Abdominal Aortic Aneurysm
Conditions
Keywords
abdominal aortic aneurysm, endovascular repair, stent graft
Brief summary
The sudy purpose is to investigate efficacy and safety of percutaneous endovascular aortic aneurysm repair using INCRAFT stent graft for Korean patients with abdominal aortic aneurysm. This study is designed as an investigator-initiated, multi-center, single-arm, prospective registry study. A total of 100 patients who meet all inclusion criteria, but none of exclusion criteria will be enrolled after the implantation of INCRAFT stent graft. The primary efficacy outcome is technical success defined as successful deployment of the stent-graft with no type I/III endoleak, unintentional coverage of visceral aortic branches or internal iliac arteries at the end of the procedure, and with successful removal of the delivery system. The primary safety outcome is major vascular complications at 30 days including. The study subjects will be followed for 12 months.
Detailed description
Prospective single-arm multicenter registry
Interventions
None listed
Sponsors
Yonsei University
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
19 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* 1\. AAA with one of following indications 1. AAA with maximum diameter \> 5 cm, 2. AAA with maximum diameter \> 4 cm with an increase \>0.5 cm during the preceding 6 months 3. Saccular type AAA irrespective of the sac diameter. * 2\. Proximal aortic neck length ≥10 mm with a diameter ≥ 17 and ≤ 31 mm in combination with supra- and infrarenal angulation ≤ 60 degree. * 3\. Iliac landing zone with a length ≥15 mm and a diameter ≥ 7 and ≤ 22 mm * 4\. Femoral access vessels should be adequate to fit the selected delivery system * 5\. Minimum overall AAA treatment length (proximal landing location to distal landing location to distal landing location) ≥128 mm * 6\. Aortic bifurcation \>18 mm in diameter * 7\. Patents with age of 19-80 years. * 8\. Male or non-pregnant female * 9\. Voluntary participation in the study with signed informed consent form.
Exclusion criteria
* 1\. Dissecting or ruptured abdominal aortic aneurysm * 2\. Presence of connective tissue disease (Marfan's syndrome or Ehlers-Danlos syndrome). * 3\. Prior AAA or iliac artery repair * 4\. Active infection or active vasculitis. * 5\. Myocardial infarction or cerebrovascular accident within 3 months prior to study enrolment. * 6\. Need for renal artery coverage (e.g. Chimney graft) * 7\. Dialysis-dependent renal failure or serum creatinine \>2.0 mg/dl * 8\. Intolerance/hypersensitivity to contrast media or antiplatelet drugs. * 9\. Positive pregnancy test. * 10\. Participation in another medical research study within 1 month of study enrolment. * 11\. Planned concomitant surgical procedures (other than left subclavian artery transposition or bypass) or major surgery within 30 days of study enrolment. * 12\. Patients with life expectancy less than 1 year
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Technical success | At the end of the procedure | Technical success defined as successful deployment of the stent-graft with no type I/III endoleak, unintentional coverage of visceral aortic branches or internal iliac arteries at the end of the procedure, and with successful removal of the delivery system. Primary conversion or additional implantation of bare metal stent, aortic cuff or EndoAnchors to treat type I endoleak is considered a technical failure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of closure devices used for the closure of access sites. | 30 days | Number of closure devices used for the closure of access sites. |
| Major adverse event | 30 days | Major adverse event, a composite of death, myocardial infarction, stroke, or renal failure requiring dialysis) at 30 days |
| Aneurysm-related death | 30 days | All-cause death at 30 days |
| All vascular complications related to the INCRAFT device or aneurysm requiring surgical or endovascular interventions | 30 days | All vascular complications at 30 days related to the INCRAFT device or aneurysm requiring surgical or endovascular interventions |
| Type I/III endoleaks | 30 days | Type I/III endoleaks at 30 days |
| Aneurysm-related event | 1 year | Aneurysm-related event (aneurysm-related death, reintervention, and aorta expansion\> 5 mm, device migration, conversion to open repair, stent graft fracture, stent graft occlusion) at 1 year |
| Reintervention | 1 year | Reintervention at 1 year |
Countries
South Korea
Outcome results
None listed