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CTAG Dissection/Trauma Post Marketing Surveillance Japan

Post Marketing Surveillance of the Conformable GORE® TAG® Thoracic Endoprosthesis (CTAG)

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT05414318
Enrollment
55
Registered
2022-06-10
Start date
2016-01-05
Completion date
2022-12-23
Last updated
2024-10-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thoracic Aorta Injury, Thoracic Aortic Aneurysm, Thoracic Aortic Dissection

Brief summary

Post Marketing Surveillance of the Conformable GORE® TAG® Thoracic Endoprosthesis

Interventions

DEVICEConformable GORE® TAG® Thoracic Endoprosthesis

Thoracic Endoprosthesis

Sponsors

W.L.Gore & Associates
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

for Acute, Complicated Stanford Type B Aortic Dissection: * Patient present with acute complicated type B aortic dissection * Patient who do not respond to medical therapy * Time from symptom onset to dissection diagnosis ≤ 14 days * Adequate iliac / femoral access or conduit * Aortic inner diameter at proximal extent of proximal landing zone in the range of 16-42 mm * ≥ 20 mm landing zone proximal to the primary entry tear; proximal extent of the landing zone must not be dissected Inclusion Criteria for Traumatic Aortic Transection: * Patient has traumatic aortic transection that requires repair as determined by treating physician * Adequate iliac / femoral access * Aortic inner diameter in the range of 16-42 mm on the proximal and distal sides * ≥ 20 mm non-aneurysmal aorta neck proximal and distal to the lesion

Design outcomes

Primary

MeasureTime frameDescription
Primary Entry Tear ExclusionAt each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)Number of subjects who achieved the primary entry tear exclusion
Aortic RuptureProcedure through 5 years (Day 0-2006)Number of subjects with Aortic Rupture
Major Device-related Adverse EventsProcedure through 5 years (Day 0-2006)Number of subjects with major device-related adverse events
Secondary Intervention TreatmentPost-procedure through 5 years (Day 1-2006)Incidence rate of secondary intervention treatment
Change in Minimum True Lumen Diameter Adjacent to Treated SegmentAt each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)Change in minimum true lumen diameter adjacent to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)
Change in Minimum True Lumen Diameter Distal to Treated SegmentAt each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)Change in minimum true lumen diameter distal to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)
Change in Maximum False Lumen Diameter Adjacent to Treated SegmentAt each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)Change in maximum false lumen diameter adjacent to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)
Change in Maximum False Lumen Diameter Distal to Treated SegmentAt each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)Change in maximum false lumen diameter distal to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)
Change in Maximum Lesion DiameterAt each follow-up visit from 6 months through 5 years: 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)Change in maximum lesion diameter at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Participant flow

Participants by arm

ArmCount
Dissection
Acute complicated Stanford type B dissection
43
Trauma
Traumatic thoracic aortic injury
12
Total55

Baseline characteristics

CharacteristicDissectionTraumaTotal
Age, Continuous65 years58.5 years65 years
American Society of Anesthesiologists (ASA) Classification
ASA 1
13 Participants3 Participants16 Participants
American Society of Anesthesiologists (ASA) Classification
ASA II
10 Participants0 Participants10 Participants
American Society of Anesthesiologists (ASA) Classification
ASA III
11 Participants5 Participants16 Participants
American Society of Anesthesiologists (ASA) Classification
ASA IV
9 Participants4 Participants13 Participants
American Society of Anesthesiologists (ASA) Classification
ASA V
0 Participants0 Participants0 Participants
At Risk for Graft Infection0 Participants1 Participants1 Participants
Bowel Necrosis1 Participants0 Participants1 Participants
Cerebrovascular Disease6 Participants0 Participants6 Participants
Degenerative Connective Tissue Disease1 Participants0 Participants1 Participants
Diabetes Mellitus5 Participants1 Participants6 Participants
Height165 cm166.5 cm165 cm
Hypertension29 Participants2 Participants31 Participants
Persistent Refractory Shock3 Participants2 Participants5 Participants
Prior Descending Thoracic Aorta Repair0 Participants0 Participants0 Participants
Pulmonary Disease4 Participants0 Participants4 Participants
Race and Ethnicity Not Collected0 Participants
Region of Enrollment
Japan
43 participants12 participants55 participants
Renal Disease2 Participants0 Participants2 Participants
Sex: Female, Male
Female
10 Participants2 Participants12 Participants
Sex: Female, Male
Male
33 Participants10 Participants43 Participants
Weight63.9 kg67.3 kg66.0 kg

