Intracranial Aneurysm
Conditions
Brief summary
The purpose of this study is to assess safety and effectiveness of the pEGASUS stent system.
Detailed description
Title: A prospective, multicenter, single-arm clinical trial to evaluate the safety and efficacy of pEGASUS stent system for assisted endovascular treatment of intracranial aneurysms Device: pEGASUS stent system Design: Prospective, Multicenter, Single Arm Clinical Study. Purpose: To assess safety and effectiveness of the pEGASUS stent system. Study duration: 31 months. Sample Size: 130 patients. Number of sites: ≤10. Follow-up time: 12 months.
Interventions
Endovascular intervention with p64/p48 MW HPC pEGASUS Stent System was performed in patients diagnosed with intracranial aneurysms
Sponsors
Study design
Eligibility
Inclusion criteria
* Aged from 18 to 80 years, male or female; * Patients diagnosed as wide-neck intracranial aneurysms by brain CTA/MRA/DSA (neck width≥4mm or bodyor a dome-to-neck ratio\<2); * Parent vessel with a diameter of ≥2.5mm and ≤4.5mm; * Patients target aneurysm is planned to be embolized using intracranial stent assisted with coiling; * The mRS Score of the patients was 0-2; * Patients understand the purpose of the study, accept the follow-up period, and agree to comply with all requirements, agree to participate in the clinical trial and voluntarily sign the informed consent.
Exclusion criteria
* Patients who have contraindications to antiplatelet and/or anticoagulant therapy or do not start antiplatelet therapy in time before treatment. * Patients with anatomical structure is not suitable for endovascular treatment due to severe vascular tortuosity or stenosis shown by angiography. * Known to be allergic to Nitinol platinum alloy and angiographic agents. * Conditions that in the opinion of the investigators would prevent patients from completing the study, such as the expected survival period of active tumor less than 1-year, high-risk group of cerebral thrombosis, heart failure and atrial fibrillation. * Patients combined moyamoya disease, intracranial tumor, intracranial arteriovenous malformation, intracranial arteriovenous fistula and intracranial hematoma. * The target aneurysm has previously received intravascular embolization or stent implantation treatment; * Multiple aneurysms or complex aneurysms; * Patients with acute ruptured aneurysm; * Serious infection is not controlled and is not suitable for operation; * Patients who underwent major surgery or interventional therapy (such as brain, cardiac, chest, abdominal or peripheral vascular) within 30 days before surgery; * Obvious abnormal coagulation function or bleeding tendency; * Combined with severe renal insufficiency, creatinine greater than or equal to 200umol/L; Patients with severe liver diseases (such as acute and chronic hepatitis, cirrhosis), or ALT more than 3 times the upper normal limit; * Pregnancy, lactation, or women of childbearing age who plan to be pregnant during the study period; * Participation in any other clinical trial within 30 days prior to signing informed consent; * Other conditions considered by the investigator to be inappropriate for enrollment.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Aneurysm Occlusion of the Treated Target Lesion on 6 Month Angiography | 6 months | Complete aneurysm occlusion (100% occlusion - Raymond Class 1) of the treated target lesion on 6 month angiography, in the absence of retreatment, or parent artery stenosis (\> 50%) at the target location. |
| Rate of major ipsilateral stroke or neurological death | 12 months | Any major ipsilateral stroke or neurological death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of complete occlusion | Within 24 hours after surgery, 6 months, 12 months | Aneurysm complete occlusion is defined as Raymond Grade I. |
| Technical success rate | Within 24 hours after surgery | Technical success is defined as the successful placement of pEGASUS stent system. |
| Death, stroke, and thrombotic events | to 12 months | Record the number of death, stroke and thrombotic events throughout the clinical trial period. |
| Rate of good clinical prognosis | 3 months, 6 months, 12 months | Good clinical prognosis means mRS 0\ 2 |
| Rate of successful occlusion | Within 24 hours after surgery, 6 months, 12 months | Aneurysm successful occlusion is defined as Raymond Grade I/II. |
Countries
China