Registry in Patients With Thoracoabdominal Aneurysms (CONNECT)
Registry in Patients With Thoracoabdominal Aneurysms Treated With Multi-branch Stent Grafts Tailored to Their Individual Anatomies
In this study patients will be observed, who receive a multi-branch stent graft tailored to the patients anatomy for the endovascular treatment of a thoracoabdominal aortic aneurysm Crawford type I, II, III, IV or V.
The objective of this study is to evaluate clinical and technical success as well as safety and feasibility of the multi-branch stent graft Systems used in endovascular treatment of thoracoabdominal aortic aneurysms that cannot be treated with commercially available devices. Primary endpoint of this study is the rate of patients with stable or decreasing aneurysm size at 12 months follow-up.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
In this study patients will be observed, who receive a multi-branch stent graft tailored to the patient´s anatomy for the endovascular treatment of a thoracoabdominal aortic aneurysm Crawford type I, II, III, IV or V. Participating physicians will be asked to provide their observations collected during routine care for patients he/she had decided to treat with a multi-branch stent graft produced by JOTEC GmbH. Informed consent of the patients to allow the use of their clinical records for the purpose of this observational study will be obtained before data are being collected.
The period of data collection will be 36 months from the intervention for each patient. A risk based source data verification will be performed. CT angiograms will be evaluated by a CoreLab.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
-
-
North Rhine-Westphalia
-
Düsseldorf, North Rhine-Westphalia, Germany, 40225
- Uniklinikum Düsseldorf
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Age ≥ 18 years
- Patients must have a thoracoabdominal aneurysm type Crawford type I, II, III, IV, or V
- Patients must have a suitable proximal landing area
- Patients must have a suitable distal landing area in the abdominal aorta or the iliac arteries
- Patients must have suitable access vessels
- Patients must be available for the appropriate follow-up times for the duration of the study
- Patients have signed the informed consent before intervention
Exclusion Criteria:
- Patients with infectious aneurysm
- Patients with inflammatory aneurysm
- Patients with ruptured or symptomatic aneurysm
- Patients with traumatic aneurysm
- Patients with aortic dissection
- Patients who have a congenital degenerative collagen disease or connective tissue disorder
- Patients with thrombocytopenia
- Patients with an eGFR < 45ml/min/1.73m2 before the intervention
- Patients with untreated hyperthyroidism
- Patients with malignancy needing chemotherapy or radiation
- Patients that will be treated or are treated with iliac branch devices
- Patients pre-treated with Nellix (Endologix) or Ovation (Endologix) or Altura (Lombard Medical) stent grafts
- Patients who are enrolled in another clinical study
- Patients with life expectancy of less than 36 months
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Prospective
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Rate of patients with stable or decreasing aneurysm size at 12 months follow-up (measured by CoreLab)
Time Frame: 12 months follow-up
|
Decreasing size: >/= 5mm Increasing size: </= 5mm compared to first post-operative CT angiogram
|
12 months follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Rate of all cause mortality
Time Frame: intra-op, post-op until 36 months follow-up
|
intra-op, post-op until 36 months follow-up
|
|
Rate of patients with aneurysm rupture
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with main adverse events (product-related, procedure-related, aneurysm-related)
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of interventions in peri-operative periods (all related interventions until index procedure)
Time Frame: intra-op
|
intra-op
|
|
Rate of reinterventions
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with endoleaks type Ia, Ib, II, III, IV, V and of unknown origin
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with multi-branch stent graft migration
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with loss of device integrity
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with primary / secondary patency of branch vessels
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with stent graft infection
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with primary / secondary technical success
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with primary / secondary clinical success
Time Frame: post-op until 36 months follow-up
|
post-op until 36 months follow-up
|
|
Rate of patients with removal or failure to implant the multi-branch stent graft
Time Frame: intra-op, post-op until 36 months follow-up
|
intra-op, post-op until 36 months follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Hubert Schelzig, Professor, Uniklinikum Düsseldorf
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 (Actual)
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
Other Study ID Numbers
Other Study ID Numbers
- CONNECT
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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