat® | Transfusion of Blood Products | YES | 2 Participants |
| PuraStat® | Transfusion of Blood Products | NO | 63 Participants |