- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05637970
Comparing Perclose to Statseal With Perclose in Transcatheter Aortic Valve Replacement Arteriotomy Closure
July 28, 2023 updated by: University of California, Los Angeles
A Prospective Randomized Study Comparing the Time to Ambulation and Safety of Using a Closure Device Alone and in Conjunction With a Potassium Ferrate Pad (Statseal) Following Transcatheter Aortic Valve Replacement Via the Femoral Artery
The purpose of this clinical study is to compare how well two different devices achieve hemostasis in patients undergoing a transfemoral transcatheter aortic valve replacement.
Both devices are approved by the FDA for this use, and have already been used by clinicians on patients undergoing transfemoral procedures.
It is believed that the use of both devices in combination compared to the Perclose alone will shorten the time that it takes to 'seal' the artery, resulting in a shorter period of time that manual pressure will be held, shorter procedure time and less complications after the procedure.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Actual)
50
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
California
-
Los Angeles, California, United States, 90025
- University of California Ronald Reagan Medical Center
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
Delivery of a 14-16 French Transcatheter aortic valve replacement system
Exclusion Criteria:
- Use of a hemostasis method or device besides PercloseTM (Perclose may not be used in situations of heavy calcification, presence of dissection, etc).
- Use of an anticoagulant other than unfractionated heparin or bivalirudin during the procedure.
- Any use of glycoprotein inhibitors or cangrelor.
- Use of sheathless guides.
- Any anticipated need for continued anticoagulation post-catheterization, including extended bivalirudin infusion.
- Any active treatment with oral anticoagulants continued during course of procedure.
- Presence of arteriovenous dialysis fistula in the ipsilateral leg.
- Any physical deformity or trauma / injury of the leg that would prevent proper placement or function of the hemostasis band.
- Inability of the patient to personally consent for the study. (no surrogate consent)
- Cardiogenic shock, emergent procedures (high risk myocardial infarctions), or any clinical instability as assessed by the physician performing the procedure.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Perclose Only
Patients will have a PercloseTM device deployed at the arteriotomy.
Manual pressure will be held for at least five minute, the beginning of which will correspond to time point zero.
Patent hemostasis will be documented after device deployment.
Any manual compression needed or per protocol under the disgression of the operator will count towards the time to hemostasis.
After hemostasis is achieved in the cath lab the patient will be sent to the post-operative area for monitoring.
If any additional bleeding is appreciated, manual compression will again be held.
If any new bleeding from the puncture site or under the skin the patient will again lay supine and at least 10 minutes of manual pressure will be held.
This will be continued until the patient has no bleeding.
|
Patients will have a PercloseTM device deployed at the arteriotomy.
Manual pressure will be held for at least five minute, the beginning of which will correspond to time point zero.
Patent hemostasis will be documented after device deployment.
Any manual compression needed or per protocol under the disgression of the operator will count towards the time to hemostasis.
After hemostasis is achieved in the cath lab the patient will be sent to the post-operative area for monitoring.
If any additional bleeding is appreciated, manual compression will again be held.
If any new bleeding from the puncture site or under the skin the patient will again lay supine and at least 10 minutes of manual pressure will be held.
This will be continued until the patient has no bleeding.
Other Names:
|
Experimental: Perclose with Statseal Device
Patients will have a PercloseTM device deployed at the arteriotomy.
A Statseal disc will applied and manual pressure will be held for at least five minute, the beginning of which will correspond to time point zero.
Patent hemostasis will be documented after device deployment.
Any manual compression needed or per protocol under the disgression of the operator will count towards the time to hemostasis.
After hemostasis is achieved in the cath lab the patient will be sent to the post-operative area for monitoring.
If any additional bleeding is appreciated, manual compression will again be held.
If any new bleeding from the puncture site or under the skin the patient will again lay supine and at least 10 minutes of manual pressure will be held.
This will be continued until the patient has no bleeding.
|
Patients will have a PercloseTM device deployed at the arteriotomy.
Manual pressure will be held for at least five minute, the beginning of which will correspond to time point zero.
Patent hemostasis will be documented after device deployment.
Any manual compression needed or per protocol under the disgression of the operator will count towards the time to hemostasis.
After hemostasis is achieved in the cath lab the patient will be sent to the post-operative area for monitoring.
If any additional bleeding is appreciated, manual compression will again be held.
If any new bleeding from the puncture site or under the skin the patient will again lay supine and at least 10 minutes of manual pressure will be held.
This will be continued until the patient has no bleeding.
Other Names:
Patients will have a PercloseTM device deployed at the arteriotomy.
A Statseal disc will applied and manualpressure will be held for at least five minute, the beginning of which will correspond to time point zero.
Patent hemostasis will be documented after device deployment.
Any manual compression needed or per protocol under the disgression of the operator will count towards the time to hemostasis.
After hemostasis is achieved in the cath lab the patient will be sent to the post-operative area for monitoring.
If any additional bleeding is appreciated, manual compression will again be held.
If any new bleeding from the puncture site or under the skin the patient will again lay supine and at least 10 minutes of manual pressure will be held.
This will be continued until the patient has no bleeding.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Time to hemostasis
Time Frame: 24 hours post procedure (± 1 hour)
|
From the time of manual compression after PercloseTM deployed until hemostasis is achieved without complication.
|
24 hours post procedure (± 1 hour)
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent of patients with hematoma
Time Frame: 24 hours post procedure (± 1 hour)
|
Presence of small <5cm, medium 5-10cm, or large >10cm hematoma based on physical exam or diagnostic imaging.
|
24 hours post procedure (± 1 hour)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 12, 2023
Primary Completion (Actual)
July 25, 2023
Study Completion (Actual)
July 25, 2023
Study Registration Dates
First Submitted
November 23, 2022
First Submitted That Met QC Criteria
December 2, 2022
First Posted (Actual)
December 6, 2022
Study Record Updates
Last Update Posted (Actual)
August 1, 2023
Last Update Submitted That Met QC Criteria
July 28, 2023
Last Verified
July 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 22-000961
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
Yes
product manufactured in and exported from the U.S.
Yes
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.
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