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
10 / 431 / 12
other
Total, other adverse events
0 / 430 / 12
serious
Total, serious adverse events
17 / 431 / 12

Outcome results

Primary

Aortic Rupture

Number of subjects with Aortic Rupture

Time frame: Procedure through 5 years (Day 0-2006)

Population: Subjects with acute complicated Stanford type B dissection. (Not a protocol-defined endpoint for trauma arm and therefore not evaluated)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
DissectionAortic Rupture2 Participants
Primary

Change in Maximum False Lumen Diameter Adjacent to Treated Segment

Change in maximum false lumen diameter adjacent to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Time frame: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment1 MonthDecrease18 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment1 MonthNo Change5 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment1 MonthIncrease1 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment6 MonthsDecrease23 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment6 MonthsNo Change4 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment6 MonthsIncrease0 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment12 MonthsDecrease24 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment12 MonthsNo Change4 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment12 MonthsIncrease1 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment24 MonthsDecrease21 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment24 MonthsNo Change2 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment24 MonthsIncrease2 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment36 MonthsDecrease17 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment36 MonthsNo Change2 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment36 MonthsIncrease1 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment48 MonthsDecrease15 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment48 MonthsNo Change2 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment48 MonthsIncrease1 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment60 MonthsDecrease18 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment60 MonthsNo Change0 Participants
DissectionChange in Maximum False Lumen Diameter Adjacent to Treated Segment60 MonthsIncrease1 Participants
Primary

Change in Maximum False Lumen Diameter Distal to Treated Segment

Change in maximum false lumen diameter distal to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Time frame: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment1 MonthDecrease14 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment1 MonthNo Change10 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment1 MonthIncrease0 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment6 MonthsDecrease19 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment6 MonthsNo Change5 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment6 MonthsIncrease1 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment12 MonthsDecrease20 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment12 MonthsNo Change4 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment12 MonthsIncrease2 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment24 MonthsDecrease15 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment24 MonthsNo Change6 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment24 MonthsIncrease2 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment36 MonthsDecrease12 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment36 MonthsNo Change3 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment36 MonthsIncrease4 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment48 MonthsDecrease14 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment48 MonthsNo Change1 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment48 MonthsIncrease2 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment60 MonthsDecrease15 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment60 MonthsNo Change3 Participants
DissectionChange in Maximum False Lumen Diameter Distal to Treated Segment60 MonthsIncrease1 Participants
Primary

Change in Maximum Lesion Diameter

Change in maximum lesion diameter at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Time frame: At each follow-up visit from 6 months through 5 years: 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Subjects with Traumatic thoracic aortic injury. (Outcome not applicable for dissection arm - see Outcome Measures #5-8 for change in true/false lumen diameter for the dissection arm)

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
DissectionChange in Maximum Lesion Diameter6 MonthsDecrease1 Participants
DissectionChange in Maximum Lesion Diameter6 MonthsNo Change2 Participants
DissectionChange in Maximum Lesion Diameter6 MonthsIncrease0 Participants
DissectionChange in Maximum Lesion Diameter12 MonthsDecrease1 Participants
DissectionChange in Maximum Lesion Diameter12 MonthsNo Change2 Participants
DissectionChange in Maximum Lesion Diameter12 MonthsIncrease0 Participants
DissectionChange in Maximum Lesion Diameter24 MonthsDecrease1 Participants
DissectionChange in Maximum Lesion Diameter24 MonthsNo Change2 Participants
DissectionChange in Maximum Lesion Diameter24 MonthsIncrease0 Participants
DissectionChange in Maximum Lesion Diameter36 MonthsDecrease1 Participants
DissectionChange in Maximum Lesion Diameter36 MonthsNo Change0 Participants
DissectionChange in Maximum Lesion Diameter36 MonthsIncrease0 Participants
DissectionChange in Maximum Lesion Diameter48 MonthsDecrease1 Participants
DissectionChange in Maximum Lesion Diameter48 MonthsNo Change1 Participants
DissectionChange in Maximum Lesion Diameter48 MonthsIncrease0 Participants
DissectionChange in Maximum Lesion Diameter60 MonthsDecrease1 Participants
DissectionChange in Maximum Lesion Diameter60 MonthsNo Change0 Participants
DissectionChange in Maximum Lesion Diameter60 MonthsIncrease0 Participants
Primary

