- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05883592
A Real-World Study on Distal Aortic Remodeling for Stanford Type B Aortic Dissection With Fabulous Thoracic Aortic Stent System
May 31, 2023 updated by: Hangzhou Endonom Medtech Co., Ltd.
To evaluate aortic remodeling of Fabulous thoracic aortic stent system in the treatment of acute and subacute Stanford type B aortic dissection (the changes of aortic diameter, cross-sectional area,and volume of true lumen, false lumen and total aorta in different aoritc levels, and false lumen thrombosis in different aoritc levels), and splanchnic artery perfusion.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
Fabulous Thoracic Aortic Stent System is specially designed for aortic dissection based on PETTICOAT technique.
Study Type
Observational
Enrollment (Estimated)
50
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Xi Guo
- Phone Number: 13911048625
- Email: happyfred2008@163.com
Study Contact Backup
- Name: Xi Guo
Study Locations
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Beijing, China
- Beijing Friendship Hospital, Capital Medical University
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Beijing
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Beijing, Beijing, China
- Beijing Anzhen Hospital, Capital Medical University
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Contact:
- Xi Guo
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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
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients with Stanford type B aortic dissection are treated with Fabulous Thoracic Aortic Stent System in the real world.
Description
Inclusion Criteria:
- ≥18 years old, regardless of gender;
Fabulous thoracic aortic stent System is suitable for the treatment of acute or subacute Stanford type B dissection, and the lesions meet one of the following criteria:
- It is necessary to treat distal lesions due to the presence of distal tears;
- The dissection involved a wide range, and there was collapse of the distal true cavity;
- Dissection combined with poor perfusion of distal branch vessels.
- With appropriate arterial access and suitable for endovascular aortic repair;
- Subjects could understand the purpose of the trial, volunteered to participate in the study, signed the informed consent form by themselves or their legal representatives, and were willing to complete the follow-up as required by the protocol.
Exclusion Criteria:
- Patients have participated in clinical trials of other drugs or medical devices related to target lesion treatment or have participated in clinical trials of other drugs or medical devices and have not reached the primary endpoint;
- Patients were unable or unwilling to participate in the study;
- Patients were judged by the investigator to be ineligible for participation in the trial.
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
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Fabulous Thoracic Aortic Stent System
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Endovascular treament in patients with aortic dissection with Fabulous Thoracic Aortic Stent System
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change of diameter
Time Frame: 3 months, 6 months,12 months after operation
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The changes of true lumen, false lumen and total aortic diameter before and after surgery in the level of pulmonary artery bifurcation/left atrial (L1), the distal end of covered stent (L2), superior mesenteric artery (L3) and abdominal aortic bifurcation (L4) were recorded.
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3 months, 6 months,12 months after operation
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Changes of cross-sectional area
Time Frame: 3 months, 6 months,12 months after operation
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The changes of true lumen, false lumen and total aortic cross-sectional area before and after surgery in the level of pulmonary artery bifurcation/left atrial (L1), the distal end of covered stent (L2), superior mesenteric artery (L3) and abdominal aortic bifurcation (L4) were recorded.
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3 months, 6 months,12 months after operation
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Volumetric change
Time Frame: 3 months, 6 months,12 months after operation
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The volumes of the true lumen and false lumen of the aorta before and after surgery were measured from the covered stent placement segment, the proximal end of the bare stent to the level of celiac trunk, from the level of celiac trunk to the level of low kidney, and from the level of low kidney to the abdominal aorta bifurcation.
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3 months, 6 months,12 months after operation
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Splanchnic arteries perfusion
Time Frame: 3 months, 6 months,12 months after operation
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The change rate of postoperative true lumen diameter of branch artery = (postoperative true lumen diameter - preoperative true lumen diameter)/preoperative true lumen diameter ×100%
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3 months, 6 months,12 months after operation
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Incidence of distal new entry
Time Frame: 3 months, 6 months,12 months after operation
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The number of visceral artery segment tears and infrarenal abdominal aorta segment tears were evaluated.
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3 months, 6 months,12 months after operation
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Tortuosity of the descending thoracic aorta
Time Frame: 3 months, 6 months,12 months after operation
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Tortuosity of the descending thoracic aorta = the length of left subclavian artery to descending aorta of coeliac trunk along the center lumen line/the outer curvature length of left subclavian artery to coeliac trunk
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3 months, 6 months,12 months after operation
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Immediate technical success
Time Frame: Immediate during surgery
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Immediate technical success was defined as the stent was successfully delivered to the intended site and released.
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Immediate during surgery
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Incidence of type I and III endoleak
Time Frame: Immediate during surgery,3 months, 6 months,12 months after operation
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Immediate during surgery,3 months, 6 months,12 months after operation
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Major adverse events occurring within 30 days after surgery
Time Frame: within 30 days after operation
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Refers to all-cause mortality, myocardial infarction, ischemic stroke or respiratory failure occurring within 30 days after surgery.
More specifically, myocardial infarction refers to a drastic reduction or complete interruption of the coronary blood supply due to coronary artery disease, resulting in severe and prolonged acute ischemia of the corresponding myocardium, leading to necrosis of cardiomyocytes.
Ischemic stroke refers to the end result of necrosis of brain tissue caused by narrowing or occlusion of the arteries supplying blood to the brain or insufficient blood supply to the brain.
Respiratory failure is defined as a state resulting in significantly prolonged intubation, tracheotomy, deterioration of lung function, or other fatal outcomes.
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within 30 days after operation
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Incidence of severe adverse events
Time Frame: 3 months, 6 months,12 months after operation
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Refers to an event that occurs during the clinical trial that results in mortality or serious deterioration in patient health, including a fatal illness or injury, a permanent defect in body structure or body function, or an event that requires medical or surgical intervention to avoid one or more permanent defects in body structure or body function.
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3 months, 6 months,12 months after operation
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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 (Estimated)
May 1, 2023
Primary Completion (Estimated)
May 1, 2024
Study Completion (Estimated)
May 1, 2024
Study Registration Dates
First Submitted
May 18, 2023
First Submitted That Met QC Criteria
May 31, 2023
First Posted (Actual)
June 1, 2023
Study Record Updates
Last Update Posted (Actual)
June 1, 2023
Last Update Submitted That Met QC Criteria
May 31, 2023
Last Verified
May 1, 2023
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Fabulous WQ-F01
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
No
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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