Aorta Aneurysm, Aorta Dissection, Aorta Stenosis, Aortic Coarctation, Aortic Rupture, Aortic Valve Disease, Aortic Valve Stenosis
Conditions
Keywords
Percutaneous access
Brief summary
Multicentre prospective registry including consecutive patients undergoing Percutaneous Endovascular Aneurysm Repair (PEVAR), Percutaneous Endovascular Thoracic Aneurysm Repair (PTEVAR) or Transcatheter Aortic Valve Implantation (TAVI) in which variables related to the percutaneous access closure for implanting devices at aorta level will be collected and analyzed. The follow-up period will be 30 days after the procedure. The duration of the recruitment period will be one year. All data will be collected telematically and incorporated into a database for subsequent statistical analysis. There will be 2 points for data interim analysis at 6 and 12 months after initiation of the study.
Interventions
DEVICEPerclose Proglide (Abbott)
Common Femoral Artery percutaneous access closure by means of Perclose Proglide device
Sponsors
Sociedad Espanola de Angiologia y Cirugia Vascular
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Men and women over 18 years old * Signed informed consent * Endovascular procedures on the aorta to any level, performed by percutaneous access and requiring the use of devices ≥ 10F * Femoral Access suitable for percutaneous treatment in the opinion of the surgeon
Exclusion criteria
* Need for surgical repair of the femoral artery (stenosis aneurysmal) * Initial indication of percutaneous closure with another device different from the Perclose Proglide * Active infection of the puncture site * Condition that prevents complete the 30 days follow up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of closure-procedure technical success as assessed by absence of femoral pseudoaneurysm or arterial occlusion | 30 days | Rate of cases that are reported with a femoral pseudoaneurysm in the site of arterial access or common femoral artery occlusion related to the closure procedure. |
| Quality of Life assesed by EuroQol-5 Dimensions (EQ-5D) Questionnaire | 30 days | Estimated Impact of the procedure on the Quality of Life measured by EQ-5D Questionnaire on 5 dimensions; mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Mobility dimension asks about the person's walking ability. Self-care dimension asks about the ability to wash or dress by oneself, and usual activities dimension measures performance in work, study, housework, family or leisure activities. In pain/discomfort dimension, it asks how much pain or discomfort they have, and in anxiety/depression dimension, it asks how anxious or depressed they are. The study participants self-rate their level of severity for each dimension. Rated level can be coded as 1, 2, or 3, which indicates having no problems for 1, having some problems for 2, and having extreme problems for 3. As a result, a person's health status can be defined by a 5-digit number, ranging from 11111 (having no problems in all dimensions) to 33333 (having extreme problems in all dimensions). |
| Incidence of Procedure-Emergent Adverse Events related to Frailty as assessed by the Modified Frailty Index (mFI-11) | 30 days | Incidence of any postoperative adverse event or mortality related to the frailty assessed by the modified frailty index (mFI-11), an 11-factor score predictive of increased risk for postoperative morbidity and mortality in patients undergoing elective and emergent surgery that scores the frailty between 1 to 11, being the 11 the most frailty status. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time of closure procedure hemostasis in seconds | 1 hour | Duration in seconds of the arterial closure procedure until complete hemostasis |
| Hospital Stay assessed in days | 30 days | Duration in days until hospital discharge |
| Post-operative Pain assessed by the Visual Analog Scale for Pain | 30 days | Evaluation of the discomfort or pain after the procedure determined at the end of the procedure with the Visual Analog Scale for Pain, which is a psychometric measuring instrument designed to assess the pain intensity experienced by each patient individually. The analogous visual scale used for this study measures from 0-10 the intensity of the pain with a series of faces that show the intensity in the pain experimentation with categories like No pain approximately 0-1, mild, annoying in number 2, nagging in number 4, distressing in number 6, intense in number 8 and worst possible in number 10. |
Contacts
Primary ContactJoaquin De Haro, MD
Backup ContactFrancisco J Medina, MD
Outcome results
None listed