A Randomized Clinical Trial Evaluating Negative Pressure Therapy to Decrease Vascular Groin Incision Complications
Evaluation of Closed Incision Negative Pressure Device (Prevena) to Prevent Vascular Wound Complications
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19107
- Thomas Jefferson University Hospital
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- All patients undergoing a femoral incision during vascular reconstruction or repair will be considered for study
Exclusion Criteria:
- Emergency procedure
- Unable to give informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: High Risk - Prevena Care
The Prevena device is a product from KCI and is a sterile sponge that covers the closed incision.
The device is placed sterile in the operating room and suction is then applied to the sponge for 5-7 days.
|
The Prevena device is a product from KCI and is a sterile sponge that covers the closed incision.
The device is placed sterile in the operating room and suction is then applied to the sponge for 5-7 days.
Other Names:
|
|
Active Comparator: High Risk - Dry Gauze Dressing Care
Initial dry gauze dressing will be placed sterile in the operating room and will be changed daily
|
Initial dry gauze dressing will be placed sterile in the operating room and will be changed daily
|
|
Active Comparator: Low Risk - Dry Gauze Dressing Care
Initial dry gauze dressing will be placed sterile in the operating room and will be changed daily
|
Initial dry gauze dressing will be placed sterile in the operating room and will be changed daily
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Groin Wound Complication
Time Frame: 30 days
|
Composite measure including wound dehiscence (skin or fascia), lymph leak (seroma or fistula), infection (deep or superficial), or hematoma
|
30 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Hospital Readmission
Time Frame: 30 days
|
Readmission for wound complication
|
30 days
|
|
Hospital Length of Stay
Time Frame: 30 days
|
Readmission to inpatient hospital for management of wound complications
|
30 days
|
|
Return to Operating Room
Time Frame: 30 days
|
Return to operating room for surgical management of wound complications
|
30 days
|
|
Index Hospital Cost
Time Frame: 30 days
|
Index Hospital Cost
|
30 days
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Paul DiMuzio, MD, Thomas Jefferson University
Publications and helpful links
General Publications
- Kwon J, Staley C, McCullough M, Goss S, Arosemena M, Abai B, Salvatore D, Reiter D, DiMuzio P. A randomized clinical trial evaluating negative pressure therapy to decrease vascular groin incision complications. J Vasc Surg. 2018 Dec;68(6):1744-1752. doi: 10.1016/j.jvs.2018.05.224. Epub 2018 Aug 17.
- Cristino MA, Nakano LC, Vasconcelos V, Correia RM, Flumignan RL. Prevention of infection in aortic or aortoiliac peripheral arterial reconstruction. Cochrane Database Syst Rev. 2025 Apr 22;4(4):CD015192. doi: 10.1002/14651858.CD015192.pub2.
- Correia RM, Nakano LC, Vasconcelos V, Cristino MA, Flumignan RL. Prevention of infection in peripheral arterial reconstruction of the lower limb. Cochrane Database Syst Rev. 2025 Oct 29;10(10):CD015022. doi: 10.1002/14651858.CD015022.pub2.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimated)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Vascular Diseases
- Cardiovascular Diseases
- Postoperative Complications
- Pathologic Processes
- Infections
- Atherosclerosis
- Arteriosclerosis
- Arterial Occlusive Diseases
- Peripheral Vascular Diseases
- Pathological Conditions, Signs and Symptoms
- Peripheral Arterial Disease
- Aneurysm
- Wound Infection
- Surgical Wound Dehiscence
Other Study ID Numbers
Other Study ID Numbers
- 7179
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.