Change in Minimum True Lumen Diameter Adjacent to Treated Segment

Change in minimum true lumen diameter adjacent to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Time frame: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result. (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment1 MonthDecrease1 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment1 MonthNo Change6 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment1 MonthIncrease18 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment6 MonthsDecrease1 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment6 MonthsNo Change3 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment6 MonthsIncrease26 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment12 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment12 MonthsNo Change7 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment12 MonthsIncrease24 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment24 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment24 MonthsNo Change6 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment24 MonthsIncrease23 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment36 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment36 MonthsNo Change4 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment36 MonthsIncrease18 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment48 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment48 MonthsNo Change3 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment48 MonthsIncrease16 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment60 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment60 MonthsNo Change3 Participants
DissectionChange in Minimum True Lumen Diameter Adjacent to Treated Segment60 MonthsIncrease18 Participants
Primary

Change in Minimum True Lumen Diameter Distal to Treated Segment

Change in minimum true lumen diameter distal to treated segment at each follow-up visit: Decrease (\>=5mm) vs No change vs Increase (\>=5mm)

Time frame: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result (Outcome not applicable for trauma arm - see Outcome Measure #9 for change in maximum lesion diameter for the trauma arm)

ArmMeasureGroupCategoryValue (COUNT_OF_PARTICIPANTS)
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment1 MonthDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment1 MonthNo Change13 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment1 MonthIncrease11 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment6 MonthsDecrease1 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment6 MonthsNo Change11 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment6 MonthsIncrease14 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment12 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment12 MonthsNo Change10 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment12 MonthsIncrease16 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment24 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment24 MonthsNo Change7 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment24 MonthsIncrease19 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment36 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment36 MonthsNo Change5 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment36 MonthsIncrease15 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment48 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment48 MonthsNo Change6 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment48 MonthsIncrease12 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment60 MonthsDecrease0 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment60 MonthsNo Change7 Participants
DissectionChange in Minimum True Lumen Diameter Distal to Treated Segment60 MonthsIncrease13 Participants
Primary

Major Device-related Adverse Events

Number of subjects with major device-related adverse events

Time frame: Procedure through 5 years (Day 0-2006)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
DissectionMajor Device-related Adverse Events3 Participants
TraumaMajor Device-related Adverse Events0 Participants
Primary

Primary Entry Tear Exclusion

Number of subjects who achieved the primary entry tear exclusion

Time frame: At each follow-up visit through 5 years: 1 Month (15-59 days), 6 Months (60-242 days), 12 Months (243-546 days), 24 Months (547-911 days), 36 Months (912-1275 days), 48 Months (1276-1640 days), 60 Months (1641-2006 days)

Population: Patients with acute complicated Stanford type B dissection with evaluable result. (Not a protocol-defined endpoint for trauma arm and therefore not evaluated)

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
DissectionPrimary Entry Tear Exclusion1 Month21 Participants
DissectionPrimary Entry Tear Exclusion6 Months26 Participants
DissectionPrimary Entry Tear Exclusion12 Months27 Participants
DissectionPrimary Entry Tear Exclusion24 Months22 Participants
DissectionPrimary Entry Tear Exclusion36 Months19 Participants
DissectionPrimary Entry Tear Exclusion48 Months17 Participants
DissectionPrimary Entry Tear Exclusion60 Months20 Participants
Primary

Secondary Intervention Treatment

Incidence rate of secondary intervention treatment

Time frame: Post-procedure through 5 years (Day 1-2006)

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
DissectionSecondary Intervention Treatment5 Participants
TraumaSecondary Intervention Treatment0 Participